June 11, 2026 · Annals of emergency medicine · DOI: 10.1016/j.annemergmed.2026.04.004

Defining Diagnostic Excellence and Missed Diagnostic Opportunity for the Emergency Department Setting

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The authors aimed to define "diagnostic excellence" and "missed diagnostic opportunity" within the emergency department (ED) setting to enhance research and quality improvement initiatives. Through a modified Delphi panel involving multidisciplinary experts, they established that diagnostic excellence involves optimal, evidence-based practices leading to accurate and timely patient explanations, while a missed diagnostic opportunity refers to deviations from these practices that can result in misdiagnosis or poor communication. The study emphasizes the need for further research on implementing these definitions in ED diagnostic processes.

Carl T Berdahl, Gordon D Schiff, Arjun K Venkatesh, Edward G Seferian, Sam S Torbati, Maxim P Ptacek, Johan Carrascoza-Bolanos, Nabeel Qureshi, Teryl K Nuckols, Multidisciplinary ED Diagnostic Excellence Panel

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