Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events
Diagnostic error is a prevalent, harmful, and costly phenomenon. Multiple national health care and governmental organizations have recently identified the need to improve diagnostic safety as a high priority. A major barrier, however, is the lack of standardized, reliable methods for measuring diagn...
Saved in:
| Published in | Journal of general internal medicine : JGIM Vol. 33; no. 7; pp. 1187 - 1191 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Springer US
01.07.2018
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Abstract | Diagnostic error is a prevalent, harmful, and costly phenomenon. Multiple national health care and governmental organizations have recently identified the need to improve diagnostic safety as a high priority. A major barrier, however, is the lack of standardized, reliable methods for measuring diagnostic safety. Given the absence of reliable and valid measures for diagnostic errors, we need methods to help establish some type of baseline diagnostic performance across health systems, as well as to enable researchers and health systems to determine the impact of interventions for improving the diagnostic process. Multiple approaches have been suggested but none widely adopted. We propose a new framework for identifying “undesirable diagnostic events” (UDEs) that health systems, professional organizations, and researchers could further define and develop to enable standardized measurement and reporting related to diagnostic safety. We propose an outline for UDEs that identifies both conditions prone to diagnostic error and the contexts of care in which these errors are likely to occur. Refinement and adoption of this framework across health systems can facilitate standardized measurement and reporting of diagnostic safety. |
|---|---|
| AbstractList | Diagnostic error is a prevalent, harmful, and costly phenomenon. Multiple national health care and governmental organizations have recently identified the need to improve diagnostic safety as a high priority. A major barrier, however, is the lack of standardized, reliable methods for measuring diagnostic safety. Given the absence of reliable and valid measures for diagnostic errors, we need methods to help establish some type of baseline diagnostic performance across health systems, as well as to enable researchers and health systems to determine the impact of interventions for improving the diagnostic process. Multiple approaches have been suggested but none widely adopted. We propose a new framework for identifying "undesirable diagnostic events" (UDEs) that health systems, professional organizations, and researchers could further define and develop to enable standardized measurement and reporting related to diagnostic safety. We propose an outline for UDEs that identifies both conditions prone to diagnostic error and the contexts of care in which these errors are likely to occur. Refinement and adoption of this framework across health systems can facilitate standardized measurement and reporting of diagnostic safety. Diagnostic error is a prevalent, harmful, and costly phenomenon. Multiple national health care and governmental organizations have recently identified the need to improve diagnostic safety as a high priority. A major barrier, however, is the lack of standardized, reliable methods for measuring diagnostic safety. Given the absence of reliable and valid measures for diagnostic errors, we need methods to help establish some type of baseline diagnostic performance across health systems, as well as to enable researchers and health systems to determine the impact of interventions for improving the diagnostic process. Multiple approaches have been suggested but none widely adopted. We propose a new framework