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Related Experiment Video

Updated: Mar 23, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Developing checklists to prevent diagnostic error in Emergency Room settings.

Mark L Graber1, Asta V Sorensen2, Jon Biswas3

  • 1Senior Fellow, RTI International, USA.

Diagnosis (Berlin, Germany)
|March 24, 2016
PubMed
Summary
This summary is machine-generated.

Checklists can help emergency room (ER) physicians consider more diagnoses, potentially reducing diagnostic errors. However, inconsistent use and lack of patient collaboration may limit their full benefit.

Keywords:
checklistclinical reasoningdiagnosisdiagnostic erroremergency medicine

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Area of Science:

  • Medical Error Reduction
  • Clinical Decision Support
  • Emergency Medicine

Background:

  • Complex processes in emergency rooms (ERs) are prone to errors.
  • Diagnostic errors are a significant concern for patients with undiagnosed conditions presenting to the ER.

Purpose of the Study:

  • To develop and evaluate a diagnostic checklist to reduce errors in the ER.
  • To assess the utility and user perceptions of general and symptom-specific checklists.

Main Methods:

  • Iterative development of general and symptom-specific checklists using rapid cycle design.
  • Mixed methods evaluation involving 15 ER physicians over 2 months.
  • Quantitative assessment of resource utilization and qualitative interviews on user perceptions.

Main Results:

  • Checklists were found helpful, with a slight preference for symptom-specific lists.
  • Checklist use prompted additional diagnostic considerations and altered working diagnoses in ~10% of cases.
  • Checklist use did not significantly change test ordering or consultation patterns.

Conclusions:

  • Diagnostic checklists in the ER show potential for preventing errors by broadening diagnostic considerations.
  • Inconsistent use and private physician use (not with patients) may hinder optimal benefits.
  • Further research is needed to optimize checklist implementation, usage, and impact on patient outcomes.