Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers.

ABSTRACT:

Objectives

We applied three electronic triggers to study frequency and contributory factors of missed opportunities for improving diagnosis (MOIDs) in pediatric emergency departments (EDs): return visits within 10 days resulting in admission (Trigger 1), care escalation within 24 h of ED presentation (Trigger 2), and death within 24 h of ED visit (Trigger 3).

Methods

We created an electronic query and reporting template for the triggers and applied them to electronic health record systems of five pediatric EDs for visits from 2019. Clinician reviewers manually screened identified charts and initially categorized them as "unlikely for MOIDs" or "unable to rule out MOIDs" without a detailed chart review. For the latter category, reviewers performed a detailed chart review usin

SUBMITTER: Mahajan P 

PROVIDER: S-EPMC11921087 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature