{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T12:34:23Z","timestamp":1766493263852,"version":"3.37.3"},"reference-count":70,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,1,24]],"date-time":"2023-01-24T00:00:00Z","timestamp":1674518400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000133","name":"AHRQ","doi-asserted-by":"publisher","award":["5R01HS27367-03"],"award-info":[{"award-number":["5R01HS27367-03"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,16]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Patients and families are key partners in diagnosis, but methods to routinely engage them in diagnostic safety are lacking. Policy mandating patient access to electronic health information presents new opportunities. We tested a new online tool (\u201cOurDX\u201d) that was codesigned with patients and families, to determine the types and frequencies of potential safety issues identified by patients\/families with chronic health conditions and whether their contributions were integrated into the visit note.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients\/families at 2 US healthcare sites were invited to contribute, through an online previsit survey: (1) visit priorities, (2) recent medical history\/symptoms, and (3) potential diagnostic concerns. Two physicians reviewed patient-reported diagnostic concerns to verify and categorize diagnostic safety opportunities (DSOs). We conducted a chart review to determine whether patient contributions were integrated into the note. We used descriptive statistics to report implementation outcomes, verification of DSOs, and chart review findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants completed OurDX reports in 7075 of 18\u00a0129 (39%) eligible pediatric subspecialty visits (site 1), and 460 of 706 (65%) eligible adult primary care visits (site 2). Among patients reporting diagnostic concerns, 63% were verified as probable DSOs. In total, probable DSOs were identified by 7.5% of pediatric and adult patients\/families with underlying health conditions, respectively. The most common types of DSOs were patients\/families not feeling heard; problems\/delays with tests or referrals; and problems\/delays with explanation or next steps. In chart review, most clinician notes included all or some patient\/family priorities and patient-reported histories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>OurDX can help engage patients and families living with chronic health conditions in diagnosis. Participating patients\/families identified DSOs and most of their OurDX contributions were included in the visit note.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jamia\/ocad003","type":"journal-article","created":{"date-parts":[[2023,1,24]],"date-time":"2023-01-24T14:25:59Z","timestamp":1674570359000},"page":"692-702","source":"Crossref","is-referenced-by-count":12,"title":["Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool"],"prefix":"10.1093","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9359-6450","authenticated-orcid":false,"given":"Sigall K","family":"Bell","sequence":"first","affiliation":[{"name":"Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, Massachusetts, USA"}]},{"given":"Zhiyong J","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, Massachusetts, USA"}]},{"given":"Catherine M","family":"Desroches","sequence":"additional","affiliation":[{"name":"Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, Massachusetts, USA"}]},{"given":"Nicholas","family":"Hart","sequence":"additional","affiliation":[{"name":"Department of Medicine, Boston Children\u2019s Hospital, Harvard Medical School , Boston, Massachusetts, USA"}]},{"given":"Stephen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Geisel School of Medicine at Dartmouth , Hanover, New Hampshire, USA"}]},{"given":"Brianna","family":"Mahon","sequence":"additional","affiliation":[{"name":"Department of Medicine, Geisel School of Medicine at Dartmouth , Hanover, New Hampshire, USA"}]},{"given":"Long H","family":"Ngo","sequence":"additional","affiliation":[{"name":"Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, Massachusetts, USA"},{"name":"Department of Biostatistics, Harvard T.H. Chan School of Public Health , Boston, Massachusetts, USA"}]},{"given":"Eric J","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Medicine, UT Houston\u2014Memorial Hermann Center for Healthcare Quality and Safety , Houston, Texas, USA"},{"name":"McGovern Medical School at the University of Texas Health Science Center , Houston, Texas, USA"}]},{"given":"Fabienne","family":"Bourgeois","sequence":"additional","affiliation":[{"name":"Department of Medicine, Boston Children\u2019s Hospital, Harvard Medical School , Boston, Massachusetts, USA"}]}],"member":"286","published-online":{"date-parts":[[2023,1,24]]},"reference":[{"key":"2023031607562797400_","doi-asserted-by":"crossref","DOI":"10.17226\/21794","volume-title":"Improving Diagnosis in Health Care","author":"Balogh","year":"2015"},{"key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"ii33","DOI":"10.1136\/bmjqs-2012-001623","article-title":"The patient is in: patient involvement strategies for diagnostic error mitigation","volume":"22","author":"Mcdonald","year":"2013","journal-title":"BMJ Qual Saf"},{"issue":"3","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1515\/dx-2018-0106","article-title":"Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety","volume":"6","author":"Blease","year":"2019","journal-title":"Diagnosis (Berl)"},{"key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"n1225","DOI":"10.1136\/bmj.n1225","article-title":"Healthcare decision making should be