Evidence map›Paper›PMID 39444589›Full record

ArticlePediatric quality & safety

Diagnostic Safety: Needs Assessment and Informed Curriculum at an Academic Children's Hospital.

Morgan Congdon, Irit R Rasooly, Regina L Toto, Danielle Capriola, Anna Costello, Richard J Scarfone, Anna K Weiss

Abstract read
In one paragraph

Article in Pediatric quality & safety. 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. Review
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

7 authors.

Morgan CongdonFrom the Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa.
Irit R RasoolyFrom the Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa.
Regina L TotoFrom the Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa.
Danielle CapriolaCenter for Healthcare Quality and Analytics, Children's Hospital of Philadelphia, Philadelphia, Pa.
Anna CostelloFrom the Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa.
Richard J ScarfoneFrom the Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa.
Anna K WeissFrom the Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa.

Funding

AHRQ HHS K08 HS028682
6 · The paper itself

Abstract

Background: Diagnostic excellence is central to healthcare quality and safety. Prior literature identified a lack of psychological safety and time as barriers to diagnostic reasoning education. We performed a needs assessment to inform the development of diagnostic safety education. Methods: To evaluate existing educational programming and identify opportunities for content delivery, surveys were emailed to 155 interprofessional educational leaders and 627 clinicians at our hospital. Educational leaders and learners were invited to participate in focus groups to further explore beliefs, perceptions, and recommendations about diagnostic reasoning. The study team analyzed data using directed content analysis to identify themes. Results: Of the 57 education leaders who responded to our survey, only 2 (5%) reported having formal training on diagnostic reasoning in their respective departments. The learner survey had a response rate of 47% (293/627). Learners expressed discomfort discussing diagnostic uncertainty and preferred case-based discussions and bedside learning as avenues for learning about the topic. Focus groups, including 7 educators and 16 learners, identified the following as necessary precursors to effective teaching about diagnostic safety: (1) faculty development, (2) institutional culture change, and (3) improved reporting of missed diagnoses. Participants preferred mandatory sessions integrated into existing educational programs. Conclusions: Our needs assessment identified a broad interest in education regarding medical diagnosis and potential barriers to implementation. Respondents highlighted the need to develop communication skills regarding diagnostic errors and uncertainty across professions and care areas. Study findings informed a pilot diagnostic reasoning curriculum for faculty and trainees.

Identifiers

PMID39444589
PMCPMC11495683

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.