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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

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Next steps: envisioning a research agenda.

Mark L Graber¹

¹VA Medical Center, Northport, NY 11768, USA. Mark.Graber@med.va.gov

Advances in Health Sciences Education : Theory and Practice

|August 12, 2009

Summary

This study addresses the emerging field of diagnostic error in medicine, proposing a research agenda. Key recommendations include standardizing definitions and developing tools for studying diagnostic errors in controlled environments.

Area of Science:

Medicine
Healthcare Research
Patient Safety

Background:

Diagnostic error is an under-researched area lacking a formal agenda.
The "Diagnostic Error in Medicine- 2008" conference initiated discussions on this topic.
Autopsies, a method for error discovery, are becoming less common.

Purpose of the Study:

To outline an organized research agenda for diagnostic error in medicine.
To provide initial suggestions for addressing diagnostic errors.
To identify priorities for future research in diagnostic error.

Main Methods:

Formal consideration of diagnostic error by conference participants.
Review of issues related to diagnostic error generation and reduction.
Discussion of system-level and cognitive interventions.

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Main Results:

Recommendations for standardizing taxonomies and definitions of diagnostic delay.
Emphasis on the need for improved error discovery methods.
Prioritization of developing standardized tools for studying diagnostic errors.
Consideration of factors influencing error generation, including clinician expertise.
Exploration of system-level and cognitive strategies for error reduction.

Conclusions:

An organized research agenda is needed for diagnostic error.
Standardization of definitions and development of research tools are crucial.
Both system and cognitive approaches are vital for error reduction.