Priorities

Shantanu Nundy shantanu at HUMANDX.ORG
Wed Feb 25 05:33:50 UTC 2015


Rob-
Great idea. I think a break out session at a national conference would be a
good forum to explore ways we can start building solutions now.
I'm eager to get feedback from folks involved with planning these meetings
on interest and next steps.
-Shantanu
ᐧ

On Tue, Feb 24, 2015 at 1:53 PM, robert bell <rmsbell200 at yahoo.com> wrote:

> That could be part of it Shantanu - possibly a break out session devoted
> to it at a national conference? The concept at first seems big and would
> have to be considered in the overall thesis of what small things can we
> start doing.  What are the low hanging fruit that would move us forward and
> get the train on the tracks?
>
> Rob Bell
>
> On Feb 24, 2015, at 12:33 PM, Shantanu Nundy <shantanu at HUMANDX.ORG> wrote:
>
> Dr. Bell and colleagues-
> I could not agree more that we need to create both near-term fixes to
> reduce diagnosis errors today as well as technology-enabled solutions to
> improve care for all patients tomorrow. As a relatively new member of this
> organization, I also feel we need to organize our collective energies and
> expertise around a concrete initiative for the benefit of the medical
> community and our patients.
>
> What if there was a way to work collaboratively to improve care for
> individual patients while also contributing to a system that will
> ultimately be accessible to anyone, anywhere?
>
> I'm a primary care physician working on behalf of the Human Diagnosis
> Project (www.humandx.org
> <https://app.relateiq.com/r?url=http%3A%2F%2Fwww.humandx.org%2F&t=AFwhZf046R4sBdXMxTUneP3XBHVuvCH_1oQpVgXS4bClfhHEgEgtAnITvY5aOkNUX3922XD2mv7fqXfl_UGi3zJ7kxvdDohsmDDfvag7Ml3QbgGRb_cUA_0q_hVZWNZ2jTNMQASBBD1P>),
> an open medical project to build a comprehensive model of diagnosis. Using
> a mobile app, the global medical community can freely collaborate with one
> another on patient cases in a way that builds the Project. Help your
> patients, help your colleagues, help the medical community, help the world.
>
> I'd welcome the opportunity to discuss how the Society to Improve
> Diagnosis Medicine can take a lead role in organizing this open project.
>
> -Shantanu Nundy, M.D.
>
>
> --
> *The Human Diagnosis Project.
> <https://app.relateiq.com/r?url=http%3A%2F%2Fwww.humandx.org%2F&t=AFwhZf046R4sBdXMxTUneP3XBHVuvCH_1oQpVgXS4bClfhHEgEgtAnITvY5aOkNUX3922XD2mv7fqXfl_UGi3zJ7kxvdDohsmDDfvag7Ml3QbgGRb_cUA_0q_hVZWNZ2jTNMQASBBD1P>*
> One open system.
> Created by the global medical community.
> For all of *humankind*.
>
>
>>
> On Mon, Feb 23, 2015 at 7:15 PM, robert bell <
> 0000000296e45ec4-dmarc-request at list.improvediagnosis.org> wrote:
>
>> It seems that getting to understand all the nuances associated diagnostic
>> errors in medicine is a Herculean task at this time and that we probably
>> need a completely new approach to diagnosis supported by computer programs
>> far in excess of anything that we have now.
>>
>> If that is the case, and we have to wait for years and years to get close
>> to “singularity” to start to do anything really meaningful, why do we not
>> focus on more simple things with simple guideline recommendations.
>>
>> These could be the use of simple lists.
>> Perhaps standards on ways to organize thoughts.
>> Reviewing and supporting some of the current diagnostic programs that are
>> marketed to physicians.
>> Providing lists of commonly made errors in different sub-specialties.
>> Diagnostic pearls, and recommendations to help better distinguish serious
>> conditions.
>> Improving accuracy in, and reducing errors in Doctor’s offices (that
>> often become transferred to the hospital environment).
>> Etc., Etc
>>
>> Here is one example - nearly every time I have contact with a Physicians
>> office they make a mistake. Most mistakes are innocuous but with the swiss
>> cheese phenomenon coordinating them, it can/could be fatal.
>>
>> Just today I made an appointment to see a physician and without apparent
>> difficulty the appointment was made. The office person obtained three
>> identifications including my address which I admired. However, before
>> hanging up, I said "is the appointment for the ABC office where I live
>> (which is about 15 miles from the main XYZ office). "Oh no, it was for the
>> XYZ office.” "Let me have another look - I can now get you in a week
>> earlier at the ABC office."
>> So why not recommend that every Doctor’s Office in the nation has the
>> equivalent of a Safety Officer, who collects error incidents and brings
>> them to the physician and other office staff on a periodic basis for
>> solving/correcting?
>>
>> This is not to forget the hard tough diagnostic challenges and the
>> computer technology that will go with that progress and development as we
>> march towards singularity. that obviously needs important work.
>>
>> But it seems to me that we could nationwide reduce right now diagnostic
>> errors in medicine by focussing on the simple things.
>>
>> I would think that we could readily reduce errors in diagnosis by 1 - 5%
>> by having simple recommendations and support aids. That alone would be
>> amazing.
>>
>> What about a dedicated conference, with a defined purpose and goals to
>> take this forward?
>>
>> I do believe we could make significant progress NOW.
>>
>> SINGULARITY IS JUST TOO FAR AWAY.
>>
>> Rob Bell, M.D.
>>
>>
>>
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>>
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>
>
>
>
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>
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-- 
*The Human Diagnosis Project. <http://www.humandx.org/>*
One open system.
Created by the global medical community.
For all of *humankind*.






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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