SynthesisBMC medical informatics and decision making2019
Strategies to reduce diagnostic errors: a systematic review.
Synthesis in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Communication and medical errors: a bibliometric analysis of research trends and knowledge structures.Frontiers in medicine · 2026Pooled it
- Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.BMJ quality & safety · 2022Pooled it
- Knowledge mapping and research trends in degenerative mitral regurgitation: a bibliometric analysis from 2004 to 2024.Journal of thoracic disease · 2026Article
- Article
- Impact of a tripartite framework on perioperative clinical reasoning in junior anaesthesiology residents in China: a longitudinal quasi-experimental study.BMC medical education · 2026Article
- Exploring the dark side of the moon: diagnostic errors in critically ill patients.Intensive care medicine · 2025Article
- Listening to patients: A qualitative study on diagnostic delay, coping strategies and stigma in early-onset colorectal cancer.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Development of a Conversational Artificial Intelligence-Based Web Application for Medical Consultations: Prototype Study.JMIRx med · 2025Article
- Implementation of a bundle to improve diagnosis in hospitalized patients: lessons learned.Diagnosis (Berlin, Germany) · 2025Article
- Enhancing Diagnostic and Patient Safety in Healthcare Systems: Key Insights from the World Patient Safety Day 2024 Commemoration in Uganda.Drug, healthcare and patient safety · 2025Review
- Barriers and enablers of community-based health insurance enrollment in the Sidama national regional state, Southern Ethiopia, 2024: A qualitative study.PLOS global public health · 2025Article
- Diagnostic Challenges and Patient Safety: The Critical Role of Accuracy - A Systematic Review.Journal of multidisciplinary healthcare · 2025Review
- Essential New Complexity-Based Themes for Patient-Centered Diagnosis and Treatment of Dementia and Predementia in Older People: Multimorbidity and Multilevel Phenomenology.Journal of clinical medicine · 2024Review
- Emergency department use of an electronic differential diagnosis generator in the evaluation of critically ill patients.Internal and emergency medicine · 2024Observational
- Patients' and clinicians' views on the appropriate use of safety-netting advice in consultations-an interview study from Sweden.BMJ open · 2023Article
- Review
- Errors in clinical diagnosis: a narrative review.The Journal of international medical research · 2023Review
- The Role of Artificial Intelligence Model Documentation in Translational Science: Scoping Review.Interactive journal of medical research · 2023Article
- Article
- Drug interference with biochemical laboratory tests.Biochemia medica · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo evaluate the effectiveness of audit and communication strategies to reduce diagnostic errors made by clinicians.
methodsMEDLINE complete, CINHAL complete, EMBASE, PSNet and Google Advanced. Electronic and manual search of articles on audit systems and communication strategies or interventions, searched for papers published between January 1990 and April 2017. We included studies with interventions implemented by clinicians in a clinical environment with real patients.
resultsA total of 2431 articles were screened of which 26 studies met inclusion criteria. Data extraction was conducted by two groups, each group comprising two independent reviewers. Articles were classified by communication (6) or audit strategies (20) to reduce diagnostic error in clinical settings. The most common interventions were delivered as technology-based systems n = 16 (62%) and within an acute care setting n = 15 (57%). Nine studies reported randomised controlled trials. Three RCT studies on communication interventions and 3 RCTs on audit strategies found the interventions to be effective in reducing diagnostic errors.
conclusionDespite numerous studies on interventions targeting diagnostic errors, our analyses revealed limited evidence on interventions being practically used in clinical settings and a bias of studies originating from the US (n = 19, 73% of included studies). There is some evidence that trigger algorithms, including computer based and alert systems, may reduce delayed diagnosis and improve diagnostic accuracy. In trauma settings, strategies such as additional patient review (e.g. trauma teams) reduced missed diagnosis and in radiology departments review strategies such as team meetings and error documentation may reduce diagnostic error rates over time.
trial registrationThe systematic review was registered in the PROSPERO database under registration number CRD42017067056 .
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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.