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End Diagnostic Overshadowing: Understanding and Reducing Diagnostic Error in Patients With Disabilities

Status: Recruiting
Location: See location...
Intervention Type: Behavioral, Other
Study Type: Observational
SUMMARY

The goal of this study is to address the critical issue of diagnostic overshadowing by applying the Collective Impact Model40 to co-produce our End Diagnostic Overshadowing program with academic, health systems, health professional, PWDs, family members, and community stakeholders. Through this work, we will identify and address mechanisms that contribute to diagnostic overshadowing and diagnostic errors among people with disabilities. The main questions to answer are whether knowledge about diagnostic errors and confidence will improve with health care providers and professionals involved in diagnostic provesses, whether developed algorithms to identify patients at risk of diagnpstic error will be used, whether there will be change in time to diagnostic evaluation for PWD from the specified 5 population groups and with the specified diagnoses prone to error, and whether changes in usage of CPT Evaluation and Management codes will occur.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 3
Maximum Age: 89
Healthy Volunteers: t
View:

• • Patients aged 3-89 who received billed charges

Locations
United States
Illinois
Rush University Medical Center
RECRUITING
Chicago
Contact Information
Primary
Director Research Affairs
Jennifer_Garcia@rush.edu
312-942-3554
Backup
Tricia J Johnson, PhD
Tricia_J_Johnson@rush.edu
312-942-7107
Time Frame
Start Date: 2024-11-22
Estimated Completion Date: 2029-07-31
Participants
Target number of participants: 120000
Treatments
Patients with disabilities
Cases with disabilities are patients aged 3 - 89 years old with one or more of 26 diagnoses prone to error and and have the following secondary (or primary) diagnoses (using associated ICD-10 codes)~Mobility impairments: Spinal cord diseases, Spinal cord injuries, Injury to spinal cord nerves, Multiple sclerosis, Cerebral palsy, Dependence on enabling machines or devices, Need for caregiver related to mobility impairments~Severe Vision impairments:~Severe Hearing impairments:~Mental health: Person history mental and behavioral disorders, Major Depression, Severe bipolar disorder, Severe schizophrenia, Paranoia, Psychosis~Intellectual Disabilities:~Autism
Patients without disabilities
Patients without disabilities are patients age 3-89 with one or more of 26 diagnoses prone to error and without the following secondary (or primary) diagnoses: Mobility impairments: Spinal cord diseases, Spinal cord injuries, Injury to spinal cord nerves, Multiple sclerosis, Cerebral palsy, Dependence on enabling machines or devices, Need for caregiver related to mobility impairments~Severe Vision impairments:~Severe Hearing impairments:~Mental health: Person history mental and behavioral disorders, Major Depression, Severe bipolar disorder, Severe schizophrenia, Paranoia, Psychosis~Intellectual Disabilities:~Autism
Sponsors
Leads: Rush University Medical Center
Collaborators: University of Minnesota, St. John Fisher College

This content was sourced from clinicaltrials.gov