Reducing diagnostic error through medical home-based primary care reform.

Hardeep Singh; Mark L. Graber

Commentary

Reducing diagnostic error through medical home-based primary care reform.

August 11, 2010

Singh H, Graber ML. JAMA. 2010;304(4):463-4.

View more articles from the same authors.

This commentary discusses how the patient-centered medical home could improve safety and reduce diagnostic errors.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Improving diagnosis in health care—the next imperative for patient safety.

November 18, 2015

Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events.

February 14, 2018

Measures to improve diagnostic safety in clinical practice.

November 2, 2016

Evaluation of outcomes from a national patient-initiated second-opinion program.

June 24, 2015

The global burden of diagnostic errors in primary care.

August 24, 2016

Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction.

July 15, 2015

The incidence of diagnostic error in medicine.

August 14, 2013

Diagnostic errors in medicine: a case of neglect.

March 6, 2005

Cognitive interventions to reduce diagnostic error: a narrative review.

May 16, 2012

February 1, 2012

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

May 25, 2022

Inpatient notes: just what the doctor ordered—checklists to improve diagnosis.

May 1, 2019

How insight contributes to diagnostic excellence.

September 21, 2022

Performance of a web-based clinical diagnosis support system for internists.

January 23, 2008

Assigning responsibility to close the loop on radiology test results.

July 12, 2017

General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all.

April 18, 2018

Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review.

March 14, 2018

Preventing diagnostic errors in primary care.

October 12, 2016

Overconfidence as a cause of diagnostic error in medicine.

May 14, 2008

Bringing diagnosis into the quality and safety equations.

October 3, 2012

The impact of electronic health records on diagnosis.

October 4, 2017

Diagnostic error in internal medicine.

July 27, 2005

When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.

September 11, 2013

The patient is in: patient involvement strategies for diagnostic error mitigation.

September 4, 2013

Checklists to reduce diagnostic errors.

February 9, 2011

What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.

July 24, 2019

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.

November 25, 2020

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

June 30, 2021

Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis.

August 22, 2018

Identifying psychiatric diagnostic errors with the Safer Dx Instrument.

September 30, 2020

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine.

October 26, 2016

The challenges in defining and measuring diagnostic error.

June 24, 2015

Payment innovations to improve diagnostic accuracy and reduce diagnostic error.

November 7, 2018

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

February 20, 2019

A roadmap to advance patient safety in ambulatory care.

January 20, 2021

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

July 19, 2023

Electronic health record–related events in medical malpractice claims.

January 6, 2016

Diagnostic errors in pediatric critical care: a systematic review.

April 28, 2021

Checklists to prevent diagnostic errors: a pilot randomized controlled trial.

July 8, 2015

Eight recommendations for policies for communicating abnormal test results.

May 5, 2010

Defining health information technology–related errors: new developments since To Err Is Human.

August 3, 2011

Eight rights of safe electronic health record use.

September 23, 2009

Measuring and improving patient safety through health information technology: the Health IT Safety Framework.

October 14, 2015

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

November 7, 2018

Electronic health records and National Patient-Safety Goals.

November 21, 2012

Should patients get direct access to their laboratory test results?: An answer with many questions.

January 30, 2005

Toward more proactive approaches to safety in the electronic health record era.

September 13, 2017

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

January 28, 2015

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

June 24, 2020

Policies to promote shared responsibility for safer electronic health records.

September 29, 2021

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

May 27, 2020

Learning from tragedy: the Julia Berg story.

December 12, 2018

The critical need for nursing education to address the diagnostic process.

February 17, 2021

Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study.

September 11, 2013

Advancing the research agenda for diagnostic error reduction.

August 28, 2013

Using fault trees to advance understanding of diagnostic errors.

November 1, 2017

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

September 28, 2022

Five strategies for a safer EHR modernization journey.

December 6, 2023

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

October 23, 2019

Blink or think: can further reflection improve initial diagnostic impressions?

November 19, 2014

Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.

November 18, 2015

Influence of comorbid depression and diagnostic workup on diagnosis of physical illness: a randomized experiment.