for identifying "undesirable diagnostic events" (UDEs) that health systems, professional organizations, and researchers could further define and develop to enable standardized measurement and reporting related to diagnostic safety. We propose an outline for UDEs that identifies both conditions prone to diagnostic error and the contexts of care in which these errors are likely to occur. Refinement and adoption of this framework across health systems can facilitate standardized measurement and reporting of diagnostic safety.Diagnostic error is a prevalent, harmful, and costly phenomenon. Multiple national health care and governmental organizations have recently identified the need to improve diagnostic safety as a high priority. A major barrier, however, is the lack of standardized, reliable methods for measuring diagnostic safety. Given the absence of reliable and valid measures for diagnostic errors, we need methods to help establish some type of baseline diagnostic performance across health systems, as well as to enable researchers and health systems to determine the impact of interventions for improving the diagnostic process. Multiple approaches have been suggested but none widely adopted. We propose a new framework for identifying "undesirable diagnostic events" (UDEs) that health systems, professional organizations, and researchers could further define and develop to enable standardized measurement and reporting related to diagnostic safety. We propose an outline for UDEs that identifies both conditions prone to diagnostic error and the contexts of care in which these errors are likely to occur. Refinement and adoption of this framework across health systems can facilitate standardized measurement and reporting of diagnostic safety. |
| Author | Singh, Hardeep Graber, Mark L. Olson, Andrew P. J. |
| Author_xml | – sequence: 1 givenname: Andrew P. J. surname: Olson fullname: Olson, Andrew P. J. email: olso5714@umn.edu organization: Department of Medicine, University of Minnesota, Department of Pediatrics, University of Minnesota – sequence: 2 givenname: Mark L. surname: Graber fullname: Graber, Mark L. organization: RTI International, Society to Improve Diagnosis in Medicine – sequence: 3 givenname: Hardeep surname: Singh fullname: Singh, Hardeep organization: Houston Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29380218$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9kUtP3DAUha2Kqgy0P4ANisSGTVr7xnEcFkiIR4uEBAtYu45zEwyJPbUzU_Xf19EwfSC1K0v2d47PvWeP7DjvkJADRj8ySqtPkTFBRU6ZzHlBeQ5vyIKVUOaM19UOWVApeS6rgu-SvRifKGUFgHxHdqEuJAUmF-TrfdDm2bo-uwu-DxhjZl12PS6DX8-3F1b3zkcbT7Kz7CroEb_78Jx1PmQX2Fk3Mw-uxWiDbgbc8pM12eUa3RTfk7edHiJ-eDn3ycPV5f35l_zm9vP1-dlNbnhFpxxY01bMsBKlbJq6oBXXCFpIBMMBGeiOYSmAY8IbzaEtZFskpGs7bURV7JPTje9y1YzYmvR30INaBjvq8EN5bdXfL84-qt6vlaBQClkmg-MXg-C_rTBOarTR4DBoh34VFatTKirSShN69Ap98qvg0ngK5iXXpaQiUYd_JvoVZbv8BFQbwAQfY8BOGTvpyfo5oB0Uo2quWW1qVqlmNdesICnZK-XW_H8a2GhiYl2P4Xfof4t-Aii9umk |
| CitedBy_id | crossref_primary_10_1186_s12875_020_01125_w crossref_primary_10_1007_s11606_021_06611_0 crossref_primary_10_1097_pq9_0000000000000219 crossref_primary_10_1515_dx_2020_0035 crossref_primary_10_1542_hpeds_2022_006593 crossref_primary_10_1007_s11606_018_4491_x crossref_primary_10_1007_s11606_018_4786_y crossref_primary_10_1007_s11606_018_4787_x crossref_primary_10_1515_cclm_2022_1151 crossref_primary_10_1007_s11606_018_4454_2 crossref_primary_10_1111_medu_14592 crossref_primary_10_3389_fpubh_2024_1479750 crossref_primary_10_1007_s10459_022_10194_8 crossref_primary_10_1515_dx_2019_0025 crossref_primary_10_4254_wjh_v11_i10_701 crossref_primary_10_1097_PTS_0000000000000999 crossref_primary_10_1542_peds_2020_045948D crossref_primary_10_1515_dx_2019_0016 crossref_primary_10_1136_bmjqs_2018_008086 crossref_primary_10_1515_dx_2018_0061 |
