CAI Webinar: Diagnostic Error and CRP


September 17, 2020

Objectives

  1. Describe the frequency/epidemiology of diagnostic errors based on published studies and surveys.
  2. Define diagnosis errors, and using a Venn diagram model differentiate diagnostic process errors, misdiagnosis, and adverse outcomes.
  3. List 3 approaches to minimizing and preventing diagnostic errors.
  4. Explain ways that missed/under diagnosis and overdiagnosis are related rather than just opposites
  5. Describe overlapping and synergistic domains between the diagnostic error/improvement movement and Communication and Resolution Program (CRP) efforts.

Presenter

Dr. Gordon Schiff is a practicing general internist and Associate Director of Brigham and Women’s Center for Patient Safety Research and Practice, Quality and Safety Director for the Harvard Medical School (HMS) Center for Primary Care and Associate Professor of Medicine at HMS.

Before coming to Boston in 2007, he worked for more than three decades at Cook County Hospital, Chicago’s large public hospital serving the city’s underserved and uninsured population, and was Professor of Medicine at Rush Medical College. At Cook County he directed the General Medicine Clinic, led the Department of Medicine Quality program, and Chaired the institution’s P&T (Formulary) Committee.

He has published widely in the areas of medication and diagnosis safety and was a reviewer and contributor to the 2015 National Academy of Medicine (IOM) Report Improving Diagnosis in Health Care. He is PI of multiple AHRQ, CRICO, NSPF, and Moore Foundation-funded projects related to improving medication safety and application of health IT to safer medication use, including the Massachusetts based PRIDE (Primary-care Research in Diagnosis Errors) Learning Network which is a coalition of groups sharing and learning from cases of diagnostic error. He has authored more than 200 papers and chapters including several recent papers detailing conservative prescribing and diagnosis practices as ways to transform current unsafe and costly use of drugs and diagnostic testing.

He is recipient of an award from the Arnold P. Gold Foundation for Medical Humanism to study professional-patient boundaries and relationships, the 2019 Mark Graber Diagnosis Safety Award by the Society for Improving Diagnosis in Medicine, and in 2020 was awarded the John Eisenberg Award by the National Quality Forum (NQF) and the Joint Commission. He is the author/editor of the Joint Commission Resources book Getting Results: Reliably Communicating and Acting on Critical Test Results. He chairs the editorial board of Medical Care as well as is on editorial boards of the Journal Public Health Policy and BMJ Quality and Safety in Healthcare.

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