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Related Experiment Video

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Primary care pediatricians' interest in diagnostic error reduction.

Michael L Rinke1, Hardeep Singh2, Sarah Ruberman3

  • 11Department of Pediatrics, The Children's Hospital at Montefiore and the Albert Einstein College of Medicine, Bronx, NY, USA.

Diagnosis (Berlin, Germany)
|January 24, 2017
PubMed
Summary

Pediatricians frequently encounter diagnostic errors, particularly those involving high-frequency, non-life-threatening conditions. Electronic health records (EHRs) show potential in reducing certain diagnostic errors, but their full impact needs further exploration.

Keywords:
diagnostic errorpediatricsprimary care

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Area of Science:

  • Pediatric Medicine
  • Medical Informatics
  • Patient Safety

Background:

  • Diagnostic errors in children are understudied, creating a knowledge gap on pediatricians' interest in error reduction.
  • There is a need to understand the incidence of diagnostic errors and the factors influencing pediatricians' focus on improvement.

Purpose of the Study:

  • To assess the incidence of diagnostic errors reported by pediatricians.
  • To identify specific diagnostic errors pediatricians are most interested in improving.
  • To evaluate the role of electronic health records (EHRs) in reducing diagnostic errors.

Main Methods:

  • An electronic survey was distributed to general pediatricians.
  • The survey focused on diagnostic error incidence, areas of interest for improvement, and the impact of EHRs.
  • Response rates and data from completed questionnaires were analyzed.

Main Results:

  • 35% of surveyed pediatricians reported monthly diagnostic errors; 33% reported annual errors resulting in adverse events.
  • Pediatricians expressed most interest in improving missed diagnoses of hypertension, delayed referrals, and abnormal lab value follow-up.
  • While some EHRs aided in reducing errors related to obesity, hypertension, and lab follow-up, 36% reported no benefit from their EHR in error reduction.

Conclusions:

  • Pediatricians acknowledge a significant number of diagnostic errors, with a preference for addressing high-frequency, less severe conditions.
  • Electronic health records show promise in mitigating specific diagnostic errors, indicating a need for enhanced EHR integration to support error reduction efforts.