Evidence map›Paper›PMID 39530250›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2025

Online public response to emergency department diagnostic error report: A qualitative study.

Timothy J Sanford, Pranav Kaul, Danielle M McCarthy

Abstract read
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency 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. Online public response to emergency department diagnostic error report: A qualitative study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    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

3 authors.

Timothy J SanfordDepartment of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.ORCID 0009-0006-6876-5378
Pranav KaulDepartment of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Danielle M McCarthyDepartment of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Funding

AHRQ HHSNCCIH NIH HHSNIA NIH HHSNIDA NIH HHS
6 · The paper itself

Abstract

backgroundThe 2022 study on diagnostic error in the emergency department (ED) published by the Agency for Healthcare Research and Quality (AHRQ) reported that one in every 18 ED patients is misdiagnosed. The report was methodologically critiqued by emergency physicians and researchers. However, little is known about public perception of error in the ED. We sought to characterize public response to the publication.

methodsA search was conducted for online news articles published December 2022 reporting the diagnostic error study and containing "public comment" sections. Verbatim comments and relevant characteristics were collected. Three coders completed content analysis and resolved any differences. Descriptive statistics and themes are reported.

resultsFifteen online articles were reviewed; three had public comment sections (New York Times, DailyMail, and Boston Globe). There were 553 unique user comments; 293 were original comments (53%) and 260 were replies to comments (47%). The 260 replies were in response to 113 original comments, with the remaining original comments having 0 replies (n = 180). Of the 202 commenters who identified a personal role in a health care encounter, 70 (35%) identified as patients and 68 (34%) identified as physicians. Comments centered on seven major themes: (1) negative personal experiences, (2) reframing study conclusions, (3) sense of decline in training standards, (4) internal stressors impeding ED diagnostic accuracy, (5) external stressors impeding ED diagnostic accuracy, (6) suggested solutions, and (7) role of the ED in diagnosis.

conclusionsThe news coverage of the diagnostic error study provided individuals a platform to share their perspectives. Many comments reflected a nuanced understanding of the role of emergency care and the stressors of the ED environment. Despite questions about the report's accuracy, there were many individuals who shared personal negative experiences suggesting that the public may feel directly impacted by error in the ED.

Indexed as

Diagnostic ErrorsEmergency Service, HospitalPublic OpinionHumansQualitative Researchdiagnostic erroremergency caremisdiagnosespublic opinion

Identifiers

PMID39530250
PMCPMC11921086

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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.