NDLI: Strategies to reduce diagnostic errors: a systematic review

Content Provider	Springer Nature : BioMed Central
Author	Abimanyi-Ochom, Julie Bohingamu Mudiyanselage, Shalika Catchpool, Max Firipis, Marnie Wanni Arachchige Dona, Sithara Watts, Jennifer J.
Abstract	Background To evaluate the effectiveness of audit and communication strategies to reduce diagnostic errors made by clinicians. Methods MEDLINE complete, CINHAL complete, EMBASE, PSNet and Google Advanced. Electronic and manual search of articles on audit systems and communication strategies or interventions, searched for papers published between January 1990 and April 2017. We included studies with interventions implemented by clinicians in a clinical environment with real patients. Results A total of 2431 articles were screened of which 26 studies met inclusion criteria. Data extraction was conducted by two groups, each group comprising two independent reviewers. Articles were classified by communication (6) or audit strategies (20) to reduce diagnostic error in clinical settings. The most common interventions were delivered as technology-based systems n = 16 (62%) and within an acute care setting n = 15 (57%). Nine studies reported randomised controlled trials. Three RCT studies on communication interventions and 3 RCTs on audit strategies found the interventions to be effective in reducing diagnostic errors. Conclusion Despite numerous studies on interventions targeting diagnostic errors, our analyses revealed limited evidence on interventions being practically used in clinical settings and a bias of studies originating from the US (n = 19, 73% of included studies). There is some evidence that trigger algorithms, including computer based and alert systems, may reduce delayed diagnosis and improve diagnostic accuracy. In trauma settings, strategies such as additional patient review (e.g. trauma teams) reduced missed diagnosis and in radiology departments review strategies such as team meetings and error documentation may reduce diagnostic error rates over time. Trial registration The systematic review was registered in the PROSPERO database under registration number CRD42017067056 .
Related Links	https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-019-0901-1.pdf
Ending Page	14
Page Count	14
Starting Page	1
File Format	HTM / HTML
ISSN	14726947
DOI	10.1186/s12911-019-0901-1
Journal	BMC Medical Informatics and Decision Making
Issue Number	1
Volume Number	19
Language	English
Publisher	BioMed Central
Publisher Date	2019-08-30
Access Restriction	Open
Subject Keyword	Health Informatics Information Systems and Communication Service Management of Computing and Information Systems Diagnostic error Audit Communication strategies Clinical setting
Content Type	Text
Resource Type	Article
Subject	Health Informatics Computer Science Applications Health Policy
Journal Impact Factor	3.3/2023
5-Year Journal Impact Factor	3.9/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Diagnostic accuracy of administrative data algorithms in the diagnosis of osteoarthritis: a systematic review

Using machine learning of clinical data to diagnose COVID-19: a systematic review and meta-analysis

A systematic review of the implementation and impact of asthma protocols

A systematic review of natural language processing applied to radiology reports

A systematic review of the applications of Expert Systems (ES) and machine learning (ML) in clinical urology

OntoPharma: ontology based clinical decision support system to reduce medication prescribing errors

Diagnostic omission errors in acute paediatric practice: impact of a reminder system on decision-making

Common data quality elements for health information systems: a systematic review

Risks to patient safety associated with implementation of electronic applications for medication management in ambulatory care - a systematic review

Strategies to reduce diagnostic errors: a systematic review

Similar Documents

Diagnostic accuracy of administrative data algorithms in the diagnosis of osteoarthritis: a systematic review

Using machine learning of clinical data to diagnose COVID-19: a systematic review and meta-analysis

A systematic review of the implementation and impact of asthma protocols

A systematic review of natural language processing applied to radiology reports

A systematic review of the applications of Expert Systems (ES) and machine learning (ML) in clinical urology

OntoPharma: ontology based clinical decision support system to reduce medication prescribing errors

Diagnostic omission errors in acute paediatric practice: impact of a reminder system on decision-making

Common data quality elements for health information systems: a systematic review

Risks to patient safety associated with implementation of electronic applications for medication management in ambulatory care - a systematic review

Strategies to reduce diagnostic errors: a systematic review