Use of e-triggers to identify diagnostic errors in the paediatric ED.

Daniel Lam; Fidelity Dominguez; Jan Leonard; Alexandria Wiersma; Joseph A. Grubenhoff

Study

Use of e-triggers to identify diagnostic errors in the paediatric ED.

April 6, 2022

Lam D, Dominguez F, Leonard J, et al. BMJ Qual Saf. 2022;31(10):735-743.

View more articles from the same authors.

Trigger tools and incident reporting systems are two commonly used methods for detecting adverse events. This retrospective study compared the performance of an electronic trigger tool plus manual screening versus existing incident reporting systems for identifying probable diagnostic errors among children with unplanned admissions following a prior emergency department (ED) visit. Of the diagnostic errors identified by the trigger tool and substantiated by manual review, less than 10% were identified through existing incident reporting systems.

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Emergency Departments

Quality and Safety Professionals

Pediatric Emergency Medicine

Clinical Misdiagnosis

Epidemiology of Errors and Adverse Events

Use of e-triggers to identify diagnostic errors in the paediatric ED.

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

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