12/20/22

Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.

Bell, Sigall K; Bourgeois, Fabienne; Dong, Joe; Gillespie, Alex; Ngo, Long H; Reader, Tom W; Thomas, Eric J; DesRoches, Catherine M. Milbank Q.

Summary

Patients who access their electronic health record (EHR) through a patient portal have identified clinically relevant errors such as allergies, medications, or diagnostic errors. This prospective study focused on patient-identified diagnostic safety blind spots in ambulatory care clinical notes. The largest category of blind spots was diagnostic misalignment. Many patients indicated they reported the errors to the clinicians, suggesting shared notes may increase patient and family engagement in safety. 

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.

Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. Milbank Q. 2022;100(4):1121-1165.