Diagnostic Time-Outs to Improve Diagnosis. Crit Care Clin 2022 Apr;38(2):185-194
Date
04/05/2022Pubmed ID
35369942DOI
10.1016/j.ccc.2021.11.008Scopus ID
2-s2.0-85127341354 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
Diagnostic errors harm patients. While the underlying causes of diagnostic error and the settings in which they occur are diverse, the use of a cognitive forcing function in the form of a diagnostic time-out can mitigate the risk of diagnostic error. Barriers to the implementation of diagnostic time-outs remain. In our survey of neonatal intensive care unit (NICU) providers, perceived time constraints were universally cited as a barrier. Attending neonatologists and neonatology nurse practitioners reported decreased perception of the risk of diagnostic error impacting patient outcomes, relative to the perception among neonatology fellowship trainees. Future directions include addressing concerns over the perceived time investment required for a diagnostic time-out and increasing provider appreciation of the nature and impact of diagnostic error on patient outcomes.
Author List
Yale S, Cohen S, Bordini BJAuthors
Brett J. Bordini MD Associate Professor in the Pediatrics department at Medical College of WisconsinSusan Cohen MD Professor in the Pediatrics department at Medical College of Wisconsin
Sarah Yale MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
CognitionDiagnostic Errors
Humans
Infant, Newborn
Intensive Care Units, Neonatal