Table 1

Subgroup analysis

SubgroupNumber of studiesHeterogeneity (I²)Diagnostic error rate and 95% CI
Overall pooled estimate2295%0.7% (0.5 to 1.1)
Studies from North America473%0.4% (0.2 to 0.6)
Studies from Europe862%0.5% (0.3 to 0.8)
Studies from rest of world1094%1.1% (0.7 to 1.6)
Studies by decade, 1990s10%1.8% (1.6 to 2.0)
2000–20091090%0.7% (0.4 to 1.0)
2010–20191194%0.7% (0.3 to 1.3)
Single hospital studies689%0.7% (0.1 to 1.6)
Multiple hospital1696%0.8% (0.5 to 1.2)
Studies with exclusions1494%0.7% (0.4 to 1.1)
Studies with no exclusions896%0.9% (0.3 to 1.7)
Studies that excluded obstetrics555%0.5% (0.3 to 0.8)
Studies that included obstetrics1796%0.8% (0.5 to 1.2)
Studies that excluded paediatrics861%0.6% (0.4 to 0.9)
Studies that included paediatrics1497%0.8% (0.4 to 1.3)
Studies that used HMPS screening questions1995%0.7% (0.4 to 1.1)
 Used 18 HMPS criteria1296%0.8% (0.5 to 1.3)
 Used 19 HMPS criteria591%0.6% (0.1 to 1.4)
Studies that did not use HMPS20%0.5% (0.3 to 0.8)
Studies that used HMPS AE definition781%0.5% (0.3 to 0.7)
Studies that used other AE definitions1393%1.0% (0.6 to 1.4)
Studies that used Likert scale for causation1795%0.8% (0.5 to 1.2)
Studies that used yes/no591%0.6% (0.1 to 1.4)
Studies that defined diagnostic error1098%0.6% (0.2 to 1.2)
Studies that did not define diagnostic error1285%0.8% (0.5 to 1.2)
Studies with ROB=8499%0.7% (0.1 to 1.7)
Studies with ROB=7991%0.8% (0.4 to 1.2)
Studies with ROB <7990%0.8% (0.3 to 1.5)
  • AE, adverse event; HMPS, Harvard Medical Practice Study; ROB, risk of bias.