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September • 30 • 2024

Hidden in Plain Sight: Exposing the Drivers of Diagnostic Error – Emergency Department

White Paper

By Dana Siegal, RN, CPHRM, CPPS; Maryann Small, MBA; Susan L. Montminy, EdD, MPA, BSN, RN, FASHRM, CPHRM, CPPS; Marlene Icenhower, BSN, JD, CPHRM; Michelle Bondurant, RN, CP

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Summary

Learn about the hidden drivers of diagnostic error in the emergency department and how to expose and eliminate these drivers.

This paper uncovers the hidden drivers of diagnostic error in the emergency department and how to expose and eliminate these drivers.

The white paper is part of our series A Dose of Insight.

This is the first in a three-part series that explores diagnostic error in three different care settings: ambulatory, emergency department, and hospital. It is based on an analysis of five years of closed medical malpractice events (2019-2023).

While the emergency department (ED) is the second-most frequent location for diagnostic error allegations, we decided to examine this location first due to the large number of high-acuity patients and the fast-paced environment. 

Included in the report is a self-assessment tool (to identify crucial ED best practices that address contributing factors identified in our data) and five key steps to mitigate risk in the ED.

 

 

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Copyrighted. No legal or medical advice intended. This post includes general risk management guidelines. Such materials are for informational purposes only and may not reflect the most current legal or medical developments. These informational materials are not intended, and must not be taken, as legal or medical advice on any particular set of facts or circumstances. 

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