Doctors Company Foundation Grant - Great News

Ross Koppel rkoppel at SAS.UPENN.EDU
Mon Jun 22 13:06:05 UTC 2015


But, but, but....

Most errors are unknown and very hard to discover.  Many errors are 
never discovered....ever.

While I love the design.... the limitations must be acknowledged!

-- 
Ross Koppel, PhD FACMI(and professor of research methods for the last 30 years)
Sociology Department &
School of Medicine &
Senior Fellow, LDI Wharton School
UNIVERSITY OF PENNSYLVANIA



On 6/21/2015 6:21 PM, robert bell wrote:
> Good news.
>
> Well done Mark and team.
>
> Jimn, I agree that most errors are ridiculous mistakes and many very 
> simple and not complex. I may be wrong but I think that the serious 
> problems of of the Swiss Cheese phenomena (multiple errors that 
> compound the original problem) could be stopped/helped if the simple 
> things were corrected and less frequent.
>
> I would love to see a study, in about 30 - 50 Doctor’s private 
> offices, where there was a 3 month collection run-in period where all 
> the errors that occur are recorded, following interviews with all 
> members of staff (things like no patient call backs for lab and 
> procedures undertaken, switched EKG leads, wrong or delayed diagnoses, 
> forgotten day-before appointment calls, medication refills not called 
> into the pharmacy, etc.). Then randomly give differing instructions to 
> two or three groups of the offices (perhaps different kinds of check 
> lists used at different times) and then seeing what happens to the 
> error rates.
>
> Would welcome thoughts on a better structure for such a study to help 
> ensure a better and acceptable outcome.
>
> Would litigation issues prevent such a study from ever being undertaken?
>
> Once the private offices are "sorted out," then we could better move 
> to medical education and the hospitals!! Or perhaps do them all at 
> once? Would understanding the simple things better would provide a 
> better foundation for other initiatives?
>
> Rob Bell, M.D.
>
>
>
>
>
>
>> On Jun 21, 2015, at 11:45 AM, James Navin 
>> <0000000581520482-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG 
>> <mailto:0000000581520482-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG>> wrote:
>>
>> Sounds very good. Most errors are ridiculous mistakes  and everbody 
>> makes them .Having been in court over 300 times and innumerable depos 
>> I think I Have seen about everything but actually know that isn't 
>> true either
>> jimn
>> -----Original Message-----
>> From: Mark Graber <mark.graber at IMPROVEDIAGNOSIS.ORG 
>> <mailto:mark.graber at IMPROVEDIAGNOSIS.ORG>>
>> To: IMPROVEDX <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG 
>> <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>
>> Sent: Sat, Jun 20, 2015 12:37 pm
>> Subject: [IMPROVEDX] Doctors Company Foundation Grant - Great News
>>
>> The Society to Improve Diagnosis in Medicine (SIDM) is proud 
>> to announce today a new $200,000 grant from The Doctors Company 
>> Foundation (DCF), awarded to SIDM and our partner, Med-U to improve 
>> diagnosis by providing novel training modules on clinical reasoning.
>> These scenario-based modules represent the first formal educational 
>> products to specifically address diagnostic error in the US.  By 
>> taking advantage of the stature and scope of the Med-U educational 
>> platform, we have the opportunity to reach a substantial portion of 
>> US medical trainees. Each module will be incorporated into the Med-U 
>> educational platform and used across the country for 3rd and 4th year 
>> medical students.  The modules will introduce the cognitive biases 
>> that lead to errors in clinical reasoning, how to avoid these 
>> pitfalls, and how to recognize and discuss diagnostic errors 
>> encountered in everyday patient care, all with the goal of improving 
>> diagnosis in practice.
>> The project will be directed by Doctors Andrew Olsen, Gurpreet 
>> Dhaliwal, and Bob Trowbridge, in addition to members of the SIDM 
>> Education Committee, along with key staff from Med-U, including 
>> Doctors Leslie Fall and Valerie Lang, national experts on developing 
>> state-of-the-art teaching modules.
>> My thanks and appreciation to the project team - we are all looking 
>> forward to these first forays in developing the curriculum we need to 
>> improve diagnosis.
>>
>>
>> Mark L Graber, MD FACP
>> President, SIDM
>>
>>
>>
>>
>>
>>
>>
>>
>> ------------------------------------------------------------------------
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>>
>> Moderator:David Meyers, Board Member, Society for Improving Diagnosis 
>> in Medicine
>>
>> To learn more about SIDM visit:
>> http://www.improvediagnosis.org/
>>
>
> As of 1.1.2015 my new email address is: rmsbell200 at yahoo.com 
> <mailto:rmsbell200 at yahoo.com>
>
> Please update your address books accordingly
>
>
> ------------------------------------------------------------------------
>
>
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> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
> Visit the searchable archives or adjust your subscription at: 
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis 
> in Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/ 







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


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