Pruthvi Patel, Martin T Wells, Elaine Wethington, Martin Shapiro, Yasir Parvez, Shashi N Kapadia, Andrew H Talal
United States Provider Experiences with Telemedicine for Hepatitis C Treatment: A Nationwide Survey
medRxiv : the preprint server for health sciences
checklists shown improve performance complex errorprone processes develop checklist potential reduce likelihood diagnostic error patients presenting emergency room er undiagnosed conditions participants included 15 staff er physicians working two large academic centers rapid cycle design evaluation process used develop general checklist highrisk situations vulnerable diagnostic error physicians used general checklists set symptomspecific checklists period 2 months conducted mixed methods evaluation included interviews regarding user perceptions quantitative assessment resource utilization checklist use general checklist developed iteratively obtaining feedback users subject matter experts trialed along set specific checklists er general symptomspecific checklists judged helpful slight preference using symptomspecific lists checklist use commonly prompted consideration additional diagnostic possibilities changed working diagnosis approximately 10 cases anecdotally thought helpful avoiding diagnostic errors checklist use prompted variety different factors diagnostic uncertainty none physicians used checklists collaboration patient despite encouraged checklist use prompt large changes test ordering consultation er setting checklists diagnosis helpful considering additional diagnostic possibilities thus potential prevent diagnostic errors inconsistent usage using checklists privately instead patient factors may detract obtaining maximum benefit research needed optimize checklists use er determine increase usage evaluate impact checklist utilization error rates patient outcomes determine checklist usage affects test ordering consultation compare checklists generally approaches reduce diagnostic error