Our stubborn quest for diagnostic certainty
Integrity signals
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Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Tools to support EHR notes and tools are frequently both over- and underdesigned at the same time.
“These benefits are particularly salient for tools to support EHR notes and tools, which are frequently both over- and underdesigned at the same time (17, 18) and are often designed with minimal or no end-user input (5).”
From Cocreating the ICU-PAUSE Tool for Intensive Care Unit–Ward Transitions (2022) · cites this paper as [18]
Residents and patient safety experts alike note that care transitions represent natural moments for explicit acknowledgment and discussion of diagnostic uncertainty to decrease the risk of poor information transfer and avoid premature closure.
“In focus groups, residents highlighted the importance of accurate handoff and highlighted uncertainty due to information transfer: residents and patient safety experts alike note that care transitions represent natural moments for explicit acknowledgment and discussion of diagnostic uncertainty to decrease the risk of poor information transfer and avoid premature closure.”
From Cocreating the ICU-PAUSE Tool for Intensive Care Unit–Ward Transitions (2022) · cites this paper as [18]
Cites
Detection of Deep-Vein Thrombosis by Real-Time B-Mode Ultrasonography
Lensing, A. W. A., Prandoni, P., Brandjes, D. P. M., Huisman, P. M., Vigo, M., Tomasella, G., Krekt, J., ten Cate, J. W., Huisman, M. V., & Buller, H. R. (1989) · New England Journal of Medicine · doi:10.1056/nejm198902093200602 · Cited by 868 · see citing works
Our Stubborn Quest for Diagnostic Certainty
Kassirer, J. P. (1989) · New England Journal of Medicine · doi:10.1056/nejm198906013202211 · Cited by 376 · see citing works
Deep venous thrombosis: is contrast venography still the diagnostic "gold standard"?
Redman, H. C. (1988) · Radiology · doi:10.1148/radiology.168.1.3289092 · Cited by 82 · see citing works
Caldwell Radiology of the Abdomen: Lecture. Impact of new imaging methods
Whalen, J. (1979) · American Journal of Roentgenology · doi:10.2214/ajr.133.4.587 · Cited by 39 · see citing works
Quality of life issues in hypertension: Consequences of diagnosis and considerations in management
WENGER, N. K. (1988) · American Heart Journal · doi:10.1016/0002-8703(88)90561-3 · Cited by 38 · see citing works
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Shan, G., Chen, X., Wang, C., Liu, L., Gu, Y., Jiang, H., & Shi, T. (2025) · JMIR Medical Informatics · doi:10.2196/64963 · Cited by 71 · see citing works
Economic Evaluation of Diagnostic Technology:Methodological Challenges and Viable Solutions
Sassi, F., McKee, M., & Roberts, J. A. (1997) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462300010084 · Cited by 18 · see citing works
Cocreating the ICU-PAUSE Tool for Intensive Care Unit–Ward Transitions
Santhosh, L., Rojas, J. C., Garcia, B., Thomashow, M., & Lyons, P. G. (2022) · ATS Scholar · doi:10.34197/ats-scholar.2021-0135in · Cited by 21 · see citing works
“Finally, we deliberately included a “ diagnostic pause ” moment within this tool, as well as in its name, to highlight the importance of diagnostic uncertainty (18).”
Medicolegal liability in pathology: an international perspective
Wick, M. R., Foucar, E., Allen, P. W., Alves, V. A. F., Björnsson, J., Bosman, F. T., Churg, A., Drut, R., Foster, C. S., Hauptmann, S., et al. (2007) · Seminars in Diagnostic Pathology · doi:10.1053/j.semdp.2007.03.007 · Cited by 7 · see citing works
Cao, L., Zhang, L., & Xu, W. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1091102 · Cited by 4 · see citing works
Cao, L., Zhang, D., Yang, H., Xu, W., & Liu, Y. (2023) · World Journal of Surgical Oncology · doi:10.1186/s12957-023-03184-6 · Cited by 4 · see citing works
Health Technology Assessments of Diagnostic Tests
Esmail, R. (2013) · Springer series on epidemiology and public health · doi:10.1007/978-3-642-37131-8_9
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1989-11-02
- Volume
- 321
- Issue
- 18
- Pages
- 1272-1273
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W4246902738
- Cited by
- 7
- References
- 5
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 1 · 2013: 1
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Keywords
- diagnostic certainty, diagnostic uncertainty, diagnosis, diagnostic testing
- MeSH terms
- Diagnosis, Humans
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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