Journal of Continuing Education in the Health Professions (12/17/25) Grubenhoff, Joseph A.; Dillon, Mairead; Geanacopoulos, Alexandra T.; et al.

Researchers investigated whether pediatric emergency and urgent care (ED/UC) clinicians could effectively evaluate their own diagnostic performance using a structured tool compared with expert review by diagnostic safety experts. For a cohort of 187 at-risk patient cases who received index visit care from 260 ED/UC eligible clinicians, 71 clinicians completed 97 self-directed reviews on patient-clinician encounters using the Revised Safer Dx tool. The tool revealed moderated agreement with the expert evaluations and high overall concordance on whether diagnostic errors were present. Most clinicians indicated the tool was helpful for reflecting on their diagnostic process, and those who identified an error in their own case were much more likely to report changing their diagnostic approach. Based on the findings, the researchers suggest that "promoting self-directed reviews may improve feedback delivery among ED/UC clinicians."

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