Table 1.

Examples of potential Safer Dx e-triggers mapped to diagnostic process dimensions of the Safer Dx framework³⁴

Safer Dx diagnostic process	Safer Dx trigger example	Potential diagnostic error
Patient-provider encounter	Primary care office visit followed by unplanned hospitalisation	Missed red flag findings or incorrect diagnosis during initial office visit
	ER visit within 72 hours after ER or hospital discharge	Missed red flag findings during initial ER or hospital visit
	Unexpected transfer from hospital general floor to ICU	Missed red flag findings during admission
Performance and interpretation of diagnostic tests	Amended imaging report	Missed findings on initial read, or lack of communication of amended findings
Follow-up and tracking of diagnostic information over time	Abnormal test result with no timely follow-up action	Abnormal test result missed
Referral and/or patient-specific factors	Urgent specialty referral followed by discontinued referral or patient no-show within 7 days	Delay in diagnosis from lack of specialty expertise

ER, emergency room; ICU, intensive care unit.