{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:10:37Z","timestamp":1767676237896,"version":"3.48.0"},"reference-count":37,"publisher":"Walter de Gruyter GmbH","issue":"2","funder":[{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"crossref","award":["K23NS107643"],"award-info":[{"award-number":["K23NS107643"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_dx-2021-0125_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We sought to understand the knowledge, attitudes, and beliefs of emergency medicine (EM) physicians towards non-specific neurological conditions and the use of clinical decision support (CDS) to improve diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2021-0125_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semi-structured interviews of EM physicians at four emergency departments (EDs) affiliated with a single US healthcare system. Interviews were conducted until thematic saturation was achieved. Conventional content analysis was used to identify themes related to EM physicians\u2019 perspectives on acute diagnostic neurology; directed content analysis was used to explore views regarding CDS. Each interview transcript was independently coded by two researchers using an iteratively refined codebook with consensus-based resolution of coding differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2021-0125_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified two domains regarding diagnostic safety: (1) challenges unique to neurological complaints and (2) challenges in EM more broadly. Themes relevant to neurology included: (1) knowledge gaps and uncertainty, (2) skepticism about neurology, (3) comfort with basic as opposed to detailed neurological examination, and (4) comfort with non-neurological diseases. Themes relevant to diagnostic decision making in the ED included: (1) cognitive biases, (2) ED system\/environmental issues, (3) patient barriers, (4) comfort with diagnostic uncertainty, and (5) concerns regarding diagnostic error identification and measurement. Most participating EM physicians were enthusiastic about the potential for well-designed CDS to improve diagnostic accuracy for non-specific neurological complaints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2021-0125_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Physicians identified diagnostic challenges unique to neurological diseases as well as issues related more generally to diagnostic accuracy in EM. These physician-reported issues should be accounted for when designing interventions to improve ED diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/dx-2021-0125","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T12:17:55Z","timestamp":1638447475000},"page":"225-235","source":"Crossref","is-referenced-by-count":4,"title":["Emergency medicine physicians\u2019 perspectives on diagnostic accuracy in neurology: a qualitative study"],"prefix":"10.1515","volume":"9","author":[{"given":"Ava L.","family":"Liberman","sequence":"first","affiliation":[{"name":"Department of Neurology , Weill Cornell Medicine , New York , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie T.","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Neurology , Montefiore Medical Center, Albert Einstein College of Medicine , Bronx , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin W.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine , Montefiore Medical Center, Albert Einstein College of Medicine , Bronx , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya T.","family":"Gerstein","sequence":"additional","affiliation":[{"name":"Pharmerit\/OPEN Health , Bethesda , MD , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khadean","family":"Moncrieffe","sequence":"additional","affiliation":[{"name":"Department of Neurology , Montefiore Medical Center, Albert Einstein College of Medicine , Bronx , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel L.","family":"Labovitz","sequence":"additional","affiliation":[{"name":"Department of Neurology , Montefiore Medical Center, Albert Einstein College of Medicine , Bronx , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard B.","family":"Lipton","sequence":"additional","affiliation":[{"name":"Department of Neurology , Montefiore Medical Center, Albert Einstein College of Medicine , Bronx , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2021,12,2]]},"reference":[{"key":"2025121207092901654_j_dx-2021-0125_ref_001","doi-asserted-by":"crossref","unstructured":"Balogh, E, Miller, BT, Ball, J, Institute of Medicine (U.S). 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