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04/29/26

Barriers to leveraging patient safety event reviews for organizational learning, improvement, and diagnostic error reduction: results of a single academic center survey study.

Luty, Jacob T; Corby, Sky; Jungbauer, Rebecca; Syrowatka, Ania; Mohan, Vishnu; Krevat, Seth; Ratwani, Raj; Bates, David W; Gold, Jeffrey A. J Gen Intern Med.

Collection Topics
Culture, Work System, and Implementation Measurement, Monitoring, and Event Analysis
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Summary

Reducing diagnostic error may require more standardized safety event reviews and better data sharing across health systems. This survey finds that diagnostic errors were commonly identified in safety reporting databases, but less consistently across other event reviews, with few systems tracking lessons across categories. The authors suggest more consistent review practices and shared databases could improve learning and reduce patient harm.

Read the paper
Luty JT, Corby S, Jungbauer R, et al. Barriers to leveraging patient safety event reviews for organizational learning, improvement, and diagnostic error reduction: results of a single academic center survey study. J Gen Intern Med. Epub 2026 Apr 29.