Diagnostic errors in the neonatal intensive care unit: State of the science and new directions.

Abstract:

:Diagnostic errors remain understudied in neonatology. The limited available evidence, however, suggests that diagnostic errors in the neonatal intensive care unit (NICU) result in significant and long-term consequences. In this narrative review, we discuss how the concept of diagnostic errors framed as missed opportunities can be applied to the non-linear nature of diagnosis in a critical care environment such as the NICU. We then explore how the etiology of an error in diagnosis can be related to both individual cognitive factors as well as organizational and systemic factors - all of which often contribute to the error. This multifactorial causation has limited the development of methodology to measure diagnostic errors as well as strategies to mitigate and prevent their adverse effects. We recommend research focused on the frequency and etiology of diagnostic error in the NICU as well as potential mitigation strategies to advance this important field in neonatal intensive care.

journal_name

Semin Perinatol

journal_title

Seminars in perinatology

authors

Shafer G,Singh H,Suresh G

doi

10.1053/j.semperi.2019.08.004

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

151175

issue

8

eissn

0146-0005

issn

1558-075X

pii

S0146-0005(19)30109-0

journal_volume

43

pub_type

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