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Experimental Cluster Randomized Experiment to Lower Primary Care Pediatric Diagnosis Mistakes. Vision Testing in Preschool

Andrea E Spencer

Given the lack of information regarding the effectiveness of vision screening in primary care pediatrics, we assessed the effectiveness of pediatric based preschool vision screening. The substantial harm caused to children as a result of healthcare is largely attributed to diagnostic errors. Diagnostic errors are more common in primary care settings because of the high diagnostic uncertainty, lack of information, and time constraints. In this article, we discuss the planning and execution of project RedDE, a virtual quality improvement collaborative stepped wedge, cluster randomized controlled trial targeted at lowering diagnostic mistakes in pediatric primary care.