| Cites_doi | 10.1016/j.jaad.2017.11.018 10.1056/NEJMp1512241 10.1001/archinte.164.4.389 10.1038/ajg.2009.324 10.1136/bmjqs-2013-002627 10.1136/bmjqs-2011-000310 10.1097/PTS.0000000000000338 10.1136/emermed-2014-204604 10.1007/s11606-016-3601-x 10.1001/archinternmed.2009.333 10.1016/j.amjmed.2017.03.009 10.1515/dx-2014-0069 10.1001/archinte.165.13.1493 10.1016/j.amjmed.2008.01.001 10.1136/bmjqs-2016-005401 10.1097/01.NT.0000529646.11580.42 10.1097/PCC.0000000000001059 |
| ContentType | Journal Article |
| Copyright | Society of General Internal Medicine (outside the USA) 2018 Journal of General Internal Medicine is a copyright of Springer, (2018). All Rights Reserved. |
| Copyright_xml | – notice: Society of General Internal Medicine (outside the USA) 2018 – notice: Journal of General Internal Medicine is a copyright of Springer, (2018). All Rights Reserved. |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7QL 7RV 7U9 7X7 7XB 88C 8AO 8FD 8FI 8FJ 8FK 8G5 ABUWG AFKRA AZQEC BENPR C1K CCPQU DWQXO FR3 FYUFA GHDGH GNUQQ GUQSH H94 K9. M0S M0T M1P M2O M7N MBDVC NAPCQ P64 PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS Q9U RC3 7X8 5PM |
| DOI | 10.1007/s11606-018-4304-2 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Bacteriology Abstracts (Microbiology B) Nursing & Allied Health Database Virology and AIDS Abstracts Health & Medical Collection ProQuest Central (purchase pre-March 2016) Healthcare Administration Database (Alumni) ProQuest Pharma Collection Technology Research Database Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Research Library ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials ProQuest Central Environmental Sciences and Pollution Management ProQuest One Community College ProQuest Central Korea Engineering Research Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep AIDS and Cancer Research Abstracts ProQuest Health & Medical Complete (Alumni) ProQuest Health & Medical Collection Health Management Database Medical Database Research Library Algology Mycology and Protozoology Abstracts (Microbiology C) Research Library (Corporate) Nursing & Allied Health Premium Biotechnology and BioEngineering Abstracts ProQuest Central Premium ProQuest One Academic ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic Genetics Abstracts MEDLINE - Academic PubMed Central (Full Participant titles) |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Research Library Prep ProQuest Central Student Technology Research Database ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Research Library (Alumni Edition) ProQuest Pharma Collection ProQuest Central China Environmental Sciences and Pollution Management ProQuest Central ProQuest Health & Medical Research Collection Genetics Abstracts Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Bacteriology Abstracts (Microbiology B) Algology Mycology and Protozoology Abstracts (Microbiology C) Health & Medical Research Collection AIDS and Cancer Research Abstracts ProQuest Research Library ProQuest Central (New) Virology and AIDS Abstracts ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Health Management ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Biotechnology and BioEngineering Abstracts Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Health Management (Alumni Edition) Engineering Research Database ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic Research Library Prep |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1525-1497 |
| EndPage | 1191 |
| ExternalDocumentID | PMC6025685 29380218 10_1007_s11606_018_4304_2 |
| Genre | Research Support, U.S. Gov't, Non-P.H.S Research Support, U.S. Gov't, P.H.S Review Journal Article |
| GrantInformation_xml | – fundername: AHRQ HHS grantid: R21 HS023602 – fundername: AHRQ HHS grantid: R01 HS022087 |
