Rafael Cordero, Haley Ponce, David Ring, Melissa Tonn, Sina Ramtin
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A Debiasing Checklist Has the Potential to Improve Efficiency, Effectiveness, and Outcomes in Claims of Work Injury.
Objective: The aim of the study was to identify the most frequent deviations and factors associated with the number of deviations from a work injury debiasing checklist among claims referred for peer review.
Methods: We retrospectively reviewed 141 work injury claims sent to a musculoskeletal specialist for additional scrutiny and counted deviations from a checklist developed to catch common pitfalls in evaluation and treatment.
Results: Nearly all claims had a deviation (99%) including mislabeling of noninjury pathophysiology as an injury (92%), overlooking mental health (91%), and work restrictions in the absence of risk or incapacity (91%). There were no associations between the number of deviations from the checklist and any patient or clinician factors.
Conclusions: A debiasing checklist has potential to help clinicians avoid common pitfalls in the care of claims of work injury.
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