Evidence map›Paper›PMID 38575311›Full record

ReviewBMJ quality & safety2024

Diagnostic error in mental health: a review.

Andrea Bradford, Ashley N D Meyer, Sundas Khan, Traber D Giardina, Hardeep Singh

Abstract readReview
In one paragraph

Review in BMJ quality & safety, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

5 authors.

Andrea BradfordDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA Andrea.Bradford@bcm.edu.ORCID 0000-0002-8390-8844
Ashley N D MeyerDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0001-7993-8584
Sundas KhanCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, Texas, USA.
Traber D GiardinaDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-9184-6524
Hardeep SinghDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-4419-8974

Funding

Diagnostic Safety Center for Advancing E-triggers and Rapid Feedback Implementation (DISCOVERI)R18HS029347 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2022 to 2025
$4.0M
Developing e-Triggers to Detect Telemedicine Related Diagnostic Safety EventsR01HS028595 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI MURPHY, DANIEL R, SINGH, HARDEEP · 2022 to 2025
$1.6M
Engaging Patients in Diagnostic Error ReportingK01HS025474 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI GIARDINA, TRABER L · 2018 to 2022
$764k
AHRQ HHS 75P00119F37006AHRQ HHS HHSP233201500022IAHRQ HHS K01 HS025474AHRQ HHS R01 HS028595AHRQ HHS R18 HS029347
6 · The paper itself

Abstract

Diagnostic errors are associated with patient harm and suboptimal outcomes. Despite national scientific efforts to advance definition, measurement and interventions for diagnostic error, diagnosis in mental health is not well represented in this ongoing work. We aimed to summarise the current state of research on diagnostic errors in mental health and identify opportunities to align future research with the emerging science of diagnostic safety. We review conceptual considerations for defining and measuring diagnostic error, the application of these concepts to mental health settings, and the methods and subject matter focus of recent studies of diagnostic error in mental health. We found that diagnostic error is well understood to be a problem in mental healthcare. Although few studies used clear definitions or frameworks for understanding diagnostic error in mental health, several studies of missed, wrong, delayed and disparate diagnosis of common mental disorders have identified various avenues for future research and development. Nevertheless, a lack of clear consensus on how to conceptualise, define and measure errors in diagnosis will pose a barrier to advancement. Further research should focus on identifying preventable missed opportunities in the diagnosis of mental disorders, which may uncover generalisable opportunities for improvement.

Indexed as

Diagnostic ErrorsMental DisordersHumansMental Health ServicesDiagnostic errorsMedical error, measurement/epidemiologyMental health

Identifiers

PMID38575311
PMCPMC11503128

What OpenQuestion holds

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Registered trials

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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.