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Diagnostic Error in Medicine
"Diagnostic error comprises a notable and costly fraction of all medical errors and has resulted in devastating consequences for patients, families, and health care professionals."*
* Excerpted from: AHRQ Special Emphasis Notice
Purpose and Scope
The ultimate goal of this conference is to improve patient safety by reducing the likelihood of diagnostic error in medicine. Minimizing diagnostic error is an essential, although relatively neglected, aspect of patient safety. This conference aims to summarize the current state of the field by reviewing research in the clinical and cognitive sciences, and to catalyze emerging ideas on the educational and research agenda that should be implemented to minimize diagnostic error in the future. This is the first national conference dedicated specifically to diagnostic error in medicine. The conference is co-sponsored by AMIA and the Agency for Healthcare Research and Quality (with a grant to the University of Alabama at Birmingham).
Objectives
To summarize the current state of the field and approaches to reducing diagnostic errors
Thought leaders will be featured as speakers to review the current understanding of the extent of diagnostic errors, clinical reasoning and where this may go astray, and what can be done to reduce the harm to patients from diagnostic errors. We plan to explore both system-related contributions to error and cognitive origins. We will include leaders who represent a variety of viewpoints, including the growing understanding of 'fast and frugal' and 'naturalistic' decision making in medicine, dual process theory, the classical teaching approach of a formalized process of hypothesis generation and testing, and normative decision analytic methodologies as well as advances from the fields of patient safety, clinical informatics and quality improvement as they apply to diagnostic error.
To examine the role of clinical decision support systems (CDSS) in addressing diagnostic error
Diagnostic decision support systems were one of the earliest applications of medical informatics to clinical care. The conference will examine the role that these systems and other types of CDSS can play in detecting and reducing diagnostic errors.
To identify and discuss ongoing research on diagnostic error
The conference will provide the first focused opportunity for the active investigators in this field to engage the audience in discussion of their results, and obtain an overview of the larger research portfolio directed at diagnostic error.
To stimulate creative thought directed at reducing harm to patients from diagnostic error through changes in practice and medical education
The collaboration with AMIA provides the opportunity to focus on informatics solutions.
To establish a community of stakeholders and innovators interested in reducing diagnostic error
As the first national gathering dedicated to diagnostic error, a major goal is to lay the groundwork for identifying common areas of interest and opportunities to work synergistically. The scope of diagnostic error is expansive, and solutions will require partnerships among patients, clinicians, informaticians, decision theorists, vendors, patient safety professionals, healthcare organizations and policy makers.
Audience
We welcome anyone interested in the goal of reducing diagnostic error in medicine. Appropriate participants will include practicing clinicians, informatics professionals, educators, safety officers and risk managers, clinical and basic investigators, cognitive scientists, educators and trainees.
Meeting Sites, Dates, Times
Diagnostic Error in Medicine will be held May 31 - June 1, 2008 immediately following the AMIA Spring Congress at the Arizona Grand Resort, 8000 S. Arizona Grand Parkway, Phoenix, AZ 85044, (602) 438-9000; Reservations: 1 (866) 267-1321. The opening session of the Conference will be at 1 PM on Saturday May 31, 2008, following the Spring Congress conclusion. The program will conclude at 4:30 pm on Sunday, June 1.
Registration
The Advance Registration rate is in effect through May 15, closing at 11:59 PM (Eastern). Registration for the Diagnostic Error in Medicine conference is $225 and increases to $250 after midnight on the 15th. The registration form includes places to register for the AMIA Spring Congress, and its two co-sponsored conferences, the Diagnostic Error in Medicine Conference and a second conference called the KR-MED 2008 Conference.
If you are ONLY ATTENDING THE DIAGNOSTIC ERROR IN MEDICINE CONFERENCE, follow these directions:
Page 1: Either enter your last name and AMIA ID or identify yourself as a non-member
Page 2: Complete or verify your contact information and continue
Page 3: Check off "NO SPRING CONGRESS" and hit CONTINUE at the bottom of the page
Page 4: Check off "NO EVENTS" near the top of the page and hit CONTINUE at the bottom of the page
Page 5: Ignore the KR-MED material at the top, go to the section on the Diagnostic Error in Medicine Conference and check off Member\Non-Member $225, add information to the text box, and hit CONTINUE at the bottom of the page to complete the rest of the registration/payment process.
