Analyzing diagnostic errors in the acute setting: a process-driven approach.

ABSTRACT:

Objectives

We describe an approach for analyzing failures in diagnostic processes in a small, enriched cohort of general medicine patients who expired during hospitalization and experienced medical error. Our objective was to delineate a systematic strategy for identifying frequent and significant failures in the diagnostic process to inform strategies for preventing adverse events due to diagnostic error.

Methods

Two clinicians independently reviewed detailed records of purposively sampled cases identified from established institutional case review forums and assessed the likelihood of diagnostic error using the Safer Dx instrument. Each reviewer used the modified Diagnostic Error Evaluation and Research (DEER) taxonomy, revised for acute care (41 possible failure points ac

SUBMITTER: Griffin JA 

PROVIDER: S-EPMC8865394 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature