Diagnostic errors.

Review

Diagnostic errors.

March 21, 2024

Raffel K, Ranji S. UpToDate. February 8, 2024.

Diagnostic mistakes are common contributors to preventable patient harm. This review highlights primary areas of diagnostic error concerns (vascular events, infections, and cancers) and summarizes evidence related to their measurement and error reduction.

Available at

Related Resources From the Same Author(s)

Prevention of adverse drug events in hospitals.

March 21, 2024

After his wife died, he joined nurses to push for new staffing rules in hospitals.

March 6, 2024

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis.

January 2, 2008

Hospital discharge and readmission.

March 2, 2023

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

August 10, 2011

Prevention of perioperative medication errors.

March 17, 2023

Dangerous doses.

February 24, 2016

Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.

April 9, 2008

Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.

September 29, 2021

ISMP Survey on the 2024-2025 Targeted Medication Safety Best Practices for Hospitals.

February 29, 2024

Five Medication Safety Tips for Older Adults.

February 15, 2024

Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life".

March 13, 2024

Medication errors 2023: the year in review: January through December.

March 6, 2024

Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report.

February 28, 2024

Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients.

February 28, 2024

The Joint Commission and National Quality Forum Announce 2023 Eisenberg Award Recipients.

February 21, 2024

Positive Patient Identification.

February 21, 2024

Patient and Family Advisory Council (PFAC) Toolkit for Exploring Diagnostic Quality.

February 21, 2024

Why engineers are working to build better pulse oximeters.

February 21, 2024

Health tech hazards: at-home medical devices, AI governance on ECRI's new list.

February 21, 2024

FDA urged to move faster to fix pulse oximeters for darker-skinned patients.

February 14, 2024

Ambulatory CUSP (Comprehensive Unit Based Safety Program) Training.

May 9, 2024 - May 10, 2024

Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study.

September 16, 2020

Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy.

January 17, 2024

Medicare penalizes dozens of hospitals it also gives five stars.

February 16, 2022

Leadership and vision for a culture of safety.

February 21, 2018

She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it.

February 26, 2020

Heed this warning! Don't miss important computer alerts.

February 21, 2007

Research to improve diagnosis: time to study the real world.

January 26, 2022

We want to know: eliciting hospitalized patients' perspectives on breakdowns in care.

August 23, 2017

Current State of Diagnostic Safety: Implications for Research, Practice, and Policy.

February 7, 2024

Whistle-blowing nurse is acquitted in Texas.

February 24, 2010

How incident reporting systems can stimulate social and participative learning: a mixed-methods study.

September 2, 2020

Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.

August 12, 2020

Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems.

April 28, 2021

State medical board regulation of compounding in physician offices.

June 9, 2021

Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff.

September 22, 2021

Factors influencing providers' willingness to deprescribe medications.

December 1, 2021

To what extent are patients involved in researching safety in acute mental healthcare?

April 6, 2022

Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.

May 25, 2022

Why the nation needs a policy push on patient-centered health care.

August 18, 2010

Why do people stop taking their meds? Cost is just one reason.

September 20, 2017

What do patients and their carers do to support the safety of cancer treatment and care? A scoping review.

December 14, 2022

Using community detection techniques to identify themes in COVID-19-related patient safety event reports.

December 7, 2022

Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method.

August 30, 2006

Patient handoffs.

June 15, 2022

Disclosure of errors in surgical procedures.

January 19, 2024

Fire safety in the operating room.

October 1, 2023

Racial and ethnic disparities in obstetric and gynecologic care and role of implicit biases.

May 18, 2023

Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.

April 10, 2023

Reducing adverse obstetrical outcomes through safety sciences.

November 27, 2022

Patient safety in the operating room.

September 21, 2023

Rapid response systems.

August 19, 2022

Families are struggling to use medicines at home — we must truly involve them in their own safety.

March 10, 2021

The Francis Report: One Year On.

February 26, 2014

Transgender patients and diagnostic safety: back to basics.

March 14, 2018

Patient safety: the synergy of technology and behavior.

February 27, 2008

Organisation and characteristics of out-of-hours primary care during a COVID-19 outbreak: a real-time observational study.

