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October • 5 • 2026

Hidden in Plain Sight: Exposing the Drivers of Diagnostic Error – The Inpatient Setting

White Paper

Dana Siegal, RN, CPHRM, CPPS; Susan L. Montminy, EdD, MPA, BSN, RN, FASHRM, CPHRM, CPPS; Marlene Icenhower, JD, BSN, RN, CPHRM, FASHRM; Patricia Bennett, RN, CPC; Michelle Bondurant, RN, CP; Katherine Lewis, RN

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Summary

This white paper offers a pathway to reducing diagnostic errors in the healthcare inpatient setting.

This white paper is the second in a three-part series examining diagnostic error across key healthcare care settings: emergency departments, office-based practices, and the inpatient setting. It is based on an analysis of closed medical malpractice events spanning five years (2020–2024).

In this white paper, you will learn:
  • How often diagnostic errors occur in the inpatient setting, based on clinical analysis of professional malpractice liability event data
  • Key factors that contribute to diagnostic error in the inpatient setting
  • Practical recommendations to reduce diagnostic error
  • How to identify vulnerabilities in your hospital through a data-driven self-assessment tool
 

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  • White Paper

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