SHM Converge Scientific Abstract ePoster Gallery-Clear-Dx: A Novel Tool for Incorporating Diagnostic Safety Analysis Into Event Review and Performance Coaching

Pdf Summary

The document introduces <strong>CLeAR-Dx (Clinical Learning through Analysis and Reflection for Diagnostic Excellence)</strong>, a new framework designed to help hospitalists identify and evaluate <strong>diagnostic delays</strong>. It emphasizes that diagnostic delay is a major source of preventable harm in hospitalized patients, and that traditional event review processes often miss the upstream causes behind these delays.

CLeAR-Dx is meant to address this gap by helping reviewers systematically identify both <strong>clinician-related</strong> and <strong>system-related</strong> contributors to diagnostic delay, then map those contributors to specific domains that can guide improvement efforts. The framework is intended to support more consistent, timely, and targeted case reviews.

The diagnostic process has two main steps:
1. <strong>Screen for diagnostic delay</strong> using a brief two-item tool to determine whether a delay likely occurred and whether it contributed to harm.
2. <strong>Identify contributing factors</strong> through a structured causal analysis that examines both individual and systems issues across different phases of care.

The authors propose validating CLeAR-Dx against current review practices at four institutions and comparing it with existing validated tools in terms of time required and output generated. They also plan to test its use in institutional safety event review, trainee coaching, and trend analysis.

Overall, CLeAR-Dx is presented as a practical framework that could benefit quality and safety leaders, educators, frontline hospitalists, and trainees by improving how diagnostic delays are reviewed and addressed.

Asset Subtitle

Michelle Perkons

Meta Tag

Author List Edwin Rosas, Evan Nardone, Matthew Cersale, Michelle Perkons

Category Innovations

Concept CLeAR-Dx Framework

Concept Diagnosis delay

Concept Hospitalized Patient

Concept Diagnostic Process

Concept Causal Analysis

Distinguished Non-Finalist

Presenter Organization Duke University Hospital

Presenting Author Michelle Perkons

Track Patient Safety

Keywords

CLeAR-Dx

diagnostic delay

hospitalists

diagnostic excellence

preventable harm

event review

causal analysis

system-related factors

clinician-related factors

patient safety

CLeAR-Dx Framework

Diagnosis delay

Hospitalized Patient

Diagnostic Process

Causal Analysis