Contributing Factors for Pediatric Ambulatory Diagnostic Process Errors: Project RedDE.

ABSTRACT:

Background

Pediatric ambulatory diagnostic errors (DEs) occur frequently. We used root cause analyses (RCAs) to identify their failure points and contributing factors.

Methods

Thirty-one practices were enrolled in a national QI collaborative to reduce 3 DEs occurring at different stages of the diagnostic process: missed adolescent depression, missed elevated blood pressure (BP), and missed actionable laboratory values. Practices were encouraged to perform monthly "mini-RCAs" to identify failure points and prioritize interventions. Information related to process steps involved, specific contributing factors, and recommended interventions were reported monthly. Data were analyzed using descriptive statistics and Pareto charts.

Results

Twenty-eight (90%) practices submit

SUBMITTER: Dadlez NM 

PROVIDER: S-EPMC7297397 | biostudies-literature | 2020 May-Jun

REPOSITORIES: biostudies-literature