ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2020
Factors Associated With Diagnostic Error on Admission to a PICU: A Pilot Study.
Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Atypical Presentations at Risk for Diagnostic Errors in Internal Medicine: A Scoping Review.Journal of general internal medicine · 2026Article
- Toward Optimizing the Impact of Digital Pathology and Augmented Intelligence on Issues of Diagnosis, Grading, Staging, and Classification.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025Review
- Diagnostic Uncertainty Among Critically Ill Children Admitted to the PICU: A Multicenter Study.Critical care medicine · 2025Article
- Definitions and Measurements for Atypical Presentations at Risk for Diagnostic Errors in Internal Medicine: Protocol for a Scoping Review.JMIR research protocols · 2024Article
- Prevalence and Characteristics of Diagnostic Error in Pediatric Critical Care: A Multicenter Study.Critical care medicine · 2023Article
- Incidence of Diagnostic Errors Among Unexpectedly Hospitalized Patients Using an Automated Medical History-Taking System With a Differential Diagnosis Generator: Retrospective Observational Study.JMIR medical informatics · 2022Article
- A Research Agenda for Diagnostic Excellence in Critical Care Medicine.Critical care clinics · 2022Review
- Diagnostic error in the pediatric hospital: a narrative review.Hospital practice (1995) · 2021Review
- Referral communication for pediatric intensive care unit admission and the diagnosis of critically ill children: A pilot ethnography.Journal of critical care · 2021Article
- Development of a rubric for assessing delayed diagnosis of appendicitis, diabetic ketoacidosis and sepsis.Diagnosis (Berlin, Germany) · 2021Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesDiagnostic errors can harm critically ill children. However, we know little about their prevalence in PICUs and factors associated with error. The objective of this pilot study was to determine feasibility of record review to identify patient, provider, and work system factors associated with diagnostic errors during the first 12 hours after PICU admission.
designPilot retrospective cohort study with structured record review using a structured tool (Safer Dx instrument) to identify diagnostic error.
settingAcademic tertiary referral PICU. PATIENTS: Patients 0-17 years old admitted nonelectively to the PICU.
interventionsNone. MEASUREMENTS AND MAIN
resultsFour of 50 patients (8%) had diagnostic errors in the first 12 hours after admission. The Safer Dx instrument helped identify delayed diagnoses of chronic ear infection, increased intracranial pressure (two cases), and Bartonella encephalitis. We calculated that 610 PICU admissions are needed to achieve 80% power (α = 0.05) to detect significant associations with error.
conclusionsOur pilot study found four patients with diagnostic error out of 50 children admitted nonelectively to a PICU. Retrospective record review using a structured tool to identify diagnostic errors is feasible in this population. Pilot data are being used to inform a larger and more definitive multicenter study.
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