TABLE 4

Respondents' Ranking of Breakdowns in the Diagnostic Process Most-Commonly Associated With Diagnostic Errors

Total (N = 727)Trainee (N = 291)Academic Pediatrician (N = 289)Community Pediatrician (N = 165)
n (%)Average Rankingn (%)Average Rankingn (%)Average Rankingn (%)Average Ranking
Failure to gather medical information through history and physical and/or review of charts346 (48)1.05138 (47)1.08132 (49)1.0476 (46)1.00
Care not sought in timely manner by patient/caregiver305 (42)0.91131 (45)0.9199 (37)0.8175 (45)1.07
Failure to follow up on abnormal diagnostic laboratory test results283 (39)0.75106 (36)0.73113 (42)0.7764 (39)0.75
Patient/caregiver nonadherence to provider-recommended follow-up plan271 (37)0.73109 (37)0.7193 (34)0.6969 (42)0.82
Problems with ordering, performance, or interpretation of diagnostic/laboratory tests258 (35)0.7189 (31)0.67112 (41)0.7757 (35)0.65
Inappropriate or inadequate follow-up plan by provider after child's evaluation210 (29)0.5291 (31)0.5877 (28)0.5342 (25)0.41
Delays related to subspecialist/consultation process178 (24)0.4668 (23)0.3966 (24)0.5044 (27)0.50
  • The Friedman test showed significant differences among the ranked options (P < .0001).