democratised","volume":"373","author":"Richards","year":"2021","journal-title":"BMJ"},{"issue":"1","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1136\/qhc.11.1.76","article-title":"Patient safety: what about the patient?","volume":"11","author":"Vincent","year":"2002","journal-title":"Qual Saf Health Care"},{"issue":"3","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1111\/1468-0009.12338","article-title":"Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety","volume":"96","author":"Gillespie","year":"2018","journal-title":"Millbank Q"},{"issue":"11","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"796","DOI":"10.7326\/M18-0018","article-title":"Principles for patient and family partnership in care: an American College of Physicians Position Paper","volume":"169","author":"Nickel","year":"2018","journal-title":"Ann Intern Med"},{"issue":"4","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1001\/jamapediatrics.2016.4812","article-title":"Families as partners in hospital error and adverse event surveillance","volume":"171","author":"Khan","year":"2017","journal-title":"JAMA Pediatr"},{"issue":"15","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1784","DOI":"10.1200\/JCO.2011.38.1384","article-title":"Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response","volume":"30","author":"Mazor","year":"2012","journal-title":"J Clin Oncol"},{"author":"Office of the National Coordinator for Health IT","key":"2023031607562797400_"},{"key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1813","DOI":"10.1377\/hlthaff.2018.0716","article-title":"Patient engagement in health care safety: an overview of mixed-quality evidence","author":"Sharma","year":"2018","journal-title":"Health Aff"},{"issue":"00","key":"2023031607562797400_","first-page":"1","article-title":"Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes","volume":"00","author":"Bell","year":"2018","journal-title":"J Patient Saf"},{"issue":"10","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1016\/j.amjmed.2016.05.015","article-title":"Your patient is now reading your note: opportunities, problems, and prospects","volume":"129","author":"Klein","year":"2016","journal-title":"Am J Med"},{"issue":"1","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1093\/jamia\/ocy134","article-title":"Impacts of a web-based educational program for veterans who read their mental health notes online","volume":"26","author":"Denneson","year":"2019","journal-title":"J Am Med Inform Assoc"},{"issue":"1","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e13195","DOI":"10.1111\/ecc.13195","article-title":"The early diagnosis of cancer in primary care: A qualitative exploration of the patient\u2019s role and acceptable safety-netting strategies","volume":"29","author":"Heyhoe","year":"2020","journal-title":"Eur J Cancer Care (Engl)"},{"issue":"6","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e205867","DOI":"10.1001\/jamanetworkopen.2020.5867","article-title":"Frequency and types of patient-reported errors in electronic health record ambulatory care notes","volume":"3","author":"Bell","year":"2020","journal-title":"JAMA Netw Open"},{"key":"2023031607562797400_","first-page":"526","article-title":"Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care","author":"Bell","year":"2021","journal-title":"BMJ Qual Saf"},{"key":"2023031607562797400_","first-page":"1221","article-title":"Patient identification of diagnostic safety blindspots and participation in \u201cgood catches\u201d through shared visit notes","author":"Bell","year":"2022","journal-title":"Milbank Q"},{"issue":"6","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1093\/jamia\/ocac036","article-title":"Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes","volume":"29","author":"Giardina","year":"2022","journal-title":"J Am Med Inform Assoc"},{"issue":"2","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1370\/afm.2036","article-title":"Patients typing their own visit agendas into an electronic medical record: pilot in a safety-net clinic","volume":"15","author":"Anderson","year":"2017","journal-title":"Ann Fam Med"},{"issue":"11","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e29951","DOI":"10.2196\/29951","article-title":"Patients contributing to visit notes: mixed methods evaluation of OurNotes","volume":"23","author":"Walker","year":"2021","journal-title":"J Med Internet Res"},{"issue":"5","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1055\/s-0041-1736223","article-title":"Before-visit questionnaire: a tool to augment communication and decrease provider documentation burden in pediatric diabetes","volume":"12","author":"Kumah-Crystal","year":"2021","journal-title":"Appl Clin Inform"},{"issue":"11","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"3321","DOI":"10.1007\/s11606-020-06583-7","article-title":"Impact of pre-visit contextual data collection on patient-physician communication and patient activation: a randomized trial","volume":"36","author":"Holt","year":"2021","journal-title":"J Gen Intern Med"},{"issue":"2","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1001\/jama.2022.10166","article-title":"Measuring performance of the diagnostic process","volume":"328","author":"Burstin","year":"2022","journal-title":"JAMA"},{"issue":"7","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1136\/bmjqs-2015-004315","article-title":"Coproduction of healthcare service","volume":"25","author":"Batalden","year":"2016","journal-title":"BMJ Qual Saf"},{"issue":"12","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1001\/jama.2022.2141","article-title":"Understanding and communicating uncertainty in achieving diagnostic