Figure 1 | Journal of General Internal Medicine

Figure 1

From: Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic Error and Clinician Burnout

Figure 1

Tripartite framework of diagnostic process safety. Diagnostic safety critically depends on not missing or harmfully delaying key worst-case scenario diagnoses. This construct of “don’t miss diagnoses” overlaps with needed situational awareness and practices that are designed to recognize important red flags (symptoms, signs, labs) that operationalize avoiding what can go wrong (pitfalls related to diagnostic mimics, atypical presentations, or misleading (false-negative or false-positive) tests/imaging results, etc.). Contextual factors (particularly time pressures, interruptions, electronic medical record design, or other workflow design factors) can either enhance or impair clinicians’ ability and likelihood to strategically address these 3 constructs.

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