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Achieving Diagnostic Excellence Through Prevention and Teamwork

Recruiting

Achieving Diagnostic Excellence Through Prevention and Teamwork (ADEPT)

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Adult patients admitted to general medicine services at one of the participating hospitals and who either died during the hospitalization, were transferred to the ICU \>= 48 hours after admission, or had a rapid response.

Exclusion Criteria:

* Admitted for a non-medical reason
* Patients coded in the field who are moribund on arrival to the hospital

About the study

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 to avoid diagnostic errors and harms due to those errors. The investigators will test how data sharing and collaboration improve diagnostic processes and develop approaches which can be sustained into the future. The approach represents a novel application of rigorous outcome adjudication to the problem of inpatient diagnostic errors using a learning health system model.

What is being tested

Sponsor: Brigham and Women's Hospital · Participants: 7,200 · Started: Nov 14, 2023

Contact the study team

Official record on ClinicalTrials.gov — NCT05747755

Locations in the U.S.

CaliforniaUniversity of California San Francisco, San Francisco
MassachusettsBrigham & Women's Hospital, Boston

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.