@article{2836,
  keywords = {diagnostic error, pediatrics, primary care},
  author = {Michael L. Rinke and Hardeep Singh and Sarah Ruberman and Jason S. Adelman and Steven J. Choi and Heather C. O'Donnell and Ruth E K Stein and Tammy M. Brady and Moonseong Heo and Christoph U. Lehmann and Steven Kairys and Elizabeth Rice-Conboy and Keri Theissen and David G. Bundy},
  title = {Primary care pediatricians' interest in diagnostic error reduction.},
  abstract = {<p><b>BACKGROUND: </b>Diagnostic errors causing harm in children are understudied, resulting in a knowledge gap regarding pediatricians' interest in reducing their incidence.</p><p><b>METHODS: </b>Electronic survey of general pediatricians focusing on diagnostic error incidence, errors they were interested in trying to improve, and errors reduced by their electronic health record (EHR).</p><p><b>RESULTS: </b>Of 300 contacted pediatricians, 77 (26%) responded, 58 (19%) served ambulatory patients, and 48 (16%) completed the entire questionnaire. Of these 48, 17 (35%) reported making a diagnostic error at least monthly, and 16 (33%) reported making a diagnostic error resulting in an adverse event at least annually. Pediatricians were "most" interested in "trying to improve" missed diagnosis of hypertension (17%), delayed diagnosis due to missed subspecialty referral (15%), and errors associated with delayed follow-up of abnormal laboratory values (13%). Among the 44 pediatricians with an EHR, 16 (36%) said it reduced the likelihood of missing obesity and 14 (32%) said it reduced the likelihood of missing hypertension. Also, 15 (34%) said it helped avoid delays in follow-up of abnormal laboratory values. A third (36%) reported no help in diagnostic error reduction from their EHR.</p><p><b>CONCLUSIONS: </b>Pediatricians self-report an appreciable number of diagnostic errors and were most interested in preventing high frequency, non-life-threatening errors. There exists a need to leverage EHRs to support error reduction efforts.</p>},
  year = {2016},
  journal = {Diagnosis (Berl)},
  volume = {3},
  pages = {65-69},
  month = {06/2016},
  issn = {2194-8011},
  doi = {10.1515/dx-2015-0033},
  language = {eng},
}