Center of Excellence for Improving Diagnosis

01/28/2020

Patient Safety Authority

NEW FUNDING OPPORTUNITY!
Diagnostic errors are the most common, catastrophic and costly of all causes of preventable medical harm. The Society to Improve Diagnosis in Medicine (SIDM) has launched the DxQI Seed Grant Program to engage healthcare organizations in efforts to identify, develop, and test interventions aimed at improving diagnostic quality and reducing harm from diagnostic error. Twenty grantees will be awarded up to $50,000 for their QI projects. Learn more and apply: http://bit.ly/3alwP3S

03/29/2019

New Pennsylvania Law Requires Patient Notification for Abnormal Imaging Results

Pennsylvania continues to lead the way in patient safety,
and we are part of its efforts! Read about the state's new Patient Test Result Information Act, which ensures patients are informed of abnormal #imaging results, in The Society to Improve Diagnosis in Medicine's March newsletter: https://www.improvediagnosis.org/improvedx-march-2019/new-pennsylvania-law-requires-patient-notification-for-abnormal-imaging-results/

Despite years of sincere improvement efforts, communication gaps in reporting critical test results persist. Pennsylvania's Patient Test Result Information Act requires imaging entities to notify patients directly about abnormal findings. The law went into effect in January 2019, and the implication...

01/08/2019

The most important medical issue ever: And why you need to know more about it

The most important medical issue ever: And why you need to know more about it

Dx IQ - Nothing much happens in healthcare without it but if it’s wrong, little else your doctor does can ever fully be right. And unfortunately, it can go wrong far too often.

12/04/2018

Improving Diagnosis: A Discussion with some of the Nation's Leaders in the Diagnostic Process - Next Big Thing

An excerpt from the special issue Pennsylvania Patient Safety Advisory on Improving Diagnosis:

What's the next big thing related to improving diagnosis? If we held another panel two years from now, what would we be talking about?

#patientsafety #improvingdiagnosis #diagnosticerror

11/27/2018

Misdiagnosis Can Cause Guilt for Those Seeking Resolution: From the Bedside to the Courtroom, the Perspective of a Clinician Turned Malpractice Attorney | Advisory

In this recent Pennsylvania Patient Safety Authority Advisory article, Veronica Richards, board member, discusses how, as a team, the practitioner and patient can avoid the guilt associated with diagnostic error and its aftermath, by working through the differential diagnosis process together to improve patient safety.

#patientsafety #improvingdiagnosis #teamwork

https://bit.ly/2FJD1Yg

It would be reasonable to expect that victims of medical malpractice would be motivated by anger or a desire to seek revenge on the guilty. However, in my experience, anger is rarely the emotion that dominates my clients who are victims of medical malpractice. Almost without exception, the emotion t...

11/20/2018

Improving Diagnosis: A Discussion with some of the Nation's Leaders in the Diagnostic Process - One Thing

An excerpt from the special issue Pennsylvania Patient Safety Advisory on Improving Diagnosis:

If someone were only going to remember one thing from this discussion on improving diagnosis, what would you want that to be?

#patientsafety #improvingdiagnosis #diagnosticerror

11/19/2018

Beyond the Lab: The Link between Health IT and Laboratory Test Problems | Advisory

Laboratory testing plays an important role in the diagnostic process; thus, timely and accurate laboratory testing processes are essential to delivering safe patient care. Well designed and correctly used health IT can add efficiency and accuracy to the laboratory testing process.

This Pennsylvania Patient Safety Authority's Advisory article, "Beyond the Lab: The Link between Health IT and Laboratory Test Problems," analyzes Pennsylvania event data relating to laboratory testing and discusses the total testing process, entering orders, specimen readiness, and more.
#HIT #HealthIT #PatientSafety #ImprovingDiagnosis #DiagnosticError

https://bit.ly/2DM5Bq4

11/16/2018

Improving Diagnosis: A Discussion with some of the Nation's Leaders in the Diagnostic Process - Communication

An excerpt from the special issue Pennsylvania Patient Safety Advisory on Improving Diagnosis:

Have you or someone you've known ever #misdiagnosed a patient but weren't made aware of it until much later? What happened and what could be done to improve feedback between providers?

