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RECRUITING Not applicable ClinicalTrials.gov

Achieving Diagnostic Excellence Through Prevention and Teamwork

Sponsor: Brigham and Women's Hospital • ClinicalTrials.gov ID: NCT05747755

Registry updated: 2026-09-08
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Description

This study seeks to link a group of hospitals to measure and share the rates of diagnostic errors, to understand underlying causes of diagnostic errors, and develop ways that hospitals, clinicians, and patients can work together to avoid diagnostic errors and harms due to those errors. The investigators will test how data sharing and collaboration improve diagnostic processes and develop approaches which can be sustained into the future. The approach represents a novel application of rigorous outcome adjudication to the problem of inpatient diagnostic errors using a learning health system model.

Interventions

  • ADEPT Program (Behavioral)
    Integration of surveillance for diagnostic errors into usual care, benchmarking and sharing of results across hospitals, expert mentoring of quality and safety personnel in change management, pilot testing and refinement of Safety I and Safety II interventions to reduce systemic causes of diagnostic errors and to increase resilience, thus promoting diagnostic excellence.

Eligibility criteria

Inclusion Criteria: * Adult patients admitted to general medicine services at one of the participating hospitals and who either died during the hospitalization, were transferred to the ICU \>= 48 hours after admission, or had a rapid response. Exclusion Criteria: * Admitted for a non-medical reason * Patients coded in the field who are moribund on arrival to the hospital

Conditions

Diagnostic Errors

Locations

  • University of California San Francisco — San Francisco, California, United States
  • Brigham & Women's Hospital — Boston, Massachusetts, United States
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record