NAM report on health inequity
Paul Foster, MD
PFoster at GBMC.ORG
Mon Jan 16 01:48:41 UTC 2017
For the fun of it, I searched for "error" in the 2017 ACP meeting program. I got 7 hits, of which only 2 directly addressed diagnostic error - one on combatting cognitive biases, and another on case based clinical reasoning in the hospital. As the leading meeting of the specialty which should be leading the charge, the ACP has not apparently gotten their head around the size and urgency of the problem. Maybe just not enough consensus yet on the practical steps we should be taking.
In contrast, in December, I gave a talk at UPMC Susquehanna. There Don Hess has invested 25% of his grand rounds in the last year to exploring diagnostic error. For a small place, they may be farther along on this agenda than many much larger centers. It led me to wonder whether there are other hospitals that are successfully changing the culture of their rank and file, and how they are doing it.
From: Mark Graber [mailto:graber.mark at GMAIL.COM]
Sent: Saturday, January 14, 2017 2:17 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] NAM report on health inequity
The National Academy just released a major (530 pages !) report on health inequity. Diagnosis was mentioned just twice in passing, reflecting on diagnostic delays in the homeless and native Americans. This is an area with LARGE research gaps - it is very likely that diagnostic error is substantially more likely in AHRQ's special populations.
Mark L Graber MD FACP
President Society to Improve Diagnosis in Medicine (SIDM)
Senior Fellow, RTI International
Professor Emeritus, Stony Brook University
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