Measures of diagnostic accuracy and timeliness

darryl mackender dmack2795 at GMAIL.COM
Tue Jul 22 03:58:18 UTC 2014


Cindy
You have asked a pivotal question
I believe with the US uptake of EMR the metric will be some sort of natural
language processing algorithm to search free text in EMR with all it's
shortcomings
It will probably be algorithms that are condition specific
My proposed Masters project in 12-18months
Darryl Mackender
Australia

On Monday, 21 July 2014, Barnard, Cindy <CBarnard at nmh.org> wrote:

> Our Patient Family Advisory Council has asked that we develop or adopt
> some form of measurement of diagnostic accuracy and timeliness.  We have
> discussed with them the early stage of research and thinking on this topic,
> and they understand this, yet are urging focused action.
>
> We have the obvious 'defect' measures - e.g. individual instances in which
> we identify an inaccurate or delayed diagnosis based on patient/clinician
> report or even autopsy, or rates of error or delay identified through
> systematic over-read of imaging, anatomic pathology, and other studies.
>
> What we do not have is a systematic assessment of accurate and timely
> diagnosis in any population of patients.
>
> What are measures in place in other organizations, and/or what measures
> should we be working to develop - balancing the undeniable importance of
> this topic with the impossibility of doing comprehensive routine medical
> record reviews - ?
>
> Have you identified validated sampling approaches?  Trigger tools? EMR
> logic which would do initial case finding for subsequent record review?
>  Any actual metrics?
>
> thanks
> Cindy Barnard
>
>
>
>
>
> Cynthia Barnard
> Director, Quality Strategies
>
> Northwestern Memorial Hospital
> 211 E Ontario #1550
> Chicago IL 60611
> 312.926.4822 office
> 312.695.7953 pager
> 312.926.9879 fax
> cbarnard at nmh.org <javascript:;>
> northwesternmedicine.org
>
>
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