excellence","volume":"327","author":"Dahm","year":"2022","journal-title":"JAMA"},{"issue":"668","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e211","DOI":"10.3399\/bjgp18X695045","article-title":"Patient involvement in diagnosing cancer in primary care: a systematic review of current interventions","volume":"68","author":"Heyhoe","year":"2018","journal-title":"Br J Gen Pract"},{"issue":"11","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"2606","DOI":"10.1016\/j.pec.2021.07.028","article-title":"Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions","volume":"104","author":"Meyer","year":"2021","journal-title":"Patient Educ Couns"},{"issue":"4","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"302","DOI":"10.7326\/M17-0583","article-title":"Patients contributing to their doctors\u2019 notes: insights from expert interviews","volume":"168","author":"Mafi","year":"2018","journal-title":"Ann Intern Med"},{"issue":"00","key":"2023031607562797400_","first-page":"1","article-title":"A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers","volume":"0","author":"Bourgeois","year":"2019","journal-title":"JAMIA"},{"year":"2022","author":"FAQ about OurDX (Our Diagnosis)","key":"2023031607562797400_"},{"key":"2023031607562797400_","article-title":"Co-development of OurDX\u2014an online tool to facilitate patient and family engagement in the diagnostic process","author":"Bell","year":"2021","journal-title":"BMJ Opinion"},{"key":"2023031607562797400_","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2022-015314","article-title":"Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments","author":"Michelson","year":"2022","journal-title":"BMJ Qual Saf"},{"issue":"6","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1001\/jamainternmed.2013.2777","article-title":"Types and origins of diagnostic errors in primary care settings","volume":"173","author":"Singh","year":"2013","journal-title":"JAMA Intern Med"},{"issue":"24","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"2671","DOI":"10.1001\/jama.2009.1902","article-title":"Association of telemedicine for remote monitoring of intensive care patients with mortality, complications, and length of stay","volume":"302","author":"Thomas","year":"2009","journal-title":"JAMA"},{"key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris","year":"2019","journal-title":"J Biomed Inform"},{"issue":"2","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research Electronic Data Capture (REDCap)-a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"issue":"11","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"766","DOI":"10.7326\/M17-1724","article-title":"Preventability of early versus late hospital readmissions in a national cohort of general medicine patients","volume":"168","author":"Graham","year":"2018","journal-title":"Ann Intern Med"},{"issue":"11","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"672","DOI":"10.12788\/jhm.3706","article-title":"Methodologic progress note: a clinician\u2019s guide to logistic regression","volume":"16","author":"Bettenhausen","year":"2021","journal-title":"J Hosp Med"},{"issue":"6","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e148","DOI":"10.2196\/jmir.4255","article-title":"Patient portals and patient engagement: a state of the science review","volume":"17","author":"Irizarry","year":"2015","journal-title":"J Med Internet Res"},{"issue":"1","key":"2023031607562797400_","first-page":"1","article-title":"Diffusion and use of tethered personal health records in primary care","volume":"12","author":"Vydra","year":"2015","journal-title":"Perspect Heal Inf Manag"},{"issue":"4","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e70","DOI":"10.2196\/jmir.2443","article-title":"The personal health record paradox: health care professionals\u2019 perspectives and the information ecology of personal health record systems in organizational and clinical settings","volume":"15","author":"Nazi","year":"2013","journal-title":"J Med Internet Res"},{"key":"2023031607562797400_","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2021-013937","article-title":"Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey","author":"Bell","year":"2022","journal-title":"BMJ Qual Saf"},{"key":"2023031607562797400_","doi-asserted-by":"crossref","DOI":"10.4324\/9781315201023","volume-title":"Safety-II in Practice: Developing the Resilience Potentials","author":"Hollnagel","year":"2017"},{"key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1136\/bmjqs-2018-008086","article-title":"Application of electronic trigger tools to identify targets for improving diagnostic safety","author":"Murphy","year":"2019","journal-title":"BMJ Qual Saf"},{"issue":"3","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1136\/bmjqs-2019-009485","article-title":"Influence of doctor-patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study","volume":"29","author":"Amelung","year":"2020","journal-title":"BMJ Qual Saf"},{"issue":"7","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e237","DOI":"10.2196\/jmir.7212","article-title":"What patients value about reading visit notes: a qualitative inquiry of patient experiences with their health information","volume":"19","author":"Gerard","year":"2017","journal-title":"J Med Internet Res"},{"issue":"11","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1111\/j.1553-2712.2000.tb00468.x","article-title":"The feedback sanction","volume":"7","author":"Croskerry","year":"2000","journal-title":"Acad Emerg Med"},{"issue":"4","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"469","DOI":"10.3122\/jabfm.2016.04.150363","article-title":"Communicating findings of delayed diagnostic evaluation to primary care providers","volume":"29","author":"Meyer","year":"2016","journal-title":"J Am Board Fam