Process breakdowns in diagnosis

Mark Graber graber.mark at GMAIL.COM
Wed Nov 30 19:21:48 UTC 2016


One of the major messages in the IOM report was that diagnosis is a PROCESS.  Quality improvement work then becomes possible by examining and addressing the process breakdowns that contribute to errors and harm.

The attached article from Saul Weingart & associates is a terrific illustration of how much can be learned from this approach.  With permission of the publisher, its our pleasure to forward this article, and an accompanying editorial by Hardeep Singh, in advance of their appearing online (soon !) in the Joint Commission Journal.   Both of these articles have important messages.




Mark

Mark L Graber MD FACP
Senior Fellow, RTI International
Professor Emeritus, SUNY Stony Brook
President Society to Improve Diagnosis in Medicine (SIDM)








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


HTML Version:
URL: <../attachments/20161130/0842df1e/attachment.html> ATTACHMENT:
Name: Singh - 2016 - Improving diagnostic safety in primary care by unlocking digital data.pdf Type: application/pdf Size: 69245 bytes Desc: not available URL: <../attachments/20161130/0842df1e/attachment.pdf> HTML Version:
URL: <../attachments/20161130/0842df1e/attachment-0001.html> ATTACHMENT:
Name: Weingart - 2016 - Delayed workup of rectal bleeding in primary care.pdf Type: application/pdf Size: 121988 bytes Desc: not available URL: <../attachments/20161130/0842df1e/attachment-0001.pdf> HTML Version:
URL: <../attachments/20161130/0842df1e/attachment-0002.html> ATTACHMENT:
Name: Logo - Medium PNG.png Type: image/png Size: 61111 bytes Desc: not available URL: <../attachments/20161130/0842df1e/attachment.png> HTML Version:
URL: <../attachments/20161130/0842df1e/attachment-0003.html>


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