Doctors Company Foundation Grant - Great News

robert bell rmsbell200 at YAHOO.COM
Tue Jun 23 03:24:54 UTC 2015


Bob,

I thought that Diagnostic Errors were approximately one third of all Medical Errors.

What would be a constructive approach?

Rob Bell
> On Jun 22, 2015, at 4:21 PM, Robert L Wears, MD, MS, PhD <wears at UFL.EDU> wrote:
> 
> Even worse ...
> 
> how is the cognitive state of someone acting in what later is determined to be an 'error'
> different from that of someone doing normal work in a complex setting?
> 
> I don't think framing diagnostic failures (which certainly occur) in terms of 'error' (determined
> after the fact) is a constructive approach.
> 
> bob
> 
> 
> On 22 Jun 2015 at 9:06, Ross Koppel wrote:
> 
>> 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
>>>> 
>>>> 
>>>> 
>>>> 
>>>> 
>>>> 
>>>> 
>>>> 
>>>> -------------------------------------------------------------------
>>>> -----
>>>> 
>>>> <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
>>>> 
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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/
>>>> 
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>>>> -----
>>>> 
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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
>>> 
>>> 
>>> --------------------------------------------------------------------
>>> ----
>>> 
>>> 
>>> To unsubscribe from IMPROVEDX: click the following link:
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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/
>> 
>> 
>> 
>> 
>> 
>> 
>> 
>> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
>> Medicine
>> 
>> To unsubscribe from the IMPROVEDX list, click the following link:<br>
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>> e?SUBED1=IMPROVEDX&A=1</a> </p>
>> 
> 
> Robert L Wears, MD, MS, PhD
> University of Florida  	Imperial College London
> wears at ufl.edu		r.wears at imperial.ac.uk
> 1-904-244-4405 (ass't)  	+44 (0)791 015 2219
> Badly designed systems run at the margin of failure
> cannot be called unforeseen disasters.
> 
> 
> 
> 
> 
> 
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
> 
> To unsubscribe from the IMPROVEDX list, click the following link:<br>
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> </p>

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







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


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