September 30, 2020

Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis.

September 23, 2020

Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients.

April 28, 2021

Supporting nurses as essential partners in diagnosis.

March 31, 2021

Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.

February 10, 2021

Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds.

October 27, 2021

Improving Telediagnosis--a Call to Action: Final Project Findings.

October 13, 2021

Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care.

October 28, 2020

Implicit bias in healthcare professionals: a systematic review.

January 19, 2022

Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation.

December 22, 2021

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews.

September 28, 2022

Amid lack of accountability for bias in maternity care, a California family seeks justice.

August 16, 2023

Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations.

August 17, 2022

Medication errors attributed to health information technology.

March 29, 2017

The role of nursing surveillance in keeping patients safe.

August 15, 2012

Functional decline associated with polypharmacy and potentially inappropriate medications in community-dwelling older adults with dementia.

February 22, 2012

How health care changes when algorithms start making diagnoses.

May 23, 2018

Description and factors associated with missed nursing care in an acute care community hospital.

October 17, 2018

Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study.

December 21, 2022

Color coding to reduce errors.

September 7, 2005

Radio frequency identification applications in hospital environments.

August 16, 2006

Understanding the cognitive work of nursing in the acute care environment.

October 19, 2005

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command.

October 7, 2020

Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy.

December 2, 2015

Health and Social Care Ergonomics: Patient Safety in Practice.

January 17, 2018

Few hospitals are willing to bear the cost of providing psychiatric care for kids.

March 22, 2023

Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019.

March 22, 2023

Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data.

February 22, 2023

The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours.

September 18, 2019

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation.

September 16, 2020

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.

March 3, 2021

Measuring safety in older adult care homes: a scoping review of the international literature.

May 19, 2021

Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice.

November 3, 2021

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).

November 3, 2021

The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned,

October 27, 2021

Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study.

October 13, 2021

Reporting of health information technology system-related patient safety incidents: the effects of organizational justice.

October 6, 2021

Implementing high-reliability organization principles into practice: a rapid evidence review.

November 11, 2020

Patient outcomes after opioid dose reduction among patients with chronic opioid therapy.

January 12, 2022

Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries.

August 11, 2021

Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries.

July 15, 2020

Incoming interns recognize inadequate physical examination as a cause of patient harm.

July 15, 2020

Related Resources

How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting?

March 13, 2024

Diagnostic Excellence: a Patient Safety Awareness Week Webinar.

March 14, 2024 - March 14, 2024

"ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis.

December 6, 2023

Creating Workforce Joy and Wellbeing.

March 6, 2024 - May 20, 2024

Hospital Harm Project.

October 31, 2023

Uncovering the shocking dangers of misdiagnosis.

September 20, 2023

Advancing Diagnostic Excellence in Maternal Health Care.

July 27, 2023 - July 27, 2023

TeamSTEPPS Core Curriculum.

July 19, 2023

‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.

July 5, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

GoodDx.org

April 26, 2023

Hospital discharge and readmission.

March 2, 2023

Structural racism and adverse maternal health outcomes: a systematic review.

December 21, 2022

Reducing potential errors associated with insulin administration: an integrative review.

December 14, 2022

Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients.

October 12, 2022

Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis.

October 5, 2022

The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review.

August 31, 2022

Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care.

August 24, 2022

Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin.

August 17, 2022

Healthcare Safety Investigations Conference 2022.

August 3, 2022

Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis.

May 11, 2022

Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training.

May 11, 2022

Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.

April 13, 2022

Patients for Patient Safety US.

February 16, 2022

Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.

September 29, 2021

A systematic review on pediatric medication errors by parents or caregivers at home.

August 11, 2021

Coping strategies in health care providers as second victims: a systematic review.

August 4, 2021

Unite for Safe Care.

September 17, 2021 - September 17, 2021

WebM&M Cases

Delayed Breast Cancer Diagnosis: A False Sense of Security.

December 23, 2020

Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion.

December 2, 2020

See More About The Topic

Health Care Providers

Medicine

Clinical Misdiagnosis

Online Education

Patient Education

Diagnostic errors.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Diagnostic errors.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site