What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.
Communication
Decision Support Techniques
Diagnostic Errors
/ prevention & control
Emergency Medicine
/ methods
Emergency Service, Hospital
/ organization & administration
General Practitioners
/ statistics & numerical data
Humans
Patient Care Team
/ organization & administration
Patient Participation
/ psychology
Patient Safety
/ standards
Practice Guidelines as Topic
Referral and Consultation
/ statistics & numerical data
clinician perspective
diagnosis
diagnostic error
emergency department
emergency medicine
mixed methods
patient engagement
patient safety
teamwork
Journal
Diagnosis (Berlin, Germany)
ISSN: 2194-802X
Titre abrégé: Diagnosis (Berl)
Pays: Germany
ID NLM: 101654734
Informations de publication
Date de publication:
26 11 2019
26 11 2019
Historique:
received:
05
12
2018
accepted:
04
05
2019
pubmed:
23
5
2019
medline:
9
4
2020
entrez:
23
5
2019
Statut:
ppublish
Résumé
The purpose of this article is to synthesise review evidence, practice and patient perspectives on interventions to reduce diagnostic error in emergency departments (EDs). A rapid review methodology identified nine systematic reviews for inclusion. Six practice interviews were conducted to identify local contextual insights and implementation considerations. Finally, patient perspectives were explored through a citizen panel with 11 participants. The rapid review found evidence for the following interventions: second opinion, decision aids, guided reflection and education. Practitioners suggested three of the four interventions from the academic review: second opinion, decision aids and education. Practitioners suggested four additional interventions: improving teamwork, engaging patients, learning from mistakes and scheduled test follow-up. Patients most favoured interventions that improved communication through education and patient engagement, while also suggesting that implementation of state-wide standards to reduce variability in care and sufficient staffing are important to address diagnostic errors. Triangulating these three perspectives on the evidence allows for the intersections to be highlighted and demonstrates the usefulness of incorporating practitioner reflections and patient values in developing potential interventions.
Identifiants
pubmed: 31116702
doi: 10.1515/dx-2018-0104
pii: dx-2018-0104
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
325-334Références
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