Evidence map›Paper›PMID 26955512›Full record

ArticleDiagnosis (Berlin, Germany)2015

The challenges in defining and measuring diagnostic error.

Laura Zwaan, Hardeep Singh

Abstract read
In one paragraph

Article in Diagnosis (Berlin, Germany), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Strategies to reduce diagnostic errors: a systematic review.BMC medical informatics and decision making · 2019
    Pooled it
  3. Pooled it
  4. Trial
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  16. Identifying Facilitators and Inhibitors of Shared Understanding: An Ethnography of Diagnosis Communication in Acute Medical Settings.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  17. Review
  18. Understanding 'error' in the forensic sciences: A primer.Forensic science international. Synergy · 2024
    Review
  19. Review
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Laura Zwaan
Hardeep SinghHouston 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, Houston, Texas, USA.

Funding

Decision Making and Clinical Work of Test Result Follow-up in Health IT SettingsR01HS022087 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2013 to 2016
$2.0M
Reducing Missed And Delayed Diagnoses In Cancer: Lessons From AviationK23CA125585 · NCI · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2007 to 2011
$709k
Diagnostic Error in Medicine Annual ConferenceR13HS021774 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2012 to 2014
$291k
AHRQ HHS R01 HS022087AHRQ HHS R13 HS021774NCI NIH HHS K23 CA125585
6 · The paper itself

Abstract

Diagnostic errors have emerged as a serious patient safety problem but they are hard to detect and complex to define. At the research summit of the 2013 Diagnostic Error in Medicine 6th International Conference, we convened a multidisciplinary expert panel to discuss challenges in defining and measuring diagnostic errors in real-world settings. In this paper, we synthesize these discussions and outline key research challenges in operationalizing the definition and measurement of diagnostic error. Some of these challenges include 1) difficulties in determining error when the disease or diagnosis is evolving over time and in different care settings, 2) accounting for a balance between underdiagnosis and overaggressive diagnostic pursuits, and 3) determining disease diagnosis likelihood and severity in hindsight. We also build on these discussions to describe how some of these challenges can be addressed while conducting research on measuring diagnostic error.

Indexed as

clinical decision-makingcognitive errorsdiagnostic errorjudgmentpatient safety

Identifiers

PMID26955512
PMCPMC4779119

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.