What happens to acute patients’ diagnoses between referral to and discharge from general medicine?

Project code:  MHS154


Acute and General Medicine




Dr Laura Chapman

A study into whether diagnosis becomes more refined, changes or remains static and the factors which contribute to this.

Diagnostic error is of increasing international interest. This study will explore the evolution and factors that determine diagnosis with focus on seniority of input, key investigations and timescales. The study will test the hypothesis that all diagnoses are refined from admission and investigate more fully those which refute this ie patients whose diagnoses change and why.

The aim is to further understanding of normal diagnostic processes for general medical patients in order to identify specific areas of vulnerability to avoid error and improve acute processes.


  • An understanding of clinical reasoning and diagnostic skills
  • Data collection
  • Quantitative (and qualitative) data interpretation
  • Quality improvement skills – practical and theoretical