Catching and fixing diagnostic mistakes faster using electronic health records

Diagnostic Safety Center for Advancing E-triggers and Rapid Feedback Implementation (DISCOVERI)

NIH-funded research Baylor College of Medicine · NIH-11161429

This project builds tools that scan medical records to spot likely missed or delayed diagnoses and give quick feedback to clinicians to help prevent harm.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionBaylor College of Medicine NIH-funded
Lab location1 site (Houston, United States)
Project IDNIH-11161429 on NIH RePORTER

What this research studies

The team will create electronic 'e-trigger' tools that mine EHR data to identify care patterns suggesting a missed or delayed diagnosis. Identified cases will be reviewed to find breakdowns in the diagnostic process and the factors that contributed. The project will design ways to deliver rapid, actionable feedback to clinicians and health system leaders. The aim is to implement these surveillance and feedback systems in real hospitals and clinics so they become part of routine care.

Who could benefit from this research

Good fit: Patients who receive care at participating hospitals or clinics—especially those with recent tests, referrals, or follow-up visits that suggest diagnostic uncertainty—would be most likely to be included.

Not a fit: People who get care outside participating health systems or whose medical information is not captured in electronic health records may not be included or benefit.

Why it matters

Potential benefit: If successful, this could reduce missed or delayed diagnoses by helping clinicians detect and correct diagnostic problems sooner.

How similar studies have performed: Previous work shows e-trigger algorithms can flag likely missed or delayed diagnoses in outpatient, emergency, and inpatient settings, but broad implementation and routine feedback have been limited.

Where this research is happening

Houston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.