Med"},{"issue":"5A","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.amjmed.2008.02.004","article-title":"Minimizing diagnostic error: the importance of follow-up and feedback","volume":"121","author":"Schiff","year":"2008","journal-title":"Am J Med"},{"issue":"2","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"121","DOI":"10.7326\/0003-4819-143-2-200507190-00011","article-title":"Patient safety concerns arising from test results that return after hospital discharge","volume":"143","author":"Roy","year":"2005","journal-title":"Ann Intern Med"},{"volume-title":"Closing the Loop on Actionable Radiology Findings","year":"2019","key":"2023031607562797400_"},{"issue":"3","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.jacr.2018.10.015","article-title":"Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework","volume":"16","author":"Lacson","year":"2019","journal-title":"J Am Coll Radiol"},{"issue":"5","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e13876","DOI":"10.2196\/13876","article-title":"OpenNotes after 7 years: patient experiences with ongoing access to their clinicians\u2019 outpatient visit notes","volume":"21","author":"Walker","year":"2019","journal-title":"J Med Internet Res"},{"key":"2023031607562797400_","article-title":"Clinical use of an electronic pre-visit questionnaire soliciting patient visit goals and interim history: a retrospective comparison between safety-net and non-safety-net clinics","volume":"9: 1\u20137","author":"Shucard","year":"2022","journal-title":"Heal Serv Res Manag Epidemiol"},{"issue":"1","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s12911-022-01778-w","article-title":"Patient characteristics and utilization of an online patient portal in a rural academic general internal medicine practice","volume":"22","author":"Liu","year":"2022","journal-title":"BMC Med Inform Decis Mak"},{"issue":"10","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1007\/s11606-011-1728-3","article-title":"Disparities in enrollment and use of an electronic patient portal","volume":"26","author":"Goel","year":"2011","journal-title":"J Gen Intern Med"},{"issue":"10","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1007\/s11606-011-1749-y","article-title":"Use of an electronic patient portal among disadvantaged populations","volume":"26","author":"Ancker","year":"2011","journal-title":"J Gen Intern Med"},{"issue":"6","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1001\/archinternmed.2011.34","article-title":"The digital divide in adoption and use of a personal health record","volume":"171","author":"Yamin","year":"2011","journal-title":"Arch Intern Med"},{"author":"NORC","key":"2023031607562797400_"},{"key":"2023031607562797400_","first-page":"82","article-title":"Using CollaboRATE, a brief patient-reported measure of shared decision making: results from three clinical settings in the United States","author":"Forcino","year":"2017","journal-title":"Heal Expect"},{"issue":"6","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e208","DOI":"10.2196\/jmir.9203","article-title":"Validation of a novel electronic health record patient portal advance care planning delivery system","volume":"20","author":"Bose-Brill","year":"2018","journal-title":"J Med Internet Res"},{"issue":"12","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1558","DOI":"10.1007\/s11606-013-2442-0","article-title":"Comparing electronic health record portals to obtain patient-entered family health history in primary care","volume":"28","author":"Murray","year":"2013","journal-title":"J Gen Intern Med"},{"author":"Society to Improve Diagnosis in Medicine Patient Engagement Committee","key":"2023031607562797400_"},{"author":"Callada","key":"2023031607562797400_"},{"issue":"6","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"e16656","DOI":"10.2196\/16656","article-title":"Patient work and their contexts: scoping review","volume":"22","author":"Yin","year":"2020","journal-title":"J Med Internet Res"},{"issue":"18","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1056\/NEJMms2200977","article-title":"Metric myopia \u2014 trading away our clinical judgment","volume":"386","author":"Rosenbaum","year":"2022","journal-title":"N Engl J Med"},{"issue":"13","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1001\/jama.2016.1509","article-title":"Era 3 for medicine and health care","volume":"315","author":"Berwick","year":"2016","journal-title":"JAMA"},{"key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1136\/bmjqs-2013-001874","article-title":"Electronic health record-based triggers to detect potential delays in cancer diagnosis","author":"Murphy","year":"2014","journal-title":"BMJ Qual Saf"},{"issue":"100","key":"2023031607562797400_","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/ev.96","article-title":"An overview of appreciative inquiry in evaluation","volume":"2003","author":"Coghlan","year":"2003","journal-title":"New Dir Eval"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/30\/4\/692\/49524376\/ocad003.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/30\/4\/692\/49524376\/ocad003.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T14:28:39Z","timestamp":1679322519000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/30\/4\/692\/7000301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,24]]},"references-count":70,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,1,24]]},"published-print":{"date-parts":[[2023,3,16]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocad003","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"type":"print","value":"1067-5027"},{"type":"electronic","value":"1527-974X"}],"subject":[],"published-other":{"date-parts":[[2023,4,1]]},"published":{"date-parts":[[2023,1,24]]}}}