Diagnostic omission errors in acute paediatric practice: impact of a reminder system on decision-making
2006

Impact of a Reminder System on Diagnostic Errors in Pediatric Practice

Sample size: 104 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ramnarayan Padmanabhan, Winrow Andrew, Coren Michael, Nanduri Vasanta, Buchdahl Roger, Jacobs Benjamin, Fisher Helen, Taylor Paul M, Wyatt Jeremy C, Britto Joseph

Primary Institution: Children's Acute Transport Service (CATS), Imperial College London

Hypothesis

Can a web-based diagnostic reminder system improve decision-making in acute pediatric assessments?

Conclusion

The study demonstrated that junior doctors significantly improved the quality of their diagnostic workup and reduced diagnostic omission errors by using a web-based diagnostic reminder system.

Supporting Evidence

  • Subjects attempted to access the diagnostic aid on 595 occasions during the study period.
  • Unsafe diagnostic workups reduced from 45.2% to 32.7% after system consultation.
  • Mean number of 'unsafe' workups per case decreased from 0.49 to 0.32 post-DDSS consultation.
  • Median usage time for the system was 1 minute and 38 seconds.

Takeaway

Doctors used a special computer program to help them make better decisions when treating kids, and it worked well without causing any problems.

Methodology

Junior doctors consulted a web-based diagnostic aid during patient assessments and recorded their clinical decisions before and after using the system.

Potential Biases

User variability in data input and potential cognitive biases in decision-making.

Limitations

Barriers to computer access limited the use of the diagnostic aid in many eligible patients.

Participant Demographics

Participants included junior doctors (Senior House Officers and Registrars) assessing children aged 0-16 years in acute medical settings.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI 4.0–9.7

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1472-6947-6-37

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