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04/03/23

Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis.

Krevat, Seth A; Samuel, Sunil; Boxley, Christian; Mohan, Vishnu; Siegal, Dana; Gold, Jeffrey A; Ratwani, Raj M. JAMA Netw Open.

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Summary

The majority of healthcare providers use electronic health record (EHR) systems but these systems are not infallible. This analysis used closed malpractice claims from the CRICO malpractice insurance database to identify whether the EHR contributes to diagnostic error, the types of errors, and where in the diagnostic process errors occur. EHR contributed to diagnostic error in 61% of claims, the majority in outpatient care, and 92% at the testing stage. 

The PSNet collection materials were developed with funding under multiple contracts from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.

Read the paper
Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. JAMA Netw Open. 2023;6(4):e238399.