Influencing a Culture of Learning from Diagnostic Errors at a Health System
At Geisinger, the multidisciplinary Committee to Improve Clinical Diagnosis and the Safer Dx Learning Lab (a collaboration with Baylor College of Medicine) are taking a systematic approach to learn how health care systems can enhance the safety and accuracy of the diagnostic process. Join Divvy Upadhyay, MD, MPH, program lead and scientist in the division of quality, safety, and patient experience at Geisinger, to understand how this “learning health system” approach is being implemented to improve diagnostic safety across the health system.
A Cognitive Bias Think Tank: Thinking, Talking, Making a Change
The Children’s Hospital of Philadelphia (CHOP) has been on journey to overcome the cognitive biases that may contribute to diagnostic error. Join Ursula Nawab, MD, Avram H. Mack, MD, and Andrea Colfer, MSN, as they discuss various aspects of CHOP’s Cognitive Bias Think Tank, including its history and formation, current objectives, quality improvement initiatives, and next steps to inform future work.
Diagnostic Error: A Patient Safety Imperative: Featuring Becky Jones and Dr. Tim Mosher
Diagnostic errors are a complex and often overlooked problem in the field of patient safety. While various cognitive and system factors contribute to the problem, there are many opportunities for improvement.
Reducing Harm by Getting Patients the Right Diagnosis at the Right Time: Featuring Paul Epner, Dr. David Newman-Toker and Dana Siegal
Diagnostic errors are the most common, catastrophic and costly of all medical errors—resulting in thousands of patients suffering serious harm every year. The healthcare community is beginning to understand where and when they happen most frequently, and with the highest severity. It is time to take steps to prevent misdiagnoses and ensure patients get the right diagnosis at the right time.
Addressing Diagnostic Error: Featuring Dr. Mark Graber
Discussed are the likelihood of diagnostic error in physician practices, the most common system-related and cognitive causes of diagnostic error, and interventions to reduce the risk of harm from diagnostic error.
In the spring of 2018, the Authority convened an expert panel of 10 speakers to discuss issues in diagnostic error and strategies for improvement.