Diagnostic Uncertainty Scenarios in Primary Care

During this background phase, the principal investigator (G.D.S.) and a research assistant (A.G.) reviewed literature and conducted a panel discussion with PCPs and communication experts (n = 5). Based on the findings from this stage, 4 clinical vignettes were developed. The vignettes described the following general medical diagnostic uncertainty scenarios: (1) enlarged lymph node in a patient with a history of lymphoma in remission (ie, worrisome for a recurrence), (2) new-onset headache, (3) fever and upper respiratory infection, and (4) subacute low back pain (eAppendix 2 in Supplement 1).

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Khazen M., Mirica M., Carlile N., Groisser A, & Schiff G.D. (2023). Developing a Framework and Electronic Tool for Communicating Diagnostic Uncertainty in Primary Care: A Qualitative Study. JAMA Network Open, 6(3), e232218.

Publication 2023

Diagnostic Fever Headache Low back pain Lymph node Lymphoma Patient Pcps Recurrence Supplement Upper respiratory infection

Corresponding Organization : National Patient Safety Foundation

Other organizations : Max Stern Academic College of Emek Yezreel, Children's National

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Variable analysis

independent variables

Clinical vignettes describing the following general medical diagnostic uncertainty scenarios:
1. Enlarged lymph node in a patient with a history of lymphoma in remission (ie, worrisome for a recurrence)
2. New-onset headache
3. Fever and upper respiratory infection
4. Subacute low back pain

dependent variables

Not explicitly mentioned

control variables

Not explicitly mentioned

controls

No positive or negative controls were specified by the authors.

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