| GroupedDBID | --- -53 -5E -5G -BR -EM -Y2 -~C .86 .GJ .VR 06C 06D 0R~ 0VY 199 1CY 1N0 1OC 1SB 2.D 203 28- 29K 29~ 2J2 2JN 2JY 2KG 2KM 2LR 2VQ 2WC 2~H 30V 31~ 36B 3V. 4.4 406 408 40D 40E 53G 5GY 5RE 5VS 67Z 6NX 78A 7RV 7X7 8-1 8AO 8FI 8FJ 8G5 8UJ 95- 95. 95~ 96X AAAVM AABHQ AACDK AAHNG AAIAL AAJBT AAJKR AANXM AANZL AAQQT AARHV AARTL AASML AATNV AATVU AAUYE AAWCG AAWTL AAWTO AAYIU AAYQN AAYTO AAYZH ABAKF ABDZT ABECU ABFTV ABHLI ABHQN ABIPD ABIVO ABJNI ABJOX ABKCH ABLJU ABMNI ABMQK ABNWP ABPLI ABQBU ABQSL ABSXP ABTEG ABTKH ABTMW ABULA ABUWG ABWNU ABXPI ACAOD ACDTI ACGFO ACGFS ACHSB ACHVE ACHXU ACKNC ACMDZ ACMLO ACOKC ACOMO ACPIV ACPRK ACREN ACUDM ACXQS ACZOJ ADBBV ADHHG ADHIR ADINQ ADKNI ADKPE ADRFC ADTPH ADURQ ADYFF ADYOE ADZKW AEBTG AEFQL AEGAL AEGNC AEJHL AEJRE AEKMD AEMSY AENEX AEOHA AEPYU AESKC AETLH AEVLU AEXYK AFBBN AFEBI AFEXP AFFNX AFJLC AFKRA AFLOW AFQWF AFRAH AFWTZ AFYQB AFZJQ AFZKB AGAYW AGDGC AGGDS AGJBK AGMZJ AGQEE AGQMX AGRTI AGVAE AGWIL AGWZB AGYKE AHAVH AHBYD AHIZS AHKAY AHMBA AHSBF AHYZX AIAKS AIGIU AIIXL AILAN AITGF AJAOE AJBLW AJRNO AJZVZ AKMHD ALIPV ALMA_UNASSIGNED_HOLDINGS ALWAN AMKLP AMTXH AMXSW AMYLF AMYQR AOCGG AOIJS AQUVI ARMRJ ASPBG AVWKF AXYYD AZFZN AZQEC B-. BA0 BAWUL BBWZM BDATZ BENPR BFHJK BGNMA BKEYQ BPHCQ BVXVI CAG CCPQU CO8 COF CS3 CSCUP D-I DDRTE DIK DNIVK DPUIP DU5 DWQXO E3Z EBD EBLON EBS EIOEI EJD EMB EMOBN EN4 ESBYG EX3 F5P FEDTE FERAY FFXSO FIGPU FIJ FINBP FNLPD FRRFC FSGXE FWDCC FYUFA G-Y G-Z GGCAI GGRSB GJIRD GNUQQ GNWQR GQ6 GQ7 GRRUI GUQSH GX1 H13 HF~ HG5 HG6 HMCUK HMJXF HRMNR HVGLF HYE HZ~ IHE IJ- IKXTQ IMOTQ IPNFZ ITM IWAJR IXC IXE IZQ I~X I~Z J-C J0Z JBSCW JZLTJ KDC KOV KPH LH4 LLZTM LW6 M0T M1P M2O M4Y MA- N2Q N4W N9A NAPCQ NB0 NDZJH NF0 NPVJJ NQJWS NU0 O9- O93 O9G O9I O9J OAM OK1 OVD P19 P2P P6G P9S PF- PQQKQ PROAC PSQYO PT4 PT5 Q2X QOK QOR QOS R4E R89 R9I RHV RNI ROL RPM RPX RSV RZK S16 S1Z S26 S27 S28 S37 S3B SAP SCLPG SDE SDH SDM SHX SISQX SJN SJYHP SMD SNE SNPRN SNX SOHCF SOJ SPISZ SRMVM SSLCW SSXJD STPWE SV3 SZ9 SZN T13 T16 TEORI TR2 TSG TSK TSV TT1 TUC U2A U9L UG4 UKHRP UOJIU UTJUX UZXMN VC2 VFIZW W48 WK8 WOQ WOW YFH YLTOR YOC YUY Z45 Z5O Z7U Z7W Z7X Z82 Z83 Z87 Z88 Z8O Z8R Z8V Z8W Z91 Z92 ZGI ZMTXR ZOVNA ~EX AAFWJ AAPKM AAYXX ABBRH ABDBE ABFSG ACMFV ACSTC ADHKG AEZWR AFDZB AFHIU AFOHR AGQPQ AHPBZ AHWEU AIXLP ATHPR AYFIA CITATION PHGZM PHGZT CGR CUY CVF ECM EIF NPM 7QL 7U9 7XB 8FD 8FK ABRTQ C1K FR3 H94 K9. M7N MBDVC P64 PJZUB PKEHL PPXIY PQEST PQUKI PRINS Q9U RC3 7X8 5PM |
| ID | FETCH-LOGICAL-c470t-21bd71c15e88bb93074ae2a68e2c42e12af1e5624e470ba42d38d3ae2fdfac673 |
| IEDL.DBID | 7X7 |
| ISSN | 0884-8734 1525-1497 |
| IngestDate | Thu Aug 21 18:20:04 EDT 2025 Fri Jul 11 00:09:25 EDT 2025 Sat Aug 23 13:14:42 EDT 2025 Thu Apr 03 07:02:16 EDT 2025 Tue Jul 01 00:59:57 EDT 2025 Thu Apr 24 23:01:22 EDT 2025 Fri Feb 21 02:39:20 EST 2025 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 7 |
| Keywords | diagnosis diagnostic error patient safety measurement |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c470t-21bd71c15e88bb93074ae2a68e2c42e12af1e5624e470ba42d38d3ae2fdfac673 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23 |
| OpenAccessLink | https://link.springer.com/content/pdf/10.1007/s11606-018-4304-2.pdf |
| PMID | 29380218 |
| PQID | 2001395806 |
| PQPubID | 30490 |
| PageCount | 5 |
| ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_6025685 proquest_miscellaneous_1993006884 proquest_journals_2001395806 pubmed_primary_29380218 crossref_citationtrail_10_1007_s11606_018_4304_2 crossref_primary_10_1007_s11606_018_4304_2 springer_journals_10_1007_s11606_018_4304_2 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2018-07-01 |
| PublicationDateYYYYMMDD | 2018-07-01 |
| PublicationDate_xml | – month: 07 year: 2018 text: 2018-07-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | New York |
