Check out this free article that was just released:
Diagnostic Error in Acute Care
Pa Patient Saf Advis 2010 Sep;7(3):76-86.
The tables in here provide some analysis of system- and physician-level fixes to potentially help mitigate diagnostic error. Might it be a good exercise to have teams (including librarians, knowledge managers, HIT folks and clinicians) review one of the tables to discuss root causes for these problems related to information and knowledge sharing and submit ideas (beyond EBM) to improve the reliabiity of the process.
Surgical fires: decreasing incidence relies on continued prevention efforts. - Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15.
2 days ago