Clinical trials: Diagnostic Error
Hemolysis, Diagnostic Errors
Pneumatic Tube System Versus Personnel Transport and the Hemolysis Index of Emergency Department Blood Samples: A Randomized, Split-Sample, Single-Blind Trial
Hemolysis is the most common pre-analytical error in emergency department (ED) laboratory specimens and can lead to false elevation of intracellular analytes (potassium, LDH, AST, hemoglobin), resulting in misdiagnosis and…
- Conditions
- Hemolysis, Diagnostic Errors, Blood Specimen Collection
- Trial name
- PTS-HEMO-ED (NCT07755007)
- Testing
- Pneumatic Tube System Transport, Manual Personnel Transport
- Where
- Turkey (Türkiye)
- Volunteers
- 166 people
- Sponsor
- Marmara University Pendik Training and Research Hospital
Acute Coronary Syndromes, ST Elevation Myocardial Infarction
Smartphone AI Assistance for Prehospital ECG Interpretation
Prehospital providers interpret 12-lead electrocardiograms (ECGs) under time pressure and without immediate expert support. Missed acute coronary occlusion - occlusion myocardial infarction (OMI) - delays reperfusion, while false…
- Conditions
- Acute Coronary Syndromes, ST Elevation Myocardial Infarction, Non-ST Elevated Myocardial Infarction, Myocardial Infarction (MI)
- Trial name
- ECG-IA (NCT07810686)
- Testing
- Smartphone large language model assistance (GPT-4o, version-locked)
- Where
- Switzerland
- Volunteers
- 144 people, healthy volunteers welcome
- Sponsor
- École Supérieure de Soins Ambulanciers - College of Higher Education in Prehospital Care
Diagnostic Errors
Achieving Diagnostic Excellence Through Prevention and Teamwork
This study seeks to link a group of hospitals to measure and share the rates of diagnostic errors, to understand underlying causes of diagnostic errors, and develop ways that hospitals, clinicians, and patients can work together…
- Trial name
- ADEPT (NCT05747755)
- Testing
- ADEPT Program
- Where
- 2 sites in United States
- Volunteers
- 7,200 people
- Sponsor
- Brigham and Women's Hospital
Emergency Medicine, Diagnostic Errors
Diagnostic Accuracy of Two Large Language Models in Turkish Emergency Department Anamnesis Notes
This retrospective diagnostic accuracy study evaluates two large language models - GPT-4.1 (gpt-4.1-2025-04-14; OpenAI) and Claude Sonnet 4.6 (claude-sonnet-4-6; Anthropic) - as retrospective coding-quality instruments applied to…
- Conditions
- Emergency Medicine, Diagnostic Errors, Artificial Intelligence (AI) in Diagnosis
- Trial name
- LLM-ED-DX-TR (NCT07632859)
- Where
- Turkey (Türkiye)
- Volunteers
- 600 people
- Sponsor
- Marmara University Pendik Training and Research Hospital
Compensation Incentives, Clinical Documentation
Clinical Documentation Physician Compensation Incentives
Clinical documentation which omits significant medical details negatively affects communication among physicians and impedes the diagnostic process. Clinical documentation may be improved by using compensation incentives.
- Conditions
- Compensation Incentives, Clinical Documentation, Physician Work Environment, Diagnostic Error
- Trial name
- NCT05527977
- Testing
- Compensation Incentives to improve Clinical Documentation
- Where
- United States
- Volunteers
- 32 people, healthy volunteers welcome
- Sponsor
- Rush University Medical Center
Diagnostic Error
Diagnostic Errors in Anaphylactic Shock
Diagnostic accuracy and quality of management in anaphylactic shock is assessed in three conditions: expected, unexpected with no distractor, unexpected with distractor
- Trial name
- ANASim (NCT04825106)
- Testing
- Diagnostic context
- Where
- Switzerland
- Volunteers
- 270 people, healthy volunteers welcome
- Sponsor
- University Hospital, Basel, Switzerland
Diagnostic Error
Quality of Medical History Taking and Diagnostic Accuracy
This prospective randomized simulator-based single-blind trial aimed to investigate the effects of initial cues and history taking skills on diagnostic accuracy
- Trial name
- NCT05760859
- Testing
- Initial cue
- Where
- Switzerland
- Volunteers
- 198 people, healthy volunteers welcome
- Sponsor
- University Hospital, Basel, Switzerland
Refractive Errors, Accomodation
Study in Pediatric Volunteers of a Handheld Device Versus a Standard Diagnostic Device in Ophthalmic Refraction
This study is exploratory and examines whether the refraction results obtained from a novel optical device yields results similar to the ophthalmic refraction measurements obtained from an autorefractor in children.
- Conditions
- Refractive Errors, Accomodation, Diagnostic Self Evaluation
- Trial name
- NCT04955379
- Testing
- EQ103
- Where
- Israel
- Volunteers
- 50 people, healthy volunteers welcome
- Sponsor
- EyeQue Corp.
Medical Errors, Decision Support Systems, Clinical
Integrating Contextual Factors Into Clinical Decision Support
Preventing contextual errors requires heightening clinician responsiveness to clues that there are contextual factors during the clinical encounter, in real time.
- Conditions
- Medical Errors, Decision Support Systems, Clinical, Diagnostic Errors
- Trial name
- NCT03244033
- Testing
- Contextual clinical decision support, Contextual survey
- Where
- 2 sites in United States
- Volunteers
- 452 people
- Sponsor
- University of Illinois at Chicago
Diagnostic Errors
Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE)
The proposal will focus on 3 specific, high-risk, pediatric ambulatory diagnostic errors each representing a unique dimension of diagnostic assessment: evaluation of symptoms, evaluation of signs and follow-up of diagnostic…
- Trial name
- NCT02798354
- Testing
- Quality Improvement Collaborative
- Where
- United States
- Volunteers
- 13,853 people
- Sponsor
- Montefiore Medical Center
Diagnostic Errors
Medical Decisions in the Hospital Setting- M-Safety
This project will introduce and evaluate an intervention designed to improve diagnostic decision making. The intervention will attempt to increase clinician mindfulness and reduce environmental distractions to promote focused…
- Trial name
- M-Safety (NCT03757884)
- Testing
- Mindfulness breathing exercise, Diagnostic Checklist, Noise cancelling headphones
- Where
- 2 sites in United States
- Volunteers
- 59 people, healthy volunteers welcome
- Sponsor
- University of Michigan
Pulmonary Embolism, Pulmonary Embolism and Thrombosis
Influence of Diagnostic Errors on the Prognosis of Acute Pulmonary Embolism
Diagnostic errors have been reported frequently in patient with pulmonary embolism since symptoms are not specific. However, there is only scarce evidence that the delay associated with diagnostic errors may impact patient…
- Conditions
- Pulmonary Embolism, Pulmonary Embolism and Thrombosis, Diagnostic Errors, Embolism
- Trial name
- IDEA-PE (NCT03101384)
- Testing
- Diagnostic error
- Where
- France
- Volunteers
- 302 people
- Sponsor
- European Georges Pompidou Hospital
Diagnostic Errors
Diagnostic Time-Out: A Randomized Clinical Trial of a Checklist to Improve Diagnostic Accuracy
Diagnostic errors are common, but they have been largely ignored by patient safety groups. Diagnostic errors are often traced to physicians' cognitive biases and failed heuristics (mental shortcuts).
- Trial name
- NCT01868659
- Testing
- Diagnostic checklist, Usual care with no diagnostic checklist
- Volunteers
- 114 people
- Sponsor
- University of Iowa