ArticleJournal of general internal medicine2022
Creating a Learning Health System for Improving Diagnostic Safety: Pragmatic Insights from US Health Care Organizations.
Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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Who cites it
14 citing papers in PubMed, 21 citations in OpenAlex.
- Scoping review of patient and family engagement interventions in diagnosis: a paradox of too much, yet so little.BMJ quality & safety · 2026Article
- Gaslighting in the context of diagnostic safety: A concept analysis.Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management · 2026Article
- Priorities for improving paediatric diagnosis: findings from a modified Delphi study.BMJ quality & safety · 2026Article
- Two decades of diagnostic safety research: advances, challenges, and next steps.Diagnosis (Berlin, Germany) · 2025Review
- CDC's Core Elements to promote diagnostic excellence.Diagnosis (Berlin, Germany) · 2025Article
- Evaluation of Measure Dx, a Resource to Accelerate Diagnostic Safety Learning and Improvement.Journal of general internal medicine · 2025Observational
- Hospital commitments to address diagnostic errors: An assessment of 95 US hospitals.Journal of hospital medicine · 2025Article
- Patient-reported outcome and experience domains for diagnostic excellence: a scoping review to inform future measure development.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Patient-Clinician Diagnostic Concordance upon Hospital Admission.Applied clinical informatics · 2024Article
- The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: A narrative review.International journal of nursing sciences · 2024Review
- Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors.BMJ open quality · 2024Article
- Developing LHS scholars' competency around reducing burnout and moral injury.Learning health systems · 2024Article
- Medication safety climate from the perspectives of healthcare providers: A cross-sectional study.Journal of education and health promotion · 2023Article
- Diagnostic Safety: Needs Assessment and Informed Curriculum at an Academic Children's Hospital.Pediatric quality & safetyArticle
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
Abstract
objectiveTo identify challenges and pragmatic strategies for improving diagnostic safety at an organizational level using concepts from learning health systems
methodsWe interviewed 32 safety leaders across the USA on how their organizations approach diagnostic safety. Participants were recruited through email and represented geographically diverse academic and non-academic settings. The interview included questions on culture of reporting and learning from diagnostic errors; data gathering and analysis activities; diagnostic training and educational activities; and engagement of clinical leadership, staff, patients, and families in diagnostic safety activities. We conducted an inductive content analysis of interview transcripts and two reviewers coded all data.
resultsOf 32 participants, 12 reported having a specific program to address diagnostic errors. Multiple barriers to implement diagnostic safety activities emerged: serious concerns about psychological safety associated with diagnostic error; lack of infrastructure for measurement, monitoring, and improvement activities related to diagnosis; lack of leadership investment, which was often diverted to competing priorities related to publicly reported measures or other incentives; and lack of dedicated teams to work on diagnostic safety. Participants provided several strategies to overcome barriers including adapting trigger tools to identify safety events, engaging patients in diagnostic safety, and appointing dedicated diagnostic safety champions.
conclusionsSeveral foundational building blocks related to learning health systems could inform organizational efforts to reduce diagnostic error. Promoting an organizational culture specific to diagnostic safety, using science and informatics to improve measurement and analysis, leadership incentives to build institutional capacity to address diagnostic errors, and patient engagement in diagnostic safety activities can enable progress.
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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.