Awardee OrganizationUNIVERSITY HOSPITALS OF CLEVELAND
Description
Abstract Text
Abstract: Diagnostic errors are common and frequently extremely serious. Unfortunately, strategies to identify
diagnostic standards and best diagnostic practices for a variety of problems are scarce. The focus of the
Center to Improve Clinical Diagnosis will be to tackle diagnostic problems using a data and consensus driven
approach. The goals of the Center are to (a) assemble a diverse, multidisciplinary team to provide formal input
about standards and best practices; (b) to implement a 4-step strategy to develop recommended diagnostic
practices; and (c) to sustain the Center by creating a set of policies, methods, a future agenda, and
partnerships within and outside our organization. Our Center will be fully integrated into a larger health services
research center within University Hospitals Health System. Our general 4-step process to develop
recommended practices includes (1) identifying problems which are common, associated with high rates of
diagnostic error, and for which guidance is lacking and identify current diagnostic practice (or practices in
response to diagnostic interventions) (2) identify outcomes of diagnostic practices; (3) in collaboration with a
panel of diagnosticians, review data about practice and outcomes and formulate recommendations; (4)
implement recommendations and monitor their impact. We have chosen three problems as demonstration
projects based on how common and serious they are and the expertise and experience of our research team:
(1) The best approach to identifying and evaluating unintentional weight loss in adults; (2) The best approach
to screening for hypertension in African American adolescents using home-BP devices; (3) Improved diagnosis
of sepsis in children in community emergency department (ED) settings, and adults in community (ED) and
inpatient settings through implementation and most importantly, refinement of electronic sepsis trigger tools.
We believe our systematic approach to developing standards and best practices for these and future problems
will provide a system for badly needed diagnostic guidance that is useful for patients, clinicians, and health
systems.
Public Health Relevance Statement
The Center to Improve Diagnosis will focus upon developing diagnostic standards and recommendations for
common diagnostic problems. Our strategy will be both data and consensus driven. Recommendations for best
diagnostic practices will be formulated by a panel of diagnosticians in collaboration with the research team.
No Sub Projects information available for 1R18HS029358-01
Publications
Publications are associated with projects, but cannot be identified with any particular year of the project or fiscal year of funding. This is due to the continuous and cumulative nature of knowledge generation across the life of a project and the sometimes long and variable publishing timeline. Similarly, for multi-component projects, publications are associated with the parent core project and not with individual sub-projects.
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Outcomes
The Project Outcomes shown here are displayed verbatim as submitted by the Principal Investigator (PI) for this award. Any opinions, findings, and conclusions or recommendations expressed are those of the PI and do not necessarily reflect the views of the National Institutes of Health. NIH has not endorsed the content below.
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Clinical Studies
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History
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