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- Title
Primary care pediatricians' interest in diagnostic error reduction.
- Authors
Rinke, Michael L.; Singh, Hardeep; Ruberman, Sarah; Adelman, Jason; Choi, Steven J.; O'Donnell, Heather; Stein, Ruth E.K.; Brady, Tammy M.; Heo, Moonseong; Lehmann, Christoph U.; Kairys, Steven; Rice-Conboy, Elizabeth; Theissen, Keri; Bundy, David G.
- Abstract
Background: Diagnostic errors causing harm in children are understudied, resulting in a knowledge gap regarding pediatricians' interest in reducing their incidence. Methods: Electronic survey of general pediatricians focusing on diagnostic error incidence, errors they were interested in trying to improve, and errors reduced by their electronic health record (EHR). Results: Of 300 contacted pediatricians, 77 (26%) responded, 58 (19%) served ambulatory patients, and 48 (16%) completed the entire questionnaire. Of these 48, 17 (35%) reported making a diagnostic error at least monthly, and 16 (33%) reported making a diagnostic error resulting in an adverse event at least annually. Pediatricians were 'most' interested in 'trying to improve' missed diagnosis of hypertension (17%), delayed diagnosis due to missed subspecialty referral (15%), and errors associated with delayed follow-up of abnormal laboratory values (13%). Among the 44 pediatricians with an EHR, 16 (36%) said it reduced the likelihood of missing obesity and 14 (32%) said it reduced the likelihood of missing hypertension. Also, 15 (34%) said it helped avoid delays in follow-up of abnormal laboratory values. A third (36%) reported no help in diagnostic error reduction from their EHR. Conclusions: Pediatricians self-report an appreciable number of diagnostic errors and were most interested in preventing high frequency, non-life-threatening errors. There exists a need to leverage EHRs to support error reduction efforts.
- Subjects
DIAGNOSTIC errors; PRIMARY care; ELECTRONIC health records; PEDIATRICIANS; MEDICAL errors
- Publication
Diagnosis (2194-802X), 2016, Vol 3, Issue 2, p65
- ISSN
2194-802X
- Publication type
Article
- DOI
10.1515/dx-2015-0033