Impact Factor
3.04
Journal Citation Impact
Estimated influence, citation density, publishing volume, and citation integrity from the analytics table.
Citation rate
2.10
310 total citations
h5-index
20
h5 depth signal
Cited share
65.2%
103 of 158
Total citations
310
Citation footprint
Metric signal
2.18
External metric anchor
Self-citation
14.2%
44 self-citations
Citations Trend
Monthly Publications Cadence
Citing Geographic Demographics
United States
411
Italy
115
Japan
65
Canada
44
Germany
35
Citing Fields of Research
Clinical Laboratory Science
330
Patient Care
293
Health Education & Remote Healthcare
76
Cardiology
35
History Of Medicine
35
Publishing Activity & Reach
Volume, recency, access pattern, and citing-community signals from the journal analytics record.
All-time article footprint
912
Articles tracked across the journal lifetime
Indexed publication set
158
103 cited publications
Last 12 months
111
10.1 publications/month
Open access share
23.4%
26 OA publications in the last year
Leading citing country
United States
411 citing publications
Leading citing field
Clinical Laboratory Science
330 citing publications
Latest tracked publication
14 October 2026
10 recent records available
Coverage & Indexing History
v4n1, Mar. 2017-
v4n1, Mar. 2017- ; Selected citations only before this date
Research Focus & Classification
Indexed Subjects
Patient Care
Clinical Laboratory Science
Broad Categories
Medicine
Patient Care
Clinical Laboratory Science
Medical Ethics
Cardiology
Hematology
MeSH Descriptors
Diagnosis
Patient Safety
Quality of Health Care
Latest Publications
Recent article records with DOI-first linking and condensed abstracts.
01
DOI 10.1515/dx-2026-0124
Open DOI
Semantic distance for hypothesis generation in differential diagnosis: a framework to support the pivot and cluster strategy
The pivot and cluster strategy (PCS) is an emerging approach to diagnostic hypothesis generation. In this strategy, clinicians generate an initial intuitive diagnosis (the pivot) along with a cluster of diseases with similar clinical rep...
02
DOI 10.1515/dx-2026-0109
Open DOI
Establishing gender- and age-specific reference ranges for eight tumor markers in adults based on real-world data from Southern China
Objectives: To establish and validate age- and sex-specific reference intervals (RIs) for eight common tumor markers using large-scale real-world data (RWD) and to compare the performance of five indirect statistical algorithms for RI de...
03
DOI 10.1515/dx-2026-0106
Open DOI
Visible reasoning: turning AI consultation into diagnostic learning
AI consultation is now common in diagnostic work, but it is still judged mainly by whether it improves the immediate answer. In this paper, I propose that AI consultation can also support clinician learning when the clinician’s diagnosti...
04
DOI 10.1515/dx-2026-0120
Open DOI
Presentation patterns for initial incorrect diagnosis in diagnostic errors
Objectives: The typicality of clinical presentations for the initial (incorrect) diagnosis in cases of diagnostic error remains poorly understood. We conducted this study to systematically characterize these clinical presentation pattern...
05
DOI 10.1515/dx-2026-0080
Open DOI
“Learning bystander activation”: resident-led diagnostic error case conferences and sustained reflective engagement among junior residents
Objectives: Diagnostic errors are a major patient safety concern, particularly in emergency settings where junior residents frequently perform initial evaluations. Diagnostic error case conferences are used as educational interventions, ...
06
DOI 10.1515/dx-2026-0083
Open DOI
Diagnosis-related handoffs for inter-facility transfers to the pediatric intensive care unit
Objectives: Inter-facility transfers to the pediatric intensive care unit (PICU) increase the risk of patient harm from communication breakdowns. We previously developed I-PASS-to-PICU, a structured inter-facility handoff program to impr...
07
DOI 10.1515/dx-2026-0094
Open DOI
Evaluation of a new non-competitive chemiluminescent immunoassay for 25-OH vitamin D measurement
Objectives: The increasing demand for vitamin D measurement over the past few decades has prompted manufacturers to develop automated chemiluminescence immunoassay (CLIA), including the noncompetitive anti-immune complex assay (NACA) sys...
08
DOI 10.1515/dx-2026-0114
Open DOI
Plasma signals of lung tumor promotion and the ubiquitous challenge of biomarker specificity
This opinion paper examines a recently reported 14-biomarker plasma panel designed to predict lung cancer development and identify patients who might benefit from preventive canakinumab treatment. While stratifying patients using this pa...
09
DOI 10.1515/dx-2026-0125
Open DOI
Small bowel obstruction from signet-ring cell appendiceal carcinoma
Objectives: To illustrate the diagnostic challenge that arises in patients presenting with symptoms due to small bowel obstruction (SBO) whose initial cross-sectional imaging does not reveal the site or etiology of obstruction, and to re...
10
DOI 10.1515/dx-2026-0069
Open DOI
Early evidence for a multi-agent AI simulator for clinical reasoning practice: performance, consistency, and challenges
Objectives: Clinical reasoning develops through repeated, deliberate practice, yet clinical and simulation environments are often limited by continuity, feedback, and scalability constraints. Large language models (LLMs) may address this...
Bibliographical & Catalog Notes
Also issued online.