11/14/2018

Jefferson College of Population Health Forum - Philadelphia University + Thomas Jefferson University

Pennsylvania Patient Safety Authority's Director of Innovation and Strategic Partnerships Rebecca Jones,
MBA, BSN, RN, CPHRM, CPPS and Physician Advisor Timothy Mosher, MD, MS, discuss how to engage patients and incidental findings related to diagnostic error at Jefferson College of Population Health - Thomas Jefferson Universityon Nov. 14, 2018.

https://www.jefferson.edu/university/population-health/population-health-innovation/health-forum.html

11/12/2018

Improving Diagnosis: A Discussion with some of the Nation's Leaders in the Diagnostic Process - Education

An excerpt from the special issue Pennsylvania Patient Safety Advisory on Improving Diagnosis:

Do you think that the aim to improve the diagnostic process is being addressed in education, and if not, what changes would you make to the current curricula?

11/09/2018

#Diagnosis involves a complex system with many team members and numerous interdependent steps, all of which can make it challenging to identify and learn from failures in the process. Although the #diagnostic process is extensive and complex, this study provides key insights and areas worth exploring further.

The Pennsylvania Patient Safety Authority's recent Advisory article, "Identifying and Learning from Events Involving Diagnostic Error: It’s a Process," analyzes Pennsylvania event data regarding diagnostic error and discusses testing, monitoring/followup, patient involvement, and more.

Visit:
http://patientsafety.pa.gov/ADVISORIES/Pages/201810_IdentifyingandLearning.aspx

11/08/2018

Improving Diagnosis: A Discussion with some of the Nation's Leaders in the Diagnostic Process - New Tech

An excerpt from the special issue Pennsylvania Patient Safety Advisory on Improving Diagnosis:

Many advancements in diagnostic error focus on engineered solutions or automating processes. On, the flip-side, becoming a physician, nurse, pharmacist, etc. requires years of training and education. Where is the balance between integrating new technological solutions and relying on clinical judgment?

11/06/2018

The Pennsylvania Patient Safety Authority is helping to #improvediagnosis at the Diagnostic Error in Medicine 11th Annual International Conference (DEM 2018) #DEM2018

11/05/2018

Improving Diagnosis: A Discussion with some of the Nation's Leaders in the Diagnostic Process - HAP

An excerpt from the special issue Pennsylvania Patient Safety Advisory on Improving Diagnosis:

At The Hospital & Healthsystem Association of Pennsylvania's annual Quality and Safety Summit last year, Ryan Donohue from the National Research Corporation discussed a study that looked at patients as consumers. He shared many statistics, including that if able, more than a third of patients would choose to go to Walmart to get an MRI based on its perceived cost and convenience. What is your reaction to that insight?

11/01/2018

12 million adults in the US will experience a diagnostic error at least once this year.

The Pennsylvania Patient Safety Authority has dedicated an entire issue of the Pennsylvania Patient Safety Advisory to improving the diagnostic process.

Featured in this issue is an expert panel round table with some of the nation’s top leaders discussing everything from the role of the patient to what you can do to prevent diagnostic error.

Other highlights include:
*Event analysis article that classifies breakdowns in the diagnostic process
*Stories from front-line staff who have implemented effective, replicable solutions
*Patient perspective piece that examines the patient’s role in getting an accurate diagnosis

Learn what you can do to protect your patients and yourself.

http://patientsafety.pa.gov/ADVISORIES/Pages/201810_home.aspx

#betterdiagnosis #patientsafety

10/31/2018

Untitled Album

10/25/2018

Check out our special issue of the Advisory dedicated to improving diagnosis!

Check out our special issue of the Advisory dedicated to improving diagnosis!

10/25/2018

Center of Excellence for Improving Diagnosis's cover photo

10/24/2018

Center of Excellence for Improving Diagnosis

10/09/2018

Center of Excellence for Improving Diagnosis Questionnaire

if you have time, please participate in our google form so we can "create" a patient voice. Also be on the look out for our twitter of_diagnosis and IG page.

https://docs.google.com/forms/d/e/1FAIpQLSfIcet4RMnf5ZwucJm5nej9rBdmG2cxpq--fYF9NZXDtRXpow/viewform?usp=sf_link

This questionnaire has two sections: the first section ask questions about diagnosis, the second portion ask a few demographic questions. Thank you for participating!

09/18/2018

Center of Excellence for Improving Diagnosis Questionnaire

If you have free time please interact with the Google doc. This questionnaire is a quick, short survey that will help create a "Patient voice".

https://docs.google.com/forms/d/e/1FAIpQLSfIcet4RMnf5ZwucJm5nej9rBdmG2cxpq--fYF9NZXDtRXpow/viewform?usp=sf_link

This questionnaire has two portions, the first sections has questions that ask about diagnosis, the second portion ask a few demographic questions. Thank you for participating!