Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.

Pranay Sinha; Lauren Pischel; André N. Sofair

Study

Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.

June 2, 2021

Sinha P, Pischel L, Sofair AN. Diagnosis (Berl). 2021;8(2):157-160.

View more articles from the same authors.

Reducing diagnostic error is essential to patient safety. This article describes the use of structured education sessions and deliberate practice with senior clinicians to improve diagnostic skills among medical residents. These sessions focused on generating differential diagnoses and identifying cognitive errors and knowledge gaps.

PubMed citation

Available at

Related Resources From the Same Author(s)

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

December 15, 2021

COVID blindness.

August 5, 2020

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

June 15, 2022

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

February 23, 2022

Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department.

July 6, 2022

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

December 16, 2020

The COVID trap: pediatric diagnostic errors in a pandemic world.

August 25, 2021

Improving diagnostic decision support through deliberate reflection: a proposal.

November 9, 2022

A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain.

July 14, 2021

Narrowing the mindware gap in medicine.

July 20, 2022

Operational measurement of diagnostic safety: state of the science.

October 7, 2020

Bringing the clinical laboratory into the strategy to advance diagnostic excellence.

September 22, 2021

How insight contributes to diagnostic excellence.

September 21, 2022

COVID-19: making the right diagnosis.

August 5, 2020

Diagnostic delays in infectious diseases.

September 28, 2022

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

January 11, 2023

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors.

September 8, 2021

An estimate of missed pediatric sepsis in the emergency department.

June 2, 2021

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

September 15, 2021

Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students.

September 9, 2020

Analyzing diagnostic errors in the acute setting: a process-driven approach.

October 20, 2021

Improving diagnosis: adding context to cognition.

September 7, 2022

Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods.

July 21, 2021

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

July 6, 2022

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

September 14, 2022

A clinical reasoning curriculum for medical students: an interim analysis.

June 22, 2022

A survey of outpatient internal medicine clinician perceptions of diagnostic error.

February 5, 2020

Understanding context specificity: the effect of contextual factors on clinical reasoning.

September 2, 2020

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

May 1, 2020

Patient perceptions of misdiagnosis of endometriosis: results from an online national survey.

July 29, 2020

Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system.

May 12, 2021

Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure.

December 21, 2022

The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial.

December 9, 2020

Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology.

December 8, 2021

Clinical reasoning in the wild: premature closure during the COVID-19 pandemic.

August 19, 2020

Human centered design workshops as a meta-solution to diagnostic disparities.

November 2, 2022

Automated identification of diagnostic labelling errors in medicine.

June 8, 2022

Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities.

October 19, 2022

The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy.

October 26, 2022

Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method.

August 19, 2020

A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts.

December 7, 2022

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

January 25, 2023

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.

February 16, 2022

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

How physicians think: a case-based diagnostic simulation exercise.

September 16, 2020

Improving patient handovers from hospital to primary care: a systematic review.

October 3, 2012

Health Professions Education.

June 12, 2019

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

February 2, 2022

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

June 8, 2022

Using patient safety science to explore strategies for improving safety in intravenous medication administration.

November 1, 2006

COVID-19: The Diagnostic Challenge.

November 25, 2020

A safety maturity model for technology-induced errors.

February 9, 2022

Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit.

September 16, 2020

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

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.

August 4, 2021

Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study.

October 28, 2020

Diagnostic error as a result of drug-laboratory test interactions.

March 6, 2019

Diagnostic time-outs to improve diagnosis.

April 20, 2022

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

June 30, 2021

Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error.

August 26, 2020

Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice.

December 15, 2021

Choosing wisely in clinical practice: embracing critical thinking, striving for safer care.

April 6, 2022

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

April 28, 2021

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

February 24, 2021

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety.

August 4, 2021

Patient feedback for safety improvement in primary care: results from a feasibility study.

July 29, 2020

Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey.

April 28, 2021

System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety.

February 10, 2021

TeleDx: How is Telemedicine Working - and not Working - to Support Diagnosis?

June 3, 2021 - June 3, 2021

The Guide for Hospital and Health System Leaders for Diagnostic Quality and Safety.

September 16, 2020

Patient and Family Advisory Council Leader's Guide for Diagnostic Quality and Safety.

September 9, 2020

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

November 11, 2020

SAFER Care: improving caregiver comprehension of discharge instructions.

March 31, 2021

Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic.

August 26, 2020

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

October 28, 2020

What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff.

January 23, 2019

Identifying risk in the use of tumor markers to improve patient safety.

May 4, 2016

Transforming Education on Diagnostic Reasoning: Ready, Set, Go!

June 2, 2021

Improving Telediagnosis: A Call to Action.

April 14, 2021

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

October 17, 2018

Racial disparities in diagnostic delay among women with breast cancer.

August 18, 2021

Hospital medication errors: a cross sectional study.

December 23, 2020

Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals.

September 13, 2017

Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation.

December 15, 2021

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation.

June 9, 2021

The practice of medicine: understanding diagnostic error.

September 23, 2020

Disclosing adverse events in clinical practice: the delicate act of being open.

February 2, 2022

The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis.

October 13, 2021

Implicit bias in healthcare: clinical practice, research and decision making.

April 21, 2021

Identifying psychiatric diagnostic errors with the Safer Dx Instrument.

September 30, 2020

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

May 11, 2022

Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care.

June 16, 2021

Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system.

February 2, 2022

Adaptation and implementation of the WHO Safe Childbirth Checklist around the world.

November 3, 2021

The path to diagnostic excellence includes feedback to calibrate how clinicians think.

February 20, 2019

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.

December 2, 2020

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

October 28, 2020

A family and hospital's journey and commitment to improving diagnostic safety.

March 9, 2022

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

February 22, 2023

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

January 26, 2022

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Fellowship in Diagnostic Excellence.

January 30, 2024

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

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

January 11, 2023

Narrowing the mindware gap in medicine.

July 20, 2022

Eliminating explicit and implicit biases in health care: evidence and research needs.

February 23, 2022

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

February 2, 2022

Diagnostic reasoning in cardiovascular medicine.

January 19, 2022

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

October 27, 2021

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

July 15, 2020

Misdiagnosis, mistreatment, and harm - when medical care ignores social forces.

April 8, 2020

Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety.

January 15, 2020

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork.

September 11, 2019

Use of "Doctor" badges for physician role identification during clinical training.

September 11, 2019

Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum.

September 1, 2019

Competencies for improving diagnosis: an interprofessional framework for education and training in health care.

August 28, 2019

A randomized experimental study to assess the effect of language on medical students' anxiety due to uncertainty.

August 21, 2019

Educational targets to reduce medication errors by general surgery residents.

August 21, 2019

Professionalism lapses and adverse childhood experiences: reflections from the island of last resort.

August 14, 2019

Allowing failure for educational purposes in postgraduate clinical training: a narrative review.

July 24, 2019

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.

July 24, 2019

Patient safety superheroes in training: using a comic book to teach patient safety to residents.

July 17, 2019

Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program.

June 12, 2019

Knowledge retention after simulated crisis: importance of independent practice and simulated mortality.

June 5, 2019

Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision.

May 15, 2019

The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care.

May 15, 2019

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.

April 17, 2019

Potential consequences of patient complications for surgeon well-being: a systematic review.

April 17, 2019

Closing the disclosure gap: medical errors in pediatrics.

March 27, 2019

Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.

March 20, 2019

See More About The Topic

Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.

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