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2008 AMIA Spring Congress
Diagnostic Error in Medicine


Diagnostic Error in Medicine Program and Schedule

Saturday, May 31
1:00 PM
WELCOME AND INTRODUCTIONS

Dr. Eta S. Berner and Dr. Mark L. Graber, Co-Directors of the Conference, and Dr. Ted Shortliffe, Dean of the University of Arizona Medical School at Phoenix will welcome participants.
1:15 PM
Keynote Address: Robert M. Wachter, MD "Why Don't Diagnostic Errors Get Any Respect and What Can Be Done About It?"

Drawing on his extensive experience highlighting problems and solutions to patient safety, Dr. Wachter's presentation will discuss how diagnostic errors have been addressed within the patient safety movement and what we can expect in the future.
2:00 PM
Keynote Address: Arthur S. Elstein, PhD "Thinking About Diagnostic Thinking"

Dr. Elstein will provide a historical overview of four decades of research on diagnostic thinking and will make recommendations for key targets for future research.
3:00 PM
BREAK
3:15 PM
Panel: Clinical Decision Making: What is it and how can it be optimized?

Panelists will discuss clinical decision making from a variety of research perspectives including decision analytic and naturalistic decision making models, cognitive science, and experimental psychology. Panelists include:

Vimla Patel, PhD (moderator)




5:00 PM
The Patient's Perspective

Mr. Paul Mongerson will open the session by sharing his experience of the impact of diagnostic errors on patients. Discussion of additional patient stories will be moderated by Dr. Pat Croskerry.
6:00- 8:00 PM
POSTERS AND RECEPTION


Sunday, June 1
8:00 AM
WELCOME AND ORIENTATION - DAY 2-- Drs. Gordon Schiff and Pat Croskerry

8:15 AM
Issues in Education

Teaching medical students and practicing clinicians strategies to avoid diagnostic errors is an important goal, but can these skills be taught and what are the most effective strategies? Speakers will address the clinical issues and current research data on teaching clinical reasoning skills.

9:15 AM
Diagnostic Errors: Settings and Sources

The prevalence of diagnostic errors, their causes and the strategies to address them often vary by setting. Participants will meet in small group settings to discuss specific types of diagnostic errors and strategies to address them. Each person will have the opportunity to attend two different group sessions. The group leaders are experts in each of the areas and will provide perspective and facilitate discussion.

Radiology Error--Leonard Berlin, MD

Errors in Anatomic Pathology--Stephen Raab, PhD and Dana Grzybicki, MD, PhD

Laboratory Error/System Issues-- Peter Cram, MD, MBA and Terry Wahls, MD

Errors in Emergency Departments--Robert L. Wears, MD and Pat Croskerry, MD, PhD

Ambulatory Care Errors--Hardeep Singh, MD and Saul Weingart, MD, PhD
10:15 AM
BREAK

10:30 AM
Diagnostic Errors: Settings and Sources - 2nd Group Session

11:30 AM
Lunch and Discussion of Small Group Sessions

12:30 PM
Reducing Diagnostic Error with Decision Support

This session will focus on strategies to use informatics-based approaches to improving diagnostic decision making. The speakers include experts in the development, evaluation and implementation of decision support systems who will discuss their experience in implementing systems, tracking diagnostic errors, as well as the evidence on the effectiveness of these systems.

Robert A. Greenes, MD, PhD (moderator)



2:00 PM
BREAK
2:15 PM
Next Steps

Participants will meet in small groups led by members of the Conference Organizing Committee to develop recommendations for research, education, quality improvement and funding priorities to reduce diagnostic errors. Participants will have the opportunity to take part in two of the following groups:

Educational Strategies

Informatics Initiatives

Research Priorities

How to Involve Patients and Other Stakeholders

Cognitive Pills for Cognitive Ills
3:00 PM
Next Steps - 2nd Group Session
3:45 PM
Small Group Summaries and General Discussion

Drs. Berner and Graber will lead a discussion of the top priorities for future directions to address diagnostic errors.
4:30 PM
ADJOURN