December 20, 2023

The next organizational challenge: finding and addressing diagnostic error.

March 5, 2014

Communicating findings of delayed diagnostic evaluation to primary care providers.

July 27, 2016

Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation of CrowdMed.

February 3, 2016

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

February 13, 2019

Creating an oversight infrastructure for electronic health record–related patient safety hazards.

November 30, 2011

Electronic health record alert–related workload as a predictor of burnout in primary care providers.

August 30, 2017

Improving the safety of health information technology requires shared responsibility: it is time we all step up.

August 2, 2017

Patient safety goals for the proposed Federal Health Information Technology Safety Center.

November 19, 2014

Contingency planning for electronic health record–based care continuity: a survey of recommended practices.

October 15, 2014

The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations.

April 30, 2014

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

February 22, 2023

Applying requisite imagination to safeguard electronic health record transitions.

May 18, 2022

Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan.

December 4, 2019

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

Operational measurement of diagnostic safety: state of the science.

October 7, 2020

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

June 8, 2022

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

December 16, 2020

Diagnostic decision-making in the emergency department.

January 9, 2019

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

October 24, 2018

Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety.

August 21, 2019

Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.

April 10, 2019

Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.

November 5, 2014

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

May 4, 2022

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

August 5, 2020

Errors in cancer diagnosis: current understanding and future directions.

December 19, 2007

An electronic trigger to detect telemedicine-related diagnostic errors.

April 17, 2024

Lack of timely follow-up of abnormal imaging results and radiologists' recommendations.

February 11, 2015

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

Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study.

June 23, 2010

Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study.

January 24, 2018

Pediatric clinician perspectives on communicating diagnostic uncertainty.

August 7, 2019

Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey.

April 22, 2020

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

July 15, 2020

Challenges in patient safety improvement research in the era of electronic health records.

August 17, 2016

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

December 15, 2021

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

November 10, 2021

Related Resources

Perspective

Patient Safety in Office-Based Care Settings

January 31, 2024

Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants.

October 11, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Danger in discharge summaries: abbreviations create confusion for both author and recipient.

May 31, 2023

Using morbidity and mortality conferences to drive quality improvement and reduce errors.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Perspective

Primary Care and Patient Safety: Opportunities at the Interface

September 28, 2022

Interview

In Conversation With... Jack Westfall, MD, MPH

September 28, 2022

Interview

In Conversation With... Freya Spielberg, MD, MPH

September 28, 2022

Annual Perspective

Patient Safety in the Ambulatory Care Setting

August 5, 2022

Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis.

May 18, 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

Medical Office Survey on Patient Safety Culture.

September 1, 2021

AHRQ Health Literacy Universal Precautions Toolkit. 2nd edition.

July 1, 2015

Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients.

August 21, 2013

A typology of electronic health record workarounds in small-to-medium size primary care practices.

August 21, 2013

Impact of individual and team features of patient safety climate: a survey in family practices.

August 14, 2013

Office-based physicians are responding to incentives and assistance by adopting and using electronic health records.

July 24, 2013

Resilient actions in the diagnostic process and system performance.

July 17, 2013

Safety climate and its association with office type and team involvement in primary care.

May 29, 2013

Types and origins of diagnostic errors in primary care settings.

March 6, 2013

The relationship of self-report of quality to practice size and health information technology.

October 10, 2012

Electronic medical record availability and primary care depression treatment.

September 26, 2012

Are health professionals' perceptions of patient safety related to figures on safety incidents?

September 19, 2012

Medication safety in primary care practice: results from a PPRNet quality improvement intervention.

July 11, 2012

2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture.

June 27, 2012

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.

June 6, 2012

Medication reconciliation campaign in a clinic for homeless patients.

April 4, 2012

Measuring perceptions of safety climate in primary care: a cross-sectional study.

February 29, 2012

Diagnostic errors in primary care: lessons learned.

February 22, 2012

See More About The Topic

Ambulatory Clinic or Office

Health Care Providers

Facility and Group Administrators

Family Medicine

Primary Care

Reducing diagnostic error through medical home-based primary care reform.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Reducing diagnostic error through medical home-based primary care reform.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

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