IMPROVING THE ACCURACY OF ORTHOPEDIC DIAGNOSIS THROUGH A CLINICAL FEEDBACK SYSTEM

The Department of Orthopedic Surgery at NYU Langone Medical Center ranks among the top five orthopedic facilities in the nation, providing tens of thousands of patients with world class care in orthopedics, rheumatology, and rehabilitation. A team was tasked with recommending a feedback system within EPIC (an electronic health record system) on the accuracy of patient diagnosis in the Emergency Department. The goal was to find mechanisms for providing real time feedback to the Emergency Department that would otherwise require orthopedic consultation and an alternative course of treatment. The team conducted a comprehensive literature review, analyzed patient-level data, and compiled insights from key stakeholders, including Orthopedic and Emergency Department physicians and Quality Team leadership. The team’s final report offers practical recommendations for interdepartmental collaboration and physician education, and outlines data specifications for an EPIC feedback system aimed at reducing discrepancies in diagnoses.