07/10/26

A multi-institutional rapid qualitative assessment of factors supporting diagnostic excellence in hospital medicine.

Raffel, Katie E; Webber, Chase J; Narayanan, Maya; Tozier, Michael; Cerasale, Matthew; Lee, Tiffany M; Burden, Marisha; Auerbach, Andrew; Schnipper, Jeffrey L; Keniston, Angela. J Hosp Med.

Summary

Safety II shifts focus on learning from failure to success. This multi-institutional qualitative study of 36 individuals (34 healthcare/academic personell and 2 patient advocates) named structured yet adaptive reasoning, collaborative teamwork, and systems capacity as key ingredients in diagnostic excellence in hospital medicine. However, paticipants were challenged to systematically identify "Safety II' cases.

Raffel KE, Webber CJ, Narayanan M, et al. A multi-institutional rapid qualitative assessment of factors supporting diagnostic excellence in hospital medicine. J Hosp Med. 2026;21(9):1008-1016.