Five strategies for clinicians to advance diagnostic excellence

H Singh, DM Connor, G Dhaliwal - Bmj, 2022 - bmj.com
• Diagnosis is a process that is influenced by systems, cognitive, teamwork, and social
factors that may either enhance or reduce diagnostic accuracy• Clinicians can integrate …

Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations

TD Giardina, U Shahid, U Mushtaq… - Journal of General …, 2022 - Springer
Objective To identify challenges and pragmatic strategies for improving diagnostic safety at
an organizational level using concepts from learning health systems Methods We …

Use of e-triggers to identify diagnostic errors in the paediatric ED

D Lam, F Dominguez, J Leonard… - BMJ Quality & …, 2022 - qualitysafety.bmj.com
Background Diagnostic errors (DxEs) are an understudied source of patient harm in children
rarely captured in current adverse event reporting systems. Applying electronic triggers (e …

[HTML][HTML] A program to provide clinicians with feedback on their diagnostic performance in a learning health system

AND Meyer, DK Upadhyay, CA Collins… - The Joint Commission …, 2021 - Elsevier
Problem Reducing diagnostic errors requires improving both systems and individual clinical
reasoning. One strategy to achieve diagnostic excellence is learning from feedback …

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

JB Searns, MC Williams, CE MacBrayne, AL Wirtz… - Diagnosis, 2021 - degruyter.com
Objectives Few studies describe the impact of antimicrobial stewardship programs (ASPs)
on recognizing and preventing diagnostic errors. Handshake stewardship (HS-ASP) is a …

Complementary approaches to identifying missed diagnostic opportunities in hospitalized children

JA Grubenhoff, MF Perry - Hospital pediatrics, 2023 - publications.aap.org
Pediatric providers recognize that the children and adolescents for whom they care face
risks of harm associated with delayed, missed, and erroneous diagnoses. 1 Over one-third …

Development of a rubric for assessing delayed diagnosis of appendicitis, diabetic ketoacidosis and sepsis

KA Michelson, DN Williams, AH Dart, P Mahajan… - Diagnosis, 2021 - degruyter.com
Objectives Using case review to determine whether a patient experienced a delayed
diagnosis is challenging. Measurement would be more accurate if case reviewers had …

Exploring Clinical Lessons Learned by Experienced Hospitalists from Diagnostic Errors and Successes

S Kotwal, M Howell, L Zwaan, SM Wright - Journal of general internal …, 2024 - Springer
Background Diagnostic errors cause significant patient harm. The clinician's ultimate goal is
to achieve diagnostic excellence in order to serve patients safely. This can be accomplished …

“I Had No Idea This Happened”: Electronic Feedback on Clinical Reasoning for Hospitalists

S Kotwal, KM Udayappan, N Kutheala… - Journal of general …, 2024 - Springer
Background Feedback on the diagnostic process has been proposed as a method of
improving clinical reasoning and reducing diagnostic errors. Barriers to the delivery and …

[HTML][HTML] Comparative Perspectives on Diagnostic Error Discussions Between Inpatient and Outpatient Pediatric Providers

MM Ladell, G Shafer, SI Ziniel… - American Journal of …, 2023 - journals.lww.com
Diagnostic error remains understudied and underaddressed despite causing significant
morbidity and mortality. One barrier to addressing this issue remains provider discomfort …