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.
Leading a Culture of Safety: a Blueprint for Success. - Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017.
3 days ago