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. 2019 Nov 27;8(11):e16047. doi: 10.2196/16047

Table 1.

Nature of failures and description derived from the Institute of Medicine’s report.

Nature of failure Failure description
Information gathering 1 Unable to elicit key information
Information gathering 2 Unable to get key history
Information gathering 3 Missed key physical findings
Information gathering 4 Failed to order or perform needed tests
Information gathering 5 Inappropriate review of test results
Information gathering 6 Wrong tests ordered
Information gathering 7 Tests ordered in wrong sequence
Information gathering 8 Technical errors in handling, labeling, and processing of tests
Information integration 1 Wrong hypothesis generation
Information integration 2 Inaccurate suboptimal weighing and prioritization
Information integration 3 Unable to recognize or weigh urgency
Information integration 4 Information from other teams not available
Information interpretation 1 Inaccurate interpretation of history
Information interpretation 2 Inaccurate interpretation of physical findings
Information interpretation 3 Inaccurate interpretation of test results
Establish explanation of diagnosis 1 Delay in considering diagnosis
Establish explanation of diagnosis 2 Patient develops infections or other complications
Establish explanation of diagnosis 3 Information missed to form hypothesis because of health information technology
Establish explanation of diagnosis 4 Signs and symptoms not recognized for specific disease
Establish explanation of diagnosis 5 Delay or missed follow-up