Identifying psychiatric diagnostic errors with the Safer Dx Instrument.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Terri L FletcherHardeep Singh

Abstract

Diagnostic errors in psychiatry are understudied partly because they are difficult to measure. The current study aimed to adapt and test the Safer Dx Instrument, a structured tool to review electronic health records (EHR) for errors in medical diagnoses, to evaluate errors in anxiety diagnoses to improve measurement of psychiatric diagnostic errors. The iterative adaptation process included a review of the revised Safer Dx-Mental Health Instrument by mental health providers to ensure content and face validity and review by a psychometrician to ensure methodologic validity and pilot testing of the revised instrument. None. Pilot testing was conducted on 128 records of patients diagnosed with anxiety in integrated primary care mental health clinics. Cases with anxiety diagnoses documented in progress notes but not included as a diagnosis for the encounter (n = 25) were excluded. None. None. Of 103 records meeting the inclusion criteria, 62 likely involved a diagnostic error (42 from use of unspecified anxiety diagnosis when a specific anxiety diagnosis was warranted; 20 from use of unspecified anxiety diagnosis when anxiety symptoms were either undocumented or documented but not severe enough to warrant diagnosis). Reviewer agree...Continue Reading

References

Nov 3, 2009·The British Journal of Clinical Psychology·Freda McManusZafra Cooper
Jun 30, 2010·Archives of Internal Medicine·Laura ZwaanDaniëlle R M Timmermans
May 1, 2012·International Journal of Psychiatry in Clinical Practice·Borwin BandelowUNKNOWN WFSBP Task Force on Anxiety Disorders, OCD and PTSD
Jun 2, 2012·The Journal of Nervous and Mental Disease·Laura Batstra, Allen Frances
Nov 20, 2013·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Derek Bolton
Jan 16, 2015·BMJ Quality & Safety·Hardeep Singh, Dean F Sittig
Feb 14, 2015·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Michael BauerUNKNOWN Wfsbp Task Force on Treatment Guidelines for Unipolar Depressive Disorders
Sep 9, 2015·Injury·Michael Wich, Peter V Giannoudis
Nov 5, 2015·Emergency Medicine Journal : EMJ·Laura Medford-DavisHardeep Singh
Nov 13, 2015·The New England Journal of Medicine·Hardeep Singh, Mark L Graber
Nov 17, 2015·Psychiatric Services : a Journal of the American Psychiatric Association·Katherine E WatkinsHarold Alan Pincus
Nov 17, 2015·Psychiatric Services : a Journal of the American Psychiatric Association·Thiyagu RajakannanJulie Magno Zito
Nov 17, 2015·JAMA : the Journal of the American Medical Association·Elizabeth A McGlynnChristine K Cassel
Feb 24, 2016·Journal of General Internal Medicine·Aymer Al-MutairiHardeep Singh
Jul 15, 2016·Biomarkers in Medicine·John A Bilello
Aug 2, 2016·Psychiatric Services : a Journal of the American Psychiatric Association·Benjamin Lê CookAna M Progovac
Jan 27, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Maria Caridad DavalosHardeep Singh
Aug 16, 2017·General Hospital Psychiatry·Chelsea G RatcliffJeffrey A Cully
Jan 21, 2018·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Margarita AlegríaAmanda NeMoyer
Jan 1, 2014·Diagnosis·James Phillips
Feb 16, 2019·The Journal of Nervous and Mental Disease·Michael B FirstSamuel G Siris
Sep 11, 2019·Journal of Psychiatric Practice·Terri L FletcherMelinda A Stanley
Dec 4, 2019·The Journal of Nervous and Mental Disease·Victor OtaniRicardo Uchida

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