Conspicuous by its absence: diagnostic expert testing under uncertainty.

Tinglong Dai; Shubhranshu Singh

Commentary

Conspicuous by its absence: diagnostic expert testing under uncertainty.

March 25, 2020

Dai T, Singh S. Market Sci. 2020;39(3):540-563.

View more articles from the same authors.

This paper explores limitations of diagnostic ability, situations in which a diagnostic expert may forego necessary diagnostic tests, and barriers and incentives to diagnostic testing. The authors also discuss the barriers to adopting AI tools intended to enhance diagnostic decision making.

Available at

Related Resources From the Same Author(s)

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

October 12, 2022

Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics.

June 7, 2023

Near miss research in the healthcare system: a scoping review.

May 25, 2022

The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care.

December 3, 2014

Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.

December 2, 2015

Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.

December 16, 2009

Professional commitment, patient safety, and patient-perceived care quality.

September 23, 2009

Prevalence of polypharmacy exposure among hospitalized children in the United States.

September 28, 2011

Nursing accreditation system and patient safety.

May 9, 2012

Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture?

February 28, 2024

A patient safety objective structured clinical examination.

June 3, 2009

Prioritizing threats to patient safety in rural primary care.

May 23, 2007

Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering.

July 20, 2005

The safety journal: lessons learned with an error reporting tool to stimulate systems thinking.

September 12, 2007

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.

March 5, 2014

Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care.

June 17, 2009

A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.

December 14, 2005

Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise.

April 5, 2023

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.

March 29, 2023

Advancing diagnostic equity through clinician engagement, community partnerships, and connected care.

February 22, 2023

Identifying psychiatric diagnostic errors with the Safer Dx Instrument.

September 30, 2020

Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.

September 30, 2020

Fighting a common enemy: a catalyst to close intractable safety gaps.

August 5, 2020

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps.

May 12, 2021

Comparison of methods to reduce bias from clinical prediction models of postpartum depression.

May 12, 2021

Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study.

May 5, 2021

Diagnostic errors in pediatric critical care: a systematic review.

April 28, 2021

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study.

March 3, 2021

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.

March 3, 2021

Advancing diagnostic safety research: results of a systematic research priority setting exercise.

February 24, 2021

Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study.

February 17, 2021

A roadmap to advance patient safety in ambulatory care.

January 20, 2021

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

December 16, 2020

A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital.

July 14, 2021

Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes.

June 30, 2021

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.

June 30, 2021

Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease.

June 9, 2021

Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions.

November 10, 2021

Dashboards for visual display of patient safety data: a systematic review.

October 27, 2021

Policies to promote shared responsibility for safer electronic health records.

September 29, 2021

Application of human factors methods to understand missed follow-up of abnormal test results.

November 11, 2020

A program to provide clinicians with feedback on their diagnostic performance in a learning health system.

October 28, 2020

Operational measurement of diagnostic safety: state of the science.

October 7, 2020

Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study.

February 9, 2022

Technology-based closed-loop tracking for improving communication and follow-up of pathology results.

February 2, 2022

How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis.

January 26, 2022

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.

December 15, 2021

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.

August 25, 2021

Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.

July 22, 2020

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE.

July 15, 2020

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

April 13, 2022

Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study.

March 23, 2022

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Five strategies for clinicians to advance diagnostic excellence.

March 2, 2022

Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides.

February 16, 2022

The intersection of traumatic childbirth and obstetric racism: a qualitative study.

February 7, 2024

Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis.

December 20, 2023

Five strategies for a safer EHR modernization journey.

December 6, 2023

Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care.

October 19, 2022

Resident and nurse perspectives on the use of secure text messaging systems.

October 19, 2022

Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors.

October 12, 2022

Measure Dx: implementing pathways to discover and learn from diagnostic errors.

September 28, 2022

Artificial intelligence in clinical diagnosis: opportunities, challenges, and hype.

July 19, 2023

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.

June 28, 2023

Developing electronic clinical quality measures to assess the cancer diagnostic process.

June 21, 2023

Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.

August 10, 2022

The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.

November 1, 2023

Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study.

June 14, 2023

Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.

June 14, 2023

Attitudes of clinicians and patient safety culture before and after the ARRIVE trial.

May 24, 2023

Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network.

May 10, 2023

Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations.

June 22, 2022

From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme.

June 15, 2022

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.

May 25, 2022

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care.

May 25, 2022

Applying requisite imagination to safeguard electronic health record transitions.

May 18, 2022

Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study.

May 11, 2022

Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system.

May 4, 2022

A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework.

June 24, 2020

Reducing the risk of diagnostic error in the COVID-19 era.

May 27, 2020

Secure text messaging in healthcare: latent threats and opportunities to improve patient safety.

October 30, 2019

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions.

October 23, 2019

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

Safety huddles to proactively identify and address electronic health record safety.

January 25, 2017

Patient centred diagnosis: sharing diagnostic decisions with patients in clinical practice.

November 15, 2017

Assigning responsibility to close the loop on radiology test results.

July 12, 2017

Measures to improve diagnostic safety in clinical practice.

November 2, 2016

A decade of health information technology usability challenges and the path forward.

February 13, 2019

Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study.

August 14, 2019

Payment innovations to improve diagnostic accuracy and reduce diagnostic error.

November 7, 2018

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.

November 7, 2018

Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.

November 7, 2018

Pediatric clinician perspectives on communicating diagnostic uncertainty.

August 7, 2019

Application of electronic trigger tools to identify targets for improving diagnostic safety.

October 17, 2018

Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety.

October 24, 2018

Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.

January 28, 2015

An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study.

November 26, 2014

Related Resources

Artificial intelligence in clinical diagnosis: opportunities, challenges, and hype.

July 19, 2023

A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework.

July 5, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Bending the patient safety curve: how much can AI help?

February 1, 2023

Assessment of the use of patient vital sign data for preventing misidentification and medical errors.

January 25, 2023

Digital health technology-specific risks for medical malpractice liability.

December 7, 2022

Improving diagnostic decision support through deliberate reflection: a proposal.

November 9, 2022

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.

July 13, 2022

Mitigating racial bias in machine learning.

June 22, 2022

Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.

May 11, 2022

How health systems decide to use artificial intelligence for clinical decision support.

April 6, 2022

Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.

October 27, 2021

Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm.

September 1, 2021

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Can decision support combat incompleteness and bias in routine primary care data?

April 7, 2021

The potential of artificial intelligence to improve patient safety: a scoping review.

March 31, 2021

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.

November 11, 2020

Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19.

October 21, 2020

Considering the safety and quality of artificial intelligence in health care.

September 16, 2020

Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.

July 22, 2020

Latent bias and the implementation of artificial intelligence in medicine.

July 15, 2020

Artificial intelligence in health care: accountability and safety.

June 3, 2020

Empowering patients and reducing inequities: is there potential in sharing clinical notes?

April 15, 2020

Interview

In Conversation With... David Gruen, MD

January 31, 2020

Perspective

Artificial Intelligence and Diagnostic Errors

January 31, 2020

Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study.

January 8, 2020

The computer will see you now.

August 28, 2019

Controversies in diagnosis: contemporary debates in the diagnostic safety literature.

July 17, 2019

Perspective

Emerging Safety Issues in Artificial Intelligence

July 1, 2019

See More About The Topic

Information Professionals

Medicine

Diagnostic Errors

Technologic Approaches

Computerized Decision Support

Conspicuous by its absence: diagnostic expert testing under uncertainty.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Conspicuous by its absence: diagnostic expert testing under uncertainty.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

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