Table 1.
Inclusion Criteria and Outcomes for Diagnostic Errors and Missed Opportunity for Diagnosis of Interest
Diagnostic Error/Missed Opportunity for Diagnosis | Inclusion Criteria | Primary Outcome | Secondary Outcome(s) |
---|---|---|---|
Elevated Blood Pressure | ≥3 years old at health supervision visit who had an elevated systolic or diastolic blood pressure | Patients without an appropriate action taken by the provider per 100 patients with elevated blood pressure |
|
Abnormal Laboratory Values | Abnormal laboratory value* | Patients without an appropriate action taken without a delay per 100 patients with abnormal laboratory values | Patients without documentation that the laboratory value was abnormal, provided a diagnosis, or appropriate action taken per 100 patients with abnormal laboratory values |
Adolescent Depression | ≥11 years old at health supervision visit | Patients without documentation that provider pursued an evaluation for adolescent depression at visit per 100 adolescent health supervision visits | N/A |
Appropriate actions included a) rechecking and documenting the blood pressure, b) noting a plan to recheck the blood pressure at a future visit, c) referring the patient to a specialist (e.g. nephrologist), or d) ordering laboratory or radiologic studies to further evaluate causes of elevated blood pressure (e.g. urine analysis, creatinine, echocardiogram, renal ultrasound, etc.).
See text for included abnormal laboratory values and for corresponding appropriate actions