Currently, I am working on several projects within the diagnostic safety and patient safety field.
- A retrospective record review with prospectively included patients on suboptimal decisions in the diagnostic process. We will compare cases with and without diagnostic error to find out what the differences and similarities between these cases are. We will focus on several high-risk contributing factors: clinical reasoning, laboratory testing, and the electronic health record. Additionally, we are interested in the perspective of the patient; what are their experiences with the diagnostic process?
- An experiment on the effects of time pressure on diagnostic reasoning.
- An in depth analysis of ‘serious adverse event reports’ (in Dutch: ‘calamiteitenrapportages’) from emergency departments in Dutch hospitals. This project is a collaboration with Nivel (Netherlands Institute for Health Services Research).
Additionally, I am involved in a couple of research projects of other iMERR-members.
In 2018 and 2019 I have worked with Laura Zwaan on setting the research agenda for diagnostic safety. We used a systematic method that allowed us to involve many stakeholders, including but not limited to: clinicians, patient safety organisations, and funders. During this project, we worked together with international groups of researchers and patient advocates and organised several meetings in the USA. This was an amazing experience that has resulted in a distilled list of research topics that can move the diagnostic safety field forward.
My main motivation is making health care safer. With my research I hope to fill current knowledge gaps to better understand why diagnostic errors happen and how we can support, train, or help physicians to decrease these errors.
I am always open to discuss diagnostic error and related topics such as patient safety and clinical reasoning.