biostudies-literatureBell SKAgency for Healthcare Research and QualityAHRQ HHS597-608https://www.ebi.ac.uk/biostudies/studies/S-EPMC10879445biostudies-literatureUnknown33(9)<h4>Background</h4>Accurate and timely diagnosis relies on sharing perspectives among team members and avoiding information asymmetries. Patients/Families hold unique diagnostic process (DxP) information, including knowledge of diagnostic safety blindspots-information that patients/families know, but may be invisible to clinicians. To improve information sharing, we co-developed with patients/families an online tool called 'Our Diagnosis (OurDX)'. We aimed to characterise patient/family contributions in OurDX and how they differed between individuals with and without diagnostic concerns.<h4>Method</h4>We implemented OurDX in two academic organisations serving patients/families living with chronic conditions in three subspecialty clinics and one primary care clinic. Prior to each visit, patBMJ quality & safetyPatient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis.PMC108794455R01HS27367-03R01 HS027367Hart NJDesRoches CDong JHarcourt KNgo LBourgeois FCBell SKLiu SKThomas EJfalsePatient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis.<h4>Background</h4>Accurate and timely diagnosis relies on sharing perspectives among team members and avoiding information asymmetries. Patients/Families hold unique diagnostic process (DxP) information, including knowledge of diagnostic safety blindspots-information that patients/families know, but may be invisible to clinicians. To improve information sharing, we co-developed with patients/families an online tool called 'Our Diagnosis (OurDX)'. We aimed to characterise patient/family contributions in OurDX and how they differed between individuals with and without diagnostic concerns.<h4>Method</h4>We implemented OurDX in two academic organisations serving patients/families living with chronic conditions in three subspecialty clinics and one primary care clinic. Prior to each visit, pat2024-01-01T00:00:00Z2024 Aug2025-05-18T13:29:57.194Z2025-05-18T13:29:57.194ZS-EPMC108794453760467810.1136/bmjqs-2022-015793