Report on the National Academy of Medicine Diagnostic Safety Workshop

Mark Graber Mark.Graber at IMPROVEDIAGNOSIS.ORG
Sat Jul 22 14:03:32 UTC 2017


The National Academy of Medicine hosted a well-attended “Implementation Workshop” last week that focused on the 2015 Improving Diagnosis in Health Care report<https://www.nap.edu/catalog/21794/improving-diagnosis-in-health-care>, and what can be done to further advance progress on addressing diagnostic error.  The agenda for the meeting can be found here<http://nationalacademies.org/hmd/activities/quality/diagnosticerrorhealthcare/2017-jul-17.aspx>, and a full report will be available on this page in a few weeks.

The 2015 report contained 8 major goals and recommendations.   Although none of these have been fully met or implemented, the meeting highlighted the substantial progress that’s been made.  Paul and I provided examples of accomplishments to date in the attached slide set, featuring the contributions made by SIDM’s partners in the Coalition to Improve Diagnosis<http://www.improvediagnosis.org/?page=CID>, many of whom attended the workshop.

The meeting was well attended, and included a virtual “Who’s Who” in our field, including Dr Victor Dzau, the current NAM President, and the President of the Gordon and Betty Moore Foundation (and past president of the IOM), Dr Harvey Fineberg.  Besides Paul Epner and myself, the SIDM Board and Committees were represented by David Newman-Toker, David Meyers, Andrew Olson, Kathy McDonald, Sue Sheridan, and Helen Haskell.  SIDM also stepped up on social media – tweeting throughout the meeting.  Do you follow<https://twitter.com/ImproveDX> us on Twitter?

Beyond SIDM, all of the major federal agencies were present (AHRQ, CMS, the ONC, VA and CDC), and a host of professional societies and Boards, including large contingencies from the AAMC, ACP, and ABIM.  We were also delighted to see ‘new’ participants in the diagnostic error discussion: The Joint Commission, “payers” (eg Anthem Blue Cross), Consumer’s Union, CVS Health, and the Milbank Memorial Fund.

In additional to the plenaries, three working sessions, each attended by a representative from SIDM, focused on:

  *   Improving Diagnosis in Clinical Practice
  *   Improving Diagnosis Through Health Care Professional Education
  *   Patient-Centered Health Care, Education, and Policy to Improve Diagnosis

The meeting highlighted not only the progress that’s been made in the past 2 years, but the imperative going forward to address harm related to diagnostic error as an urgent patient safety concern.  SIDM is committed to leading that effort, and we will continue to look for every opportunity to accelerate progress.


Mark L Graber, MD FACP
President, SIDM
Senior Fellow, RTI International
Professor Emeritus, Stony Brook University, NY
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