| PublicationPlace_xml | – name: New York – name: United States |
| PublicationTitle | Journal of general internal medicine : JGIM |
| PublicationTitleAbbrev | J GEN INTERN MED |
| PublicationTitleAlternate | J Gen Intern Med |
| PublicationYear | 2018 |
| Publisher | Springer US Springer Nature B.V |
| Publisher_xml | – name: Springer US – name: Springer Nature B.V |
| References | BernerESGraberMLOverconfidence as a cause of diagnostic error in medicineAm J Med.20081215 SupplS22310.1016/j.amjmed.2008.01.00118440350 DavalosMCSamuelsKMeyerANDFinding diagnostic errors in children admitted to the PICUPediatr Crit Care Med.201718326527110.1097/PCC.000000000000105928125548 OkaforNPayneVLChathampallyYMillerSDoshiPSinghHUsing voluntary reports from physicians to learn from diagnostic errors in emergency medicineEmerg Med J.201633424525210.1136/emermed-2014-20460426531860 National Quality Forum - Improving Diagnostic Quality and Safety. http://www.qualityforum.org/Improving_Diagnostic_Quality_and_Safety.aspx. Accessed December 17, 2017. LowensteinEve JudithDermatology and its unique diagnostic heuristicsJournal of the American Academy of Dermatology20187861239124010.1016/j.jaad.2017.11.018 SinghHDaciKPetersenLAMissed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosisAm J Gastroenterol.2009104102543255410.1038/ajg.2009.324195504182758321 SinghHGiardinaTDPetersenLAExploring situational awareness in diagnostic errors in primary careBMJ Qual Saf.2012211303810.1136/bmjqs-2011-00031021890757 Wilson JMG, Jungner G. Principles and practice of screening for disease. Public Health Paper No. 34. Geneva: World Health Organization; 1968. National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. Washington, DC: National Academies Press; 2015. Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2016:1. https://doi.org/10.1097/PTS.0000000000000338. BhiseVMeyerANDSinghHErrors in diagnosis of spinal epidural abscesses in the era of electronic health recordsAm J Med.2017130897598110.1016/j.amjmed.2017.03.00928366427 ZwaanLSinghHThe challenges in defining and measuring diagnostic errorDiagnosis.2015229710310.1515/dx-2014-006926955512 Choosing Wisely. http://www.choosingwisely.org/. Accessed December 17, 2017. CMS Quality Measure Development Plan: Supporting the Transition to The Quality Payment Program 2017 Annual Report. 2017. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Draft-CMS-Quality-Measure-Development-Plan-MDP.pdf. Accessed December 17, 2017. SchiffGDHasanOKimSDiagnostic error in medicine: analysis of 583 physician-reported errorsArch Intern Med.2009169201881188710.1001/archinternmed.2009.33319901140 Patient Safety Primer: Never Events. https://psnet.ahrq.gov/primers/primer/3/never-events. Accessed December 17, 2017. SinghHGraberMLImproving diagnosis in health care—the next imperative for patient safetyN Engl J Med.2015373262493249510.1056/NEJMp151224126559457 SinghHMeyerANDThomasEJThe frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populationsBMJ Qual Saf.201423972773110.1136/bmjqs-2013-002627247427774145460 CombesAMokhtariMCouvelardAClinical and autopsy diagnoses in the intensive care unitArch Intern Med.2004164438910.1001/archinte.164.4.38914980989 SinghHSchiffGDGraberMLOnakpoyaIThompsonMJThe global burden of diagnostic errors in primary careBMJ Qual Saf.201726648449410.1136/bmjqs-2016-00540127530239 CLIAC Home. https://wwwn.cdc.gov/cliac/. Accessed December 17, 2017. GraberMLFranklinNGordonRDiagnostic error in internal medicineArch Intern Med.2005165131493149910.1001/archinte.165.13.149316009864 Al-MutairiAMeyerANDThomasEJAccuracy of the Safer Dx instrument to identify diagnostic errors in primary careJ Gen Intern Med.201631660260810.1007/s11606-016-3601-x269022454870415 A Combes (4304_CR17) 2004; 164 4304_CR8 H Singh (4304_CR12) 2017; 26 V Bhise (4304_CR3) 2017; 130 GD Schiff (4304_CR7) 2009; 169 4304_CR9 ES Berner (4304_CR19) 2008; 121 4304_CR23 4304_CR13 4304_CR1 MC Davalos (4304_CR4) 2017; 18 H Singh (4304_CR20) 2009; 104 4304_CR15 H Singh (4304_CR2) 2015; 373 4304_CR10 ML Graber (4304_CR11) 2005; 165 L Zwaan (4304_CR6) 2015; 2 A Al-Mutairi (4304_CR14) 2016; 31 4304_CR16 H Singh (4304_CR21) 2012; 21 H Singh (4304_CR5) 2014; 23 Eve Judith Lowenstein (4304_CR18) 2018; 78 N Okafor (4304_CR22) 2016; 33 30632099 - J Gen Intern Med. 2019 Oct;34(10):1959 31236892 - J Gen Intern Med. 2019 Oct;34(10):1960 |
| References_xml | – reference: SinghHSchiffGDGraberMLOnakpoyaIThompsonMJThe global burden of diagnostic errors in primary careBMJ Qual Saf.201726648449410.1136/bmjqs-2016-00540127530239 – reference: SinghHGraberMLImproving diagnosis in health care—the next imperative for patient safetyN Engl J Med.2015373262493249510.1056/NEJMp151224126559457 – reference: Al-MutairiAMeyerANDThomasEJAccuracy of the Safer Dx instrument to identify diagnostic errors in primary careJ Gen Intern Med.201631660260810.1007/s11606-016-3601-x269022454870415 – reference: SinghHDaciKPetersenLAMissed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosisAm J Gastroenterol.2009104102543255410.1038/ajg.2009.324195504182758321 – reference: National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. Washington, DC: National Academies Press; 2015. – reference: BhiseVMeyerANDSinghHErrors in diagnosis of spinal epidural abscesses in the era of electronic health recordsAm J Med.2017130897598110.1016/j.amjmed.2017.03.00928366427 – reference: CombesAMokhtariMCouvelardAClinical and autopsy diagnoses in the intensive care unitArch Intern Med.2004164438910.1001/archinte.164.4.38914980989 – reference: SinghHGiardinaTDPetersenLAExploring situational awareness in diagnostic errors in primary careBMJ Qual Saf.2012211303810.1136/bmjqs-2011-00031021890757 – reference: CLIAC Home. https://wwwn.cdc.gov/cliac/. Accessed December 17, 2017. – reference: OkaforNPayneVLChathampallyYMillerSDoshiPSinghHUsing voluntary reports from physicians to learn from diagnostic errors in emergency medicineEmerg Med J.201633424525210.1136/emermed-2014-20460426531860 – reference: Patient Safety Primer: Never Events. https://psnet.ahrq.gov/primers/primer/3/never-events. Accessed December 17, 2017. – reference: ZwaanLSinghHThe challenges in defining and measuring diagnostic errorDiagnosis.2015229710310.1515/dx-2014-006926955512 – reference: National Quality Forum - Improving Diagnostic Quality and Safety. http://www.qualityforum.org/Improving_Diagnostic_Quality_and_Safety.aspx. Accessed December 17, 2017. – reference: SinghHMeyerANDThomasEJThe frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populationsBMJ Qual Saf.201423972773110.1136/bmjqs-2013-002627247427774145460 – reference: BernerESGraberMLOverconfidence as a cause of diagnostic error in medicineAm J Med.20081215 SupplS22310.1016/j.amjmed.2008.01.00118440350 – reference: Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2016:1. https://doi.org/10.1097/PTS.0000000000000338. – reference: Choosing Wisely. http://www.choosingwisely.org/. Accessed December 17, 2017. – reference: CMS Quality Measure Development Plan: Supporting the Transition to The Quality Payment Program 2017 Annual Report. 2017. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Draft-CMS-Quality-Measure-Development-Plan-MDP.pdf. Accessed December 17, 2017. – reference: DavalosMCSamuelsKMeyerANDFinding diagnostic errors in children admitted to the PICUPediatr Crit Care Med.201718326527110.1097/PCC.000000000000105928125548 – reference: Wilson JMG, Jungner G. Principles and practice of screening for disease. Public Health Paper No. 34. Geneva: World Health Organization; 1968. – reference: LowensteinEve JudithDermatology and its unique diagnostic heuristicsJournal of the American Academy of Dermatology20187861239124010.1016/j.jaad.2017.11.018 – reference: SchiffGDHasanOKimSDiagnostic error in medicine: analysis of 583 physician-reported errorsArch Intern Med.2009169201881188710.1001/archinternmed.2009.33319901140 – reference: GraberMLFranklinNGordonRDiagnostic error in internal medicineArch Intern Med.2005165131493149910.1001/archinte.165.13.149316009864 – volume: 78 start-page: 1239 issue: 6 year: 2018 ident: 4304_CR18 publication-title: Journal of the American Academy of Dermatology doi: 10.1016/j.jaad.2017.11.018 – volume: 373 start-page: 2493 issue: 26 year: 2015 ident: 4304_CR2 publication-title: N Engl J Med. doi: 10.1056/NEJMp1512241 – ident: 4304_CR16 – volume: 164 start-page: 389 issue: 4 year: 2004 ident: 4304_CR17 publication-title: Arch Intern Med. doi: 10.1001/archinte.164.4.389 – volume: 104 start-page: 2543 issue: 10 year: 2009 ident: 4304_CR20 publication-title: Am J Gastroenterol. doi: 10.1038/ajg.2009.324 – ident: 4304_CR9 – volume: 23 start-page: 727 issue: 9 year: 2014 ident: 4304_CR5 publication-title: BMJ Qual Saf. doi: 10.1136/bmjqs-2013-002627 – volume: 21 start-page: 30 issue: 1 year: 2012 ident: 4304_CR21 publication-title: BMJ Qual Saf. doi: 10.1136/bmjqs-2011-000310 – ident: 4304_CR13 doi: 10.1097/PTS.0000000000000338 – volume: 33 start-page: 245 issue: 4 year: 2016 ident: 4304_CR22 publication-title: Emerg Med J. doi: 10.1136/emermed-2014-204604 – volume: 31 start-page: 602 issue: 6 year: 2016 ident: 4304_CR14 publication-title: J Gen Intern Med. doi: 10.1007/s11606-016-3601-x – volume: 169 start-page: 1881 issue: 20 year: 2009 ident: 4304_CR7 publication-title: Arch Intern Med. doi: 10.1001/archinternmed.2009.333 – volume: 130 start-page: 975 issue: 8 year: 2017 ident: 4304_CR3 publication-title: Am J Med. doi: 10.1016/j.amjmed.2017.03.009 – volume: 2 start-page: 97 issue: 2 year: 2015 ident: 4304_CR6 publication-title: Diagnosis. doi: 10.1515/dx-2014-0069 – ident: 4304_CR8 – ident: 4304_CR1 – ident: 4304_CR10 – volume: 165 start-page: 1493 issue: 13 year: 2005 ident: 4304_CR11 publication-title: Arch Intern Med. doi: 10.1001/archinte.165.13.1493 – volume: 121 start-page: S2 issue: 5 Suppl year: 2008 ident: 4304_CR19 publication-title: Am J Med. doi: 10.1016/j.amjmed.2008.01.001 – volume: 26 start-page: 484 issue: 6 year: 2017 ident: 4304_CR12 publication-title: BMJ Qual Saf. doi: 10.1136/bmjqs-2016-005401 – ident: 4304_CR15 – ident: 4304_CR23 doi: 10.1097/01.NT.0000529646.11580.42 – volume: 18 start-page: 265 issue: 3 year: 2017 ident: 4304_CR4 publication-title: Pediatr Crit Care Med. doi: 10.1097/PCC.0000000000001059 – reference: 31236892 - J Gen Intern Med. 2019 Oct;34(10):1960 – reference: 30632099 - J Gen Intern Med. 2019 Oct;34(10):1959 |
| SSID | ssj0013228 |
| Score | 2.3638127 |
| SecondaryResourceType | review_article |
| Snippet | Diagnostic error is a prevalent, harmful, and costly phenomenon. Multiple national health care and governmental organizations have recently identified the need... |
| SourceID | pubmedcentral proquest pubmed crossref springer |
| SourceType | Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 1187 |
| SubjectTerms | Critical Care - methods Critical Care - standards Diagnostic Errors - prevention & control Diagnostic systems Health Health care Humans Internal Medicine Measurement methods Medical diagnosis Medicine Medicine & Public Health Organizations Patient Safety - standards Perspective Researchers Safety |
| SummonAdditionalLinks | – databaseName: SpringerLink Journals (ICM) dbid: U2A link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3da9swED9KB2Uvo2u7zf1ChT2tCGxZkpW-hbWhDDL60EDfXEmWWWA4I07-_935K0vTDfass2WfdNJPut_dAXw2QYvYSsnRmjIus9Jz47TimUWzVF457Sl2ePpd38_ktyf11MVx1z3bvXdJNiv1Jtgt0c3p13CJZ3CO6-4bhUd34nHNxPhP14FpoaNEU09l78p87RXbm9EOwtwlSr7wljab0OQQ3nXokY3b4X4Pe6E6goNp5x8_hmfcejxdfrMH4l3hKsbmFRsuDthtS6yb1zdszCY9L4shcGW3oWxqRTCqhFTPlxRS1ctjb-yOiJH1Ccwmd49f73lXQ4F7mcUrLhJXZIlPVDDGuRFatLRBWG2C8FKERNgyCYiBZEBxZ6UoUlOkKFIWpfU6Sz_AfrWowidgTmVyFJfOu2CliwuEFh4PRLYQpQnO-QjiXpm57xKMU52Ln_kmNTLpP0f956T_XETwZXjkV5td41_C5_0I5Z2h1VRFEzGsMrGO4GpoRhMhv4etwmJd58RRpFAYIyP42A7o0BuiHUMwJ4Jsa6gHAUq_vd1SzX80abg1wUWjIrjuJ8Xms_76E6f_JX0GbwXN1oYefA77q-U6XCAIWrnLZtL_BiDf_tM priority: 102 providerName: Springer Nature |
| Title | Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events |
| URI | https://link.springer.com/article/10.1007/s11606-018-4304-2 https://www.ncbi.nlm.nih.gov/pubmed/29380218 https://www.proquest.com/docview/2001395806 https://www.proquest.com/docview/1993006884 https://pubmed.ncbi.nlm.nih.gov/PMC6025685 |
| Volume | 33 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3da9swED-2FsZeyr7nrisa7GlDzFZkSd3LyNqkZaOljAWyJ0-SZRYoTlun___u5I8sLeuLDdYZW7o76SfdF8B7E5RIrZQctUlzqSvPjVM51xbVMve5U55ih0_P1MlMfpvn8-7ArencKvs5MU7U5dLTGfknEcFKblL15fKKU9Uosq52JTQewjalLiOp1nP9rxXBtChSotaPZG_VjKFzmYp7acMl7ui52FyX7oDNuz6TtwyncT2aPoGdDkiyccv5p_Ag1M_g0WlnKn8Ov3EV8nQOzs7JBQsnNLao2XCGwI5aH7tF85mN2bR30WKIYdlRqGLZCEZFkZrFNUVX9fT4NTYhH8nmBcymk5-HJ7wrp8C91OmKi8yVOvNZHoxx7gCVW9ogrDJBeClCJmyVBYRDMiC5s1KUI1OOkKQqK-uVHr2ErXpZh9fAXK7lQVo574KVLi0RZXjcG9lSVCY45xNI-8EsfJdrnEpeXBTrLMk0_gWOf0HjX4gEPgyvXLaJNu4j3us5VHQ61xRrCUng3dCM2kImEFuH5U1TkLsiRcUYmcCrlqHD1xD4GEI8CegNVg8ElIl7s6Ve_IkZuRUhR5Mn8LEXivVv_bcTu_d34g08FiSe0TV4D7ZW1zfhLQKglduPUr4P2-PjX98neP86OTv_gU-P5xleZ2L8F2MUB2c |
| linkProvider | ProQuest |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1Lb9QwEB6VIgEXxJtAASPBBWQ1cZzYRUKoYrva0m7FoZX25tqOI1ZC2dJshfhT_EZm8lqWit569iRO5mF_9rwA3uiQi9hKydGaFJeq9Fy7POPKollmPnO5p9zh6VE-OZFfZtlsA373uTAUVtmvic1CXSw83ZFviwasZDrOP5394NQ1iryrfQuNVi0Owq-feGSrP-6PUL5vhRjvHX-e8K6rAPdSxUsuEleoxCdZ0Nq5HdRxaYOwuQ7CSxESYcskICqQAcmdlaJIdZEiSVmU1ucqxffegJu48cZ02FMz9bfXQreoVeIqk8rei9qk6iV5c3bXXKax5GJ9H7wEbi_HaP7jqG32v_E9uNsBV7bbatp92AjVA7g17VzzD-EUdz1P9-7sK4V84QLK5hUb7izYqI3pm9cf2C4b9yFhDDEzG4WyaVPBqAlTPT-nbK6eHmdjexSTWT-Ck2th9GPYrBZVeArMZUruxKXzLljp4gJRjcezmC1EqYNzPoK4Z6bxXW1zarHx3ayqMhP_DfLfEP-NiODd8MhZW9jjKuKtXkKms_HarDQygtfDMFonuVxsFRYXtaHwSMrC0TKCJ61Ah9kQaGlCWBGoNVEPBFT5e32kmn9rKoDnhFR1FsH7XilWn_Xfn3h29U-8gtuT4-mhOdw_OngOdwSpahOWvAWby_OL8ALB19K9bDSewel1m9gfdag_8A |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1Lb9QwEB6VrVRxQbwJlGIkuICsJo4Tu5WqqrC7aildrRCVekttxxEroWxptkL8NX4dM3ktS0VvPWfyGs_Ynz3fzAC80T4VoZGSozcpLlXhuLZpwpVBt0xcYlNHucMnk_TwVH46S87W4HeXC0O0ym5OrCfqfO7ojHxb1GAl0WG6XbS0iOlwvH_xg1MHKYq0du00GhM59r9-4vat2jsa4li_FWI8-vrxkLcdBriTKlxwEdlcRS5KvNbW7qC9S-OFSbUXTgofCVNEHhGC9ChujRR5rPMYRYq8MC5VMT73Dqwr2hUNYP3DaDL98ncMQzcYVuKcE8suplon7kVpvZPXXMah5GJ1VbwGda8zNv8J29ar4fg-3GthLDto7O4BrPnyIWyctIH6R3COa6CjU3g2JQIYTqdsVrL-BIMNG4bfrNplB2zcEcQYImg29EXdtIJRS6Zqdkm5XZ08vo2NiKFZPYbTW1H1ExiU89I_A2YTJXfCwjrrjbRhjhjH4c7M5KLQ3loXQNgpM3NtpXNquPE9W9ZoJv1nqP-M9J-JAN71t1w0ZT5uEt7sRihrPb7KlvYZwOv-MvoqBWBM6edXVUZkScrJ0TKAp82A9m9D2KUJbwWgVoa6F6A64KtXytm3uh54SrhVJwG874xi-Vn__YnnN__EK9hA98o-H02OX8BdQZZac5Q3YbC4vPIvEYkt7FZr8gzOb9vL_gDbGkWL |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Tracking+Progress+in+Improving+Diagnosis%3A+A+Framework+for+Defining+Undesirable+Diagnostic+Events&rft.jtitle=Journal+of+general+internal+medicine+%3A+JGIM&rft.au=Olson%2C+Andrew+P.+J.&rft.au=Graber%2C+Mark+L.&rft.au=Singh%2C+Hardeep&rft.date=2018-07-01&rft.pub=Springer+US&rft.issn=0884-8734&rft.eissn=1525-1497&rft.volume=33&rft.issue=7&rft.spage=1187&rft.epage=1191&rft_id=info:doi/10.1007%2Fs11606-018-4304-2&rft_id=info%3Apmid%2F29380218&rft.externalDocID=PMC6025685 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0884-8734&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0884-8734&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0884-8734&client=summon |