Achieving Diagnostic Excellence Through Prevention and Teamwork

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBrigham and Women's Hospital

About this trial

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.

Eligibility criteria

Qualifiers

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.

Disqualifiers

Admitted for a non-medical reason

Patients coded in the field who are moribund on arrival to the hospital

Trial design

Treatments tested in this trial

  • ADEPT Program

Treatment groups

7,200 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Brigham and Women's Hospital

Lead sponsor

Agency for Healthcare Research and Quality (AHRQ)

Collaborator

University of California, San Francisco

Collaborator