Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.

Sigall K. Bell; Fabienne C. Bourgeois; Joe Dong; Alex Gillespie; Long H. Ngo; Tom W. Reader; Eric J. Thomas; Catherine M. DesRoches

Study

Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.

January 18, 2023

Bell SK, Bourgeois FC, Dong J, et al. Milbank Q. 2022;100(4):1121-1165.

View more articles from the same authors.

Patients who access their electronic health record (EHR) through a patient portal have identified clinically relevant errors such as allergies, medications, or diagnostic errors. This study focused on patient-identified diagnostic safety blind spots in ambulatory care clinical notes. The largest category of blind spots was diagnostic misalignment. Many patients indicated they reported the errors to the clinicians, suggesting shared notes may increase patient and family engagement in safety.

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See More About The Topic

Ambulatory Clinic or Office

Health Care Providers

Primary Care

Clinical Misdiagnosis

Ordering/Prescribing Errors

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