Evidence map›Paper›PMID 27530239›Full record

ReviewBMJ quality & safety2017

The global burden of diagnostic errors in primary care.

Hardeep Singh, Gordon D Schiff, Mark L Graber, Igho Onakpoya, Matthew J Thompson

Registry-linked trialOpen access · hybridAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMJ quality & safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01710293 (Automated Point-of-Care Surveillance of Outpatient Delays in Cancer Diagnosis), which is not on this map. Cited by 172 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
172citing papers in PubMed, 14 pooled it
15.5field-weighted citation impact, top 1% of its field
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.

NCT01710293 nawithdrawnnot on this map

Automated Point-of-Care Surveillance of Outpatient Delays in Cancer Diagnosis

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2017 to 2017Enrolled0ConditionsLung Cancer, Bladder Cancer, Colorectal Cancer, Hepatocellular CarcinomaArmsCommunication of Patients Lost to Follow-up to Providers
3 · Its place in the literature

Who cites it

172 citing papers in PubMed, 14 syntheses or guidelines pooled it, 378 citations in OpenAlex.

  1. Pooled it
  2. Why aren't they used? Systematic review of barriers to implementation of clinical decision support systems for early cancer detection in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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  6. Patient Safety Domains in Primary Healthcare: A Systematic Review.Ethiopian journal of health sciences · 2024
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  13. Strategies to reduce diagnostic errors: a systematic review.BMC medical informatics and decision making · 2019
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112 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Hardeep SinghHouston Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas, USA.
Gordon D SchiffGeneral Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Mark L GraberRTI International, Research Triangle Park, North Carolina, USA.
Igho OnakpoyaNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Matthew J ThompsonDepartment of Family Medicine, University of Washington, Seattle, USA.
Brigham and Women's Hospital · USMichael E. DeBakey VA Medical Center · USRTI International · USUniversity of Oxford · GBUniversity of Washington · US

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
Improving Direct Notification of Abnormal Test Results via Patient PortalsR21HS023602 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2014 to 2015
$300k
AHRQ HHS R01 HS022087AHRQ HHS R21 HS023602
6 · The paper itself

Abstract

Diagnosis is one of the most important tasks performed by primary care physicians. The World Health Organization (WHO) recently prioritized patient safety areas in primary care, and included diagnostic errors as a high-priority problem. In addition, a recent report from the Institute of Medicine in the USA,

Indexed as

Global HealthPatient SafetyClinical Decision-MakingDiagnostic ErrorsDiagnostic Techniques and ProceduresEducation, MedicalHealth PolicyHumansInformation SystemsPatient ParticipationPrimary Health CareQuality ImprovementRisk AssessmentWorld Health OrganizationDiagnostic errorsHealth policyInformation technologyPatient safetyPrimary care

Identifiers

PMID27530239
PMCPMC5502242
OpenAlexW2517618195

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.