Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study.

J. Staal; M. Speelman; R. Brand; J. Alsma; L. Zwaan

Study

Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study.

April 27, 2022

Staal J, Speelman M, Brand R, et al. BMC Med Educ. 2022;22(1):256.

View more articles from the same authors.

Diagnostic safety is an essential component of medical training. In this study, medical interns reviewed six clinical cases in which the referral letters from the general practitioner suggested a correct diagnosis, an incorrect diagnosis, or lacked a diagnostic suggestion. Researchers found that diagnostic suggestions in the referral letter did not influence subsequent diagnostic accuracy but did reduce the number of diagnoses considered.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.

September 14, 2022

Impact of performance and information feedback on medical interns' confidence-accuracy calibration.

April 3, 2024

Medical errors during training: how do residents cope?: a descriptive study.

September 8, 2021

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

May 25, 2022

Differences in medication reconciliation interventions between six hospitals: a mixed method study.

June 29, 2022

Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study.

June 15, 2022

The role of feedback in emergency ambulance services: a qualitative interview study.

April 6, 2022

Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis.

March 23, 2022

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.

August 10, 2022

Experience of learning from everyday work in daily safety huddles: a multi-method study.

September 14, 2022

Internet of things in healthcare for patient safety: an empirical study.

March 16, 2022

Frailty, gaps in care coordination, and preventable adverse events.

July 6, 2022

The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study.

August 10, 2022

Medication dosage calculation among nursing students: does digital technology make a difference? A literature review.

September 14, 2022

Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning.

January 11, 2023

Cognitive biases encountered by physicians in the emergency room.

November 9, 2022

Patient safety measurement tools used in nursing homes: a systematic literature review.

December 7, 2022

Interdisciplinary clinicians' attitudes, challenges, and success strategies in providing care to transgender people: a qualitative descriptive study.

October 19, 2022

Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study.

December 14, 2022

Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study.

December 15, 2021

Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic.

March 23, 2022

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

October 27, 2021

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

Patient safety skills in primary care: a national survey of GP educators.

February 4, 2015

Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.

August 17, 2022

Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study.

May 19, 2021

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

April 28, 2021

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

Prescribing decision making by medical residents on night shifts: a qualitative study.

November 9, 2022

Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.

April 13, 2022

The impact of hospital accreditation on the quality of healthcare: a systematic literature review.

October 27, 2021

EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety?

October 27, 2021

The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review.

January 11, 2023

Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment.

January 26, 2022

Implementation strategies in the context of medication reconciliation: a qualitative study.

July 14, 2021

Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study.

March 9, 2022

Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment.

September 29, 2021

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study.

November 9, 2022

Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study.

March 1, 2023

A qualitative study of what care workers do to provide patient safety at home through telecare.

June 23, 2021

Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.

February 23, 2022

Emergency medicine physicians' perspectives on diagnostic accuracy in neurology: a qualitative study.

July 6, 2022

Diagnostic error in the emergency department: learning from national patient safety incident report analysis.

January 15, 2020

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning.

February 23, 2022

What is needed to sustain improvements in hospital practices post-COVID-19? A qualitative study of interprofessional dissonance in hospital infection prevention and control.

May 4, 2022

Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study.

April 28, 2021

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.

March 29, 2023

Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study.

October 5, 2016

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

March 23, 2022

Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions.

June 23, 2021

Causes of adverse events in home mechanical ventilation: a nursing perspective.

October 12, 2022

Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis.

January 12, 2022

'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment.

March 18, 2020

Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals.

January 19, 2022

Improving diagnosis: adding context to cognition.

September 7, 2022

Accuracy of practitioner estimates of probability of diagnosis before and after testing.

May 5, 2021

Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study.

September 15, 2021

Adverse events in women giving birth in a labor ward: a retrospective record review study.

November 3, 2021

A call to action: next steps to advance diagnosis education in the health professions.

June 8, 2022

Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help?

February 2, 2022

Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial.

November 30, 2022

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

October 13, 2021

Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.

September 2, 2020

Patient safety in chiropractic teaching programs: a mixed methods study.

December 23, 2020

Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery.

October 5, 2022

Experiences of transgender people reviewing their electronic health records, a qualitative study.

June 29, 2022

Diagnostic delays in infectious diseases.

September 28, 2022

How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties.

March 18, 2020

Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.

October 20, 2021

Transformational improvement in quality care and health systems: the next decade.

November 25, 2020

Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology.

August 5, 2020

Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience.

August 17, 2022

Patient Safety.

May 1, 2019

Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study.

March 8, 2023

Fast tracking in cardiac surgery: is it safe?

May 11, 2022

Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients.

June 29, 2022

Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis.

March 10, 2021

Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study.

August 12, 2020

The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis.

August 25, 2021

Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data.

December 21, 2022

Resident duty hours and resident and patient outcomes: systematic review and meta-analysis.

November 16, 2022

COVID-19: to be or not to be; that is the diagnostic question.

July 8, 2020

The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review.

August 3, 2022

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.

May 1, 2020

How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience?

September 28, 2022

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

February 24, 2021

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

A pause in pediatrics: implementation of a pediatric diagnostic time-out.

September 14, 2022

Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats.

June 8, 2022

Differences in hospitals' workplace violence incident reporting practices: a mixed methods study.

May 18, 2022

Enhancing psychological safety in mental health services.

June 9, 2021

The relationship between response time and diagnostic accuracy.

August 15, 2012

Seniors managing multiple medications: using mixed methods to view the home care safety lens.

March 2, 2016

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

April 6, 2022

May 4, 2022

Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis.

January 26, 2022

Automated identification of diagnostic labelling errors in medicine.

June 8, 2022

Trainees' perceptions of being allowed to fail in clinical training: a sense-making model.

December 14, 2022

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

April 5, 2023

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

February 9, 2022

Related Resources

Journal Article

Study

Implicit bias and patient care: mitigating bias, preventing harm.

April 10, 2024

Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation.

January 31, 2024

Evidence for anchoring bias during physician decision-making.

July 12, 2023

Clinician factors associated with delayed diagnosis of appendicitis.

July 5, 2023

Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum.

June 28, 2023

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.

June 28, 2023

How do we learn about error? A cross-sectional study of urology trainees.

June 28, 2023

Context matters: toward a multilevel perspective on context in clinical reasoning and error.

June 21, 2023

Patient safety in emergency departments: a problem for health care systems? An international survey.

June 21, 2023

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.

June 14, 2023

Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms.

May 31, 2023

Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Formalizing the hidden curriculum of performance enhancing errors.

March 22, 2023

Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.

March 1, 2023

Diagnostic delays among COVID-19 patients with a second concurrent diagnosis.

February 22, 2023

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

Bad things can happen: are medical students aware of patient centered care and safety?

January 25, 2023

Diagnostic Errors in the Emergency Department: A Systematic Review.

December 21, 2022

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

December 21, 2022

“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors.

December 21, 2022

Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study.

November 16, 2022

Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews.

November 16, 2022

Cognitive biases encountered by physicians in the emergency room.

November 9, 2022

Calibrate Dx: A Resource to Improve Diagnostic Decisions.

October 19, 2022

Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA.

September 21, 2022

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

August 17, 2022

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

Narrowing the mindware gap in medicine.

July 20, 2022

The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial.

May 18, 2022

See More About The Topic

Emergency Departments

Educators

Emergency Medicine

Pediatric Emergency Medicine

Clinical Misdiagnosis

Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study.

Implicit bias and patient care: mitigating bias, preventing harm.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study.

Implicit bias and patient care: mitigating bias, preventing harm.

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