Diagnostic errors and missed diagnoses are common in pediatric practices, according to an AHRQ-funded study. Researchers analyzed data from 25 pediatric practices during a 5-month period in 2015. They found diagnostic error rates of 54 percent for pediatric patients with elevated blood pressure and 11 percent for patients with abnormal laboratory values. The rate of missed opportunities to evaluate adolescents for depression was 62 percent. The results were among the first to provide national estimates on the frequency of pediatric diagnostic errors and missed opportunities for diagnosis. Study authors concluded that practitioners should work to measure and reduce these high-frequency errors to avoid care delays and patient harm. Access the abstract of the study, which was published in Academic Pediatrics.
Acad Pediatr. 2017 Aug 10. pii: S1876-2859(17)30463-1. doi: 10.1016/j.acap.2017.08.005. [Epub ahead of print]
Diagnostic Errors in Primary Care Pediatrics: Project RedDE.
Rinke ML1, Singh H2, Heo M3, Adelman JS4, O'Donnell HC5, Choi SJ5, Norton A6, Stein REK5, Brady TM7, Lehmann CU8, Kairys SW9, Rice-Conboy E10, Thiessen K10, Bundy DG11.
Copyright © 2017 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
depression; diagnostic errors; hypertension; laboratory; pediatrics