Evidence map›Paper›PMID 42362363›Full record

ArticleBMJ quality & safety2026

Priorities for improving paediatric diagnosis: findings from a modified Delphi study.

Irit R Rasooly, Katherine Wu, Meghan Galligan, Morgan Congdon, Anna Costello, Yasaman Fatemi, Courtney Gidengil, Joseph A Grubenhoff, Harry Hoar, Cara T Jefferies and 15 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ quality & safety, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

25 authors.

Irit R RasoolyGeneral Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA rasoolyi@chop.edu.ORCID http://orcid.org/0000-0002-1368-534X
Katherine WuQualitative Research Core, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Meghan GalliganGeneral Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Morgan CongdonGeneral Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-8528-0480
Anna CostelloPediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Yasaman FatemiSeattle Children's Hospital, Seattle, Washington, USA.
Courtney GidengilRAND Corporation, Boston, Massachusetts, USA.
Joseph A GrubenhoffSection of Pediatric Emergency Medicine, Children's Hospital Colorado, Aurora, Colorado, USA.ORCID http://orcid.org/0000-0001-5072-4064
Harry HoarBaystate Health, Springfield, Massachusetts, USA.
Cara T JefferiesThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Amarpreet KaurThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Jillian KrauseGeneral Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Prashant MahajanEmergency Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID http://orcid.org/0000-0003-4278-3560
Sanjiv D MehtaPediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Jonathan G SawickiDivision of Pediatric Hospital Medicine, The University of Utah School of Medicine, Salt Lake City, Utah, USA.
Trisha MarshallUniversity of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Kenneth A MichelsonDivision of Emergency Medicine, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Ursula NawabJohns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
Andrew P J OlsonDivision of Hospital Medicine, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.ORCID http://orcid.org/0000-0002-7226-5783
Michael PerryHospital Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.ORCID http://orcid.org/0000-0002-5187-8775
Grant Joseph Dat Chiu ShaferNeonatology, Children's Hospital of Orange County, Orange, California, USA.ORCID http://orcid.org/0000-0001-8726-0267
Kathy N ShawGeneral Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Hardeep SinghCenter for Innovations in Quality, Effectiveness, and Safety, Michael E DeBakey VA Medical Center, Houston, Texas, USA.ORCID http://orcid.org/0000-0002-4419-8974
Kathleen WalshHarvard Medical School, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0002-3516-5265
Christina L CifraHarvard Medical School, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0002-7449-802X

Funding

AHRQ HHS K08 HS028682AHRQ HHS R01 HS024953AHRQ HHS R18 HS026622AHRQ HHS R18 HS029346
6 · The paper itself

Abstract

backgroundEfforts to improve diagnosis should reflect the unique needs of children; however, there is no consensus on paediatric-specific priority areas.

methodsAn expert panel of 25 United States (US) paediatric diagnostic excellence researchers, patient safety leaders and family partners from 15 institutions participated in a modified Delphi panel. Panellists participated in generating a literature-derived list of topics relevant to improving diagnosis. Panellists then rated agreement on each topic as a research or operational improvement priority. Topics that achieved consensus (≥75% of panellists rating them as high priority) were subsequently rated based on feasibility for implementation at the respondent's institution.

resultsLiterature review identified 24 topics relevant to paediatric diagnostic safety and quality, which were expanded to 62 topics during the initial panel discussion and grouped into 25 survey topics. Consensus was reached on 6 topics as research priorities and 11 as operational improvement priorities. Of these, three were deemed highly feasible for research and three for operational improvement. Research priorities included: identifying paediatric conditions at high risk for diagnostic error, developing communication methods to enhance the diagnostic process and establishing diagnostic process feedback mechanisms. Operational improvement priorities included: identifying care delivery or health services scenarios at high risk for diagnostic error, establishing interdisciplinary, structured review of cases of diagnostic error and encouraging reporting of missed opportunities for improving diagnostic safety.

conclusionExperts successfully prioritised important and feasible topics in research and practice for improving paediatric diagnosis in US academic medical centres.

Indexed as

Diagnostic errorsHealthcare quality improvementPaediatrics

Identifiers

PMID42362363
PMCPMC13450823

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.