Accepted for Publication: June 22, 2013.
Published Online: August 26, 2013. doi:10.1001/jamainternmed.2013.10081.
Study concept and design: Meyer, Payne, Singh.
Acquisition of data: Meyer, Singh.
Analysis and interpretation of data: Meyer, Payne, Meeks, Rao, Singh.
Drafting of the manuscript: Meyer, Payne, Singh.
Critical revision of the manuscript for important intellectual content: Meyer, Payne, Meeks, Rao, Singh.
Statistical analysis: Meyer, Payne.
Obtained funding: Singh.
Administrative, technical, or material support: Meyer, Payne, Meeks, Rao.
Study supervision: Meyer, Singh.
Conflict of Interest Disclosures: None reported.
Funding/Support: This project is supported with resources and the use of facilities at the Houston Veterans Affairs (VA) Health Services Research and Development Center of Excellence (HFP90-020) at the Michael E. DeBakey VA Medical Center, Houston, Texas; the VA Office of Academic Affiliations, Washington, DC (Meyer and Payne); and Baylor College of Medicine’s Department of Family & Community Medicine Primary Care Research Fellowship/Ruth L. Kirschstein National Research Service Award T32HP10031 (Meeks).
Role of the Sponsors: The sponsors had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Disclaimer: The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or any other funding agency.
Previous Presentation: This article was presented at the Diagnostic Error in Medicine Conference; November 13, 2012; Baltimore, Maryland.
Additional Contributions: We thank Charles P. Friedman, PhD, for granting us permission to use the clinical vignettes in this research. No compensation was received by Dr Friedman. We also thank Owen MacDonald, BA, and his team at QuantiaMD for access to their online community of participating physicians as well as for the collection and compilation of the data necessary to facilitate this research. A small amount of compensation was paid to QuantiaMD for editorial and production costs.