Achieving Diagnostic Excellence Through Prevention and Teamwork

Conditions

• Diagnostic Errors

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• ADEPT Program — BEHAVIORAL
  Integration of surveillance for diagnostic errors into usual care, benchmarking and sharing of results across hospitals, expert mentoring of quality and safety personnel in change management, pilot testing and refinement of Safety I and Safety II interventions to reduce systemic causes of diagnostic errors and to increase resilience, thus promoting diagnostic excellence.

Study Details

This study seeks to link a group of hospitals to measure and share the rates of diagnostic errors, to understand underlying causes of diagnostic errors, and develop ways that hospitals, clinicians, and patients can work together to avoid diagnostic errors and harms due to those errors. The investigators will test how data sharing and collaboration improve diagnostic processes and develop approaches which can be sustained into the future. The approach represents a novel application of rigorous outcome adjudication to the problem of inpatient diagnostic errors using a learning health system model.

Key Dates

Start date

Mar 31, 2023

Status verified

Mar 2023

Primary completion

Apr 30, 2026

Completion

Sep 30, 2026

Study Design

Enrollment

7,200 participants (estimated)

Allocation

NON_RANDOMIZED

Intervention model

SINGLE_GROUP

Primary purpose

DIAGNOSTIC

Arms

• No Intervention: Pre-intervention (usual care)
  Patients admitted to study hospitals in the 12 months prior to the start of the intervention
• Experimental: Intervention
  Patients admitted to study hospitals during the 36 months of the intervention

Primary Outcome Measure

Diagnostic Errors [ Time Frame: Through hospital discharge, an average of 10 days ]

Central Contacts

• Tiffany Lee
  415-476-6949
  [email protected]

Locations (2)

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