Use of an Expedited Review Tool to Screen for Prior Diagnostic Error in Emergency Department Patients.

ABSTRACT:

Objective

Missed diagnoses are an important area of care quality resulting in significant morbidity and mortality. Determination of rates and causes has been limited by difficulties in screening, including the effort of manual chart review. We developed and tested a semi- automated review tool to expedite screening for diagnostic errors in an electronic health record (EHR).

Methods

We retrospectively reviewed patients seen in the emergency department (ED) of a teaching hospital over 31 days, using an automated screen to identify those with a prior in-system visit during the 14 days preceding their ED visit. We collected prior and subsequent notes from the institution's EHR for these cases, then populated a specially designed relational database enabling rapid comparison of p

SUBMITTER: Hudspeth J 

PROVIDER: S-EPMC4704032 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature