New Tool Helps Identify Diagnostic Errors in Primary Care, AHRQ Study Finds
An AHRQ-funded study resulted in the development of a successful tool, called the “Safer Dx Instrument,” to measure diagnostic errors in primary care settings. Diagnostic errors are defined as missed opportunities to make a correct or timely diagnosis based on the evidence, regardless of patient harm. After creating a tool with 12 elements, the researchers tested it for accuracy against 389 patient records, some of which had previously been identified as having diagnostic errors. The Safer Dx Instrument had a reasonably high accuracy and predictive value to detect the presence or absence of diagnostic error. The study’s authors concluded that this instrument could be useful to identify high-risk cases for further study and quality improvement. Because of its reduced reliance on subjectivity, the authors said that the Safer Dx Instrument could serve as a standard for assessing a wide spectrum of diagnostic process breakdowns. The researchers emphasized that the Safer Dx Instrument is a much-needed first step in analyzing diagnostic processes in the primary care setting through comprehensive record review. “Accuracy of the Safer Dx Instrument to Identify Diagnostic Errors in Primary Care” appeared in the Journal of General Internal Medicine. Access the abstract.
J Gen Intern Med. 2016 Feb 22. [Epub ahead of print]
Accuracy of the Safer Dx Instrument to Identify Diagnostic Errors in Primary Care.
Al-Mutairi A1,2, Meyer AN1, Thomas EJ3,4, Etchegaray JM4,5, Roy KM6, Davalos MC6, Sheikh S7, Singh H8.
Abstract
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KEYWORDS:
diagnostic error; diagnostic safety; measurement; patient safety; primary care; quality improvement
- PMID:
- 26902245
- [PubMed - as supplied by publisher]
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