Click Here to Register
Program Overview
Keynote Addresses:
 Robert M. Wachter, MD is Professor and Associate Chairman of the Department of Medicine at the University of California, San Francisco, where he holds the Lynne and Marc Benioff Endowed Chair in Hospital Medicine. He is also Chief of the Division of Hospital Medicine, and Chief of the Medical Service at UCSF Medical Center. He is generally considered the academic leader of the hospitalist movement, having coined the term hospitalist in a 1996 New England Journal of Medicine article. He served as the first elected president of the Society of Hospital Medicine and the editor of the field’s main textbook. Dr. Wachter has published over 200 articles and 6 books in the fields of quality, safety, and health policy.
He is editor of AHRQ WebM&M , a case-based patient safety/journal on the Web,
and the AHRQ Patient Safety Network . His book, Internal Bleeding: The Truth Behind America’s Terrifying Epidemic of Medical Mistakes, has been a national bestseller, and his new book, Understanding Patient Safety, was recently published by McGraw-Hill. Dr. Wachter has had multiple television interviews about patient safety and he has been quoted in virtually every major newspaper and newsmagazine. His blog, www.wachtersworld.org, is one of the nation’s most popular healthcare blogs. He is a member of the Board of Directors of the American Board of Internal Medicine and is on the healthcare advisory board of Google and other companies. Dr. Wachter received one of the 2004 John M. Eisenberg Awards, and in 2005, Modern Physician magazine named him one of the 30 most influential physician-executives in the United States.
Arthur S. Elstein, PhD is Professor Emeritus in the Dept. of Medical Education, University of Illinois College of Medicine. He received his PhD in 1960 from the University of Chicago. He has served as president of the Society for Medical Decision Making 1982-83, and was editor-in-chief of the society's official journal, Medical Decision Making, from 1995-1999. He has received Distinguished Faculty Awards from both Michigan State University and the College of Medicine of the University of Illinois at Chicago, as well as the John P. Hubbard Award of the National Board of Medical Examiners for significant contributions to evaluation and the Distinguished Scholar Award of Division I of the American Educational Research Association. He has been a visiting professor at the Hebrew University, the University of Pennsylvania, the Universities of Michigan and Washington, the University of Toronto and Leiden University Medical Center. He has also been a consultant to the National Board of Medical Examiners, the American Board of Internal Medicine, the Center for Health Economics and Social Sciences (CHESS) at the University of Chicago, and the Odense (Denmark) Risk Group. He is a co-author of Medical Problem Solving: An Analysis of Clinical Reasoning (1978), Clinical Decision Analysis (1980), Professional Judgment: A Reader in Clinical Decision Making (1988); and Decision Making in Health and Medicine: Integrating Evidence and Values (2001), and many review chapters and original articles. His research has focused on the psychology of clinical reasoning and decision making.
Program and Schedule
Click Here to Access the Preliminary Program
Poster Session
The poster session will provide a forum for participants to discuss research or scholarly projects involving diagnostic error in medicine. The session will coincide with the reception after the formal program on Saturday, May 31st.
Abstract submissions:
We are especially seeking posters that address the epidemiology of diagnostic error, factors that predispose to diagnostic error, strategies to reduce diagnostic error or improve detection (cognitive or system-related as well as informatics solutions).
Submit all poster abstracts to Marcie Battles by March 18th, 2008. Please include
- Poster Title
- One paragraph (200 words or less) summarizing the project and lessons learned
- Names, academic affiliations and titles, location (city and state) of all authors and email and telephone contact information on the corresponding author
Questions, Comments, and General Inquiries
General questions and inquiries about the Diagnostic Error in Medicine conference, can be sent to
Eta S. Berner or Mark Graber.
Organizing Committee
Eta S. Berner, EdD
University of Alabama at Birmingham, Birmingham, AL
Pat Croskerry, MD, PhD
Dalhousie University, Halifax, Nova Scotia, Canada
Mark L. Graber, MD
SUNY Stony Brook and VAMC, Northport, NY
Gordon D. Schiff, MD
Brigham and Women's Hospital, Boston MA
Planning Committee
Beth Crandall
Klein Associates, Fairborn, OH
Geoffrey R. Norman, PhD
McMaster University, Hamilton, Ontario, Canada
Mark S. Roberts, MD, MPP
University of Pittsburgh, Pittsburgh, PA
Robert L. Wears, MD, MS
University of Florida, Jacksonville, FL\Imperial College, London
Co-sponsored by:
AHRQ - Agency for Healthcare Research and Quality
AMIA - American Medical Informatics Association
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