Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error

Prepared for:

Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov

Contract Number HHSP233201500022I/75P00119F37006

Prepared by:

Dhara Amin, M.D., FACEP,
Director of Quality Improvement and Patient Safety
Department of Emergency Medicine
Cook County Health
Assistant Professor of Emergency Medicine
Rush University Medical Center
Chicago, IL

Karen S. Cosby, M.D., FACEP, CPPS
Program Director, The Diagnostic Excellence Initiative
The Gordon and Betty Moore Foundation
Associate Professor (retired)
Rush Medical College
Senior Attending Physician, Emergency Medicine
Cook County Health
Chicago, IL

This project was funded under contract number HHSP233201500022I/75P00119F37006 from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. The authors are solely responsible for this document’s contents, findings, and conclusions, which do not necessarily represent the views of AHRQ. Readers should not interpret any statement in this product as an official position of AHRQ or of the U.S. Department of Health and Human Services. None of the authors has any affiliation or financial involvement that conflicts with the material presented in this product.

Public Availability Notice. This product is made publicly available by AHRQ and may be used and reprinted without permission in the United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document. No one may reproduce copyrighted materials without the permission of the copyright holders. Users outside the United States must get permission from AHRQ to reprint or translate this product. Anyone wanting to reproduce this product for sale must contact AHRQ for permission.

Citation of the source is appreciated.

Suggested citation: Amin D, Cosby K. Issue Brief 15. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. Publication No. 23-0040-6-EF.