Difference between revisions of "Electronic health record-based surveillance of diagnostic errors in primary care"
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== Background == | == Background == | ||
| − | Diagnostic errors in outpatient primary care settings are understudied, yet there are studies documenting the significance of these errors. These errors can be difficult to detect, especially using existing methods, which include random chart reviews, voluntary reporting, or malpractice claims review. This study proposed to use [[EHR]] Triggers are "signals that can alert providers to review the record to determine whether a patient safety even occurred."<ref name="triggers"></ref> | + | Diagnostic errors in outpatient primary care settings are understudied, yet there are studies documenting the significance of these errors. These errors can be difficult to detect, especially using existing methods, which include random chart reviews, voluntary reporting, or malpractice claims review. This study proposed to use [[EHR]]-based triggers to determine potential diagnostic errors in two different outpatient settings. Triggers are "signals that can alert providers to review the record to determine whether a patient safety even occurred."<ref name="triggers"></ref> |
== Methods == | == Methods == | ||
Revision as of 02:45, 5 November 2015
This is a review of Singh et. al's article "Electronic health record-based surveillance of diagnostic errors in primary care."[1]
Background
Diagnostic errors in outpatient primary care settings are understudied, yet there are studies documenting the significance of these errors. These errors can be difficult to detect, especially using existing methods, which include random chart reviews, voluntary reporting, or malpractice claims review. This study proposed to use EHR-based triggers to determine potential diagnostic errors in two different outpatient settings. Triggers are "signals that can alert providers to review the record to determine whether a patient safety even occurred."[1]
Methods
- First Trigger Algorithm: Primary care index visit followed by unplanned hospitalization within 14 days
- Second Trigger Algorithm: Primary care index visit followed by 1 unscheduled visit(s) within 14 days
Results
674 patient records were identified by Trigger 1, and of those, 141 were found to have previously unrecognized diagnostic errors
Trigger 2 found 669 charts for review, of which there were 36 previously unidentified diagnostic errors
Discussion
Comments
References
- ↑ 1.0 1.1 Singh H, Giardina TD, Forjuoh SN, Reis MD, Kosmach S, Khan MM, and Thomas EJ. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012 Feb;21(2):93-100. doi: 10.1136/bmjqs-2011-000304. Epub 2011 Oct 13 http://www.ncbi.nlm.nih.gov/pubmed/21997348
