Table 4.

Respondents Ranking of Breakdowns in the Diagnostic Process Most Commonly Associated with Diagnostic Errors^*

	Total (n=727)		Trainee (n=291)		Academic Pediatrician (n=289)		Community Pediatrician (n=165)
	n (%)	Ave. rank	n (%)	Ave. rank	n (%)	Ave. rank	n (%)	Ave. rank
Failure to gather medical information through history & physical &/or review of charts	346 (48)	1.05	138 (47)	1.08	132 (49)	1.04	76 (46)	1.00
Care not sought in a timely manner by patient/caregiver	305 (42)	0.91	131 (45)	0.91	99 (37)	0.81	75 (45)	1.07
Failure to follow-up on abnormal diagnostic laboratory test results	283 (39)	0.75	106 (36)	0.73	113 (42)	0.77	64 (39)	0.75
Patient/caregiver non-adherence to provider recommended follow-up plan	271 (37)	0.73	109 (37)	0.71	93 (34)	0.69	69 (42)	0.82
Problems with ordering, performance or interpretation of diagnostic/laboratory tests	258 (35)	0.71	89 (31)	0.67	112 (41)	0.77	57 (35)	0.65
Inappropriate or inadequate follow-up plan by the provider after the child’s evaluation	210 (29)	0.52	91 (31)	0.58	77 (28)	0.53	42 (25)	0.41
Delays related to subspecialist/consultation process	178 (24)	0.46	68 (23)	0.39	66 (24)	0.50	44 (27)	0.50

^*The Friedman test showed significant differences among the ranked options (p < 0.0001)