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06/10/26

Defining diagnostic excellence and missed diagnostic opportunity for the emergency department setting.

Berdahl, Carl T; Schiff, Gordon D; Venkatesh, Arjun K; Seferian, Edward G; Torbati, Sam S; Ptacek, Maxim P; Carrascoza-Bolanos, Johan; Qureshi, Nabeel; Nuckols, Teryl K. Ann Emerg Med.

Collection Topics
Measurement, Monitoring, and Event Analysis Foundations of Diagnostic Excellence
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Summary

Unclear definitions can hinder progress in diagnostic safety. Using an interdisciplinary Delphi panel with diverse clinical and demographic backgrounds, this study defines diagnostic excellence and missed opportunities for emergency care, recognizing that provisional diagnoses are appropriate when uncertainty is communicated, the working diagnosis broadly fits the final condition, and patients receive next-step guidance.

Read the paper
Berdahl CT, Schiff GD, Venkatesh AK, et al for the Multidisciplinary ED Diagnostic Excellence Panel. Defining diagnostic excellence and missed diagnostic opportunity for the emergency department setting. Ann Emerg Med. 2026;88(3):376-393.