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Decision Moments and Pulmonary Embolism Diagnostic Quality in the Emergency Department

JAMA Network Open 10.1001/jamanetworkopen.2026.35312

September 22, 2026 at 11:00 AM EDT

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In this cohort study of 4 180 159 ED visits and 747 clinicians, variation in the first decision moment, the decision to test for PE, was associated with diagnostic yield. Future research should target standardizing this most upstream decision to best improve diagnostic quality.

Corresponding Author: Alexander T. Janke, MD, MHS, MSc, Department of Emergency Medicine, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI 48109 (atjanke@med.umich.edu).

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