Evidence map›Paper›PMID 39438386›Full record

Observational studyJournal of general internal medicine2025

Evaluation of Measure Dx, a Resource to Accelerate Diagnostic Safety Learning and Improvement.

Andrea Bradford, Alberta Tran, Kisha J Ali, Alexis Offner, Christine Goeschel, Umber Shahid, Melissa Eckroade, Hardeep Singh

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Andrea BradfordCenter for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX, USA. andrea.bradford@bcm.edu.ORCID 0000-0002-8390-8844
Alberta TranMedStar Institute for Quality and Safety, MedStar Health Research Institute, Columbia, MD, USA.
Kisha J AliMedStar Institute for Quality and Safety, MedStar Health Research Institute, Columbia, MD, USA.
Alexis OffnerCenter for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX, USA.
Christine GoeschelMedStar Institute for Quality and Safety, MedStar Health Research Institute, Columbia, MD, USA.
Umber ShahidCenter for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX, USA.
Melissa EckroadeMedStar Institute for Quality and Safety, MedStar Health Research Institute, Columbia, MD, USA.
Hardeep SinghCenter for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX, USA.

Funding

AHRQ HHS HHSP233201500022I/75P00119F37006
6 · The paper itself

Abstract

backgroundSeveral strategies have been developed to detect diagnostic errors for organizational learning and improvement. However, few health care organizations (HCOs) have integrated these strategies into routine operations. To address this gap, the Agency for Healthcare Research and Quality released "Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events" in 2022.

objectiveWe conducted an evaluation of Measure Dx to measure feasibility of implementation and effects on short-term and intermediate outcomes related to diagnostic safety.

designProspective observational study.

participantsTeams from 11 HCOs, primarily academic medical centers.

interventionsParticipants were asked to use Measure Dx over approximately 6 months and attend monthly virtual learning collaborative sessions to share and discuss approaches to measuring diagnostic safety. MAIN MEASURES: Descriptive outcomes were gathered at the HCO level and included uptake of different case-finding strategies and the number of cases reviewed and confirmed to have diagnostic safety improvement opportunities. We collected information on organizational practices related to diagnostic safety at each HCO at baseline and at the conclusion of the project. KEY

resultsThe 11 HCOs completed all requirements for the evaluation. Each of the four diagnostic safety case finding strategies outlined in Measure Dx were used by at least three HCOs. Across the cohort, participants reviewed 703 cases using a standardized data collection instrument. Of those cases, 224 (31.8%) were identified as diagnostic safety events with improvement opportunities. Unexpectedly, self-ratings on the checklist assessment declined for several organizations.

conclusionsUse of Measure Dx can help accelerate implementation of systematic approaches to diagnostic error measurement and learning across a variety of HCOs, while potentially enabling HCOs to identify opportunities to improve diagnostic safety practices.

Indexed as

Diagnostic ErrorsPatient SafetyQuality ImprovementAcademic Medical CentersHumansProspective Studies

Identifiers

PMID39438386
PMCPMC11914432

What OpenQuestion holds

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Registered trials

None linked

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.