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    Clinicians can learn from diagnostic feedback without discomfort. A new program at Geisinger successfully provided constructive feedback on missed diagnostic opportunities, improving future diagnostic safety.

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    Area of Science:

    • Healthcare Quality Improvement
    • Medical Education
    • Patient Safety

    Background:

    • Diagnostic errors are a significant concern in healthcare.
    • Clinicians often experience discomfort when receiving feedback on diagnostic performance.
    • Improving diagnostic excellence requires effective feedback mechanisms.

    Purpose of the Study:

    • To develop and implement a diagnostic performance feedback program.
    • To mitigate clinician discomfort associated with receiving feedback.
    • To foster a learning health system focused on diagnostic safety.

    Main Methods:

    • Identified missed opportunities in diagnosis (MODs) from multiple sources.
    • Confirmed MODs through chart reviews.
    • Utilized trained facilitators to deliver feedback on MODs as learning opportunities.

    Main Results:

    • 90.6% of facilitators reported recipients were receptive to feedback.
    • 83.3% of recipients found feedback constructive and nonpunitive.
    • 76.7% of recipients reported taking concrete steps to improve diagnosis.

    Conclusions:

    • An institutional program for diagnostic performance feedback was successfully developed and implemented.
    • This program has the potential to facilitate learning and reduce missed diagnostic opportunities.
    • Future research should evaluate the long-term impact on diagnostic performance and patient outcomes.