Schedule of Events - Society to Improve Diagnosis in Medicine

Pre-Conference Short Courses

Saturday, October 7

10:00 a.m. - 5:00 p.m.
Research Summit - By Invitation Only
9:00 a.m. - 5:00 p.m.
Patient Summit Patient Summit Morning Session \| 9:00 a.m. - 12:00 p.m. Patients as Partners in the Diagnostic Process Read more... Facilitator: Larry Pennings, MA, DMin, Jefferson Center Diana Rusz, MPH, Research Associate, Society to Improve Diagnosis in Medicine Participants will learn how partnering with providers in the diagnostic process can improve their experience. Participants will gain an understanding of the problem of diagnostic error and learn specific actions they can take to ensure quality diagnosis. The recommended actions come from a panel of consumers working to determine actions patients could take to improve diagnostic quality as part of the AHRQ-sponsored Using Public Deliberation to Define Patient Roles in Reducing Diagnostic Error.
Patient Summit Afternoon Session \| 1:00 p.m. - 5:00 p.m. Co-Producing Diagnosis: Writing the Illness Script Read more... Speakers and Panelists: Carmel Crock MBBS, FACEM, BLitt, Royal Victorian Eye and Ear Hospital Patricia Folcarelli RN, MA, PhD, Beth Israel Deaconess Medical Center Alisa Khan, MD, MPH, Boston Children's Hospital, Harvard Medical School Peggy Zuckerman, MSEd, Patient Advocate Helen Haskell, MA, Mothers Against Medical Error Io Dolka, MSc, GreyZone Sue Sheridan, MBA, MIM, DHL, Consumers Advancing Patient Safety Kelly Smith, PhD, MedStar Health Research Institute Engage in a dialogue about tools, strategies, and technology available to help patients and families improve diagnosis. Topics include managing communication problems with the health care system, accessing the medical record, the impact of patient reporting and patients as advocates for policy change.

Sunday, October 8

8:00 a.m. - 12:00 p.m.
Introduction to Diagnostic Error 3.50 CME/CNE Read more... Speakers: Karen Cosby, MD, CPPS, Rush Medical College Pat Croskerry, MD, PhD, FRCP (Edin), Dalhousie University Mark L. Graber, MD, FACP, Society to Improve Diagnosis in Medicine Ashley Meyer, PhD, Michael E. DeBakey VA Medical Center and Baylor College of Medicine Gordon Schiff, MD, Brigham and Women's Center for Patient Safety Research This session is recommended as an overview for the first-time attendee. Participants will gain an understanding of the problem of diagnostic error, including what it is and how it impacts patients and health systems. Internationally-recognized experts in the field will share their knowledge and answer questions.
8:00 a.m. - 12:00 p.m.
A Workshop on Reducing Diagnostic Error in Clinical Settings 3.50 CME/CNE Read more... Moderator: Paul Epner, MBA, MEd, Society to Improve Diagnosis in Medicine Speakers: Rebecca Jones, MBA, BSN, RN, CPHRM, CPPS, Pennsylvania Patient Safety Authority Michael Kanter, MD, The Permanente Federation & The Southern California Permanente Medical Group Michael Laposata, MD, PhD, University of Texas Medical Branch - Galveston Diana Rusz, MPH, Society to Improve Diagnosis in Medicine Health care systems are continually involved in quality improvement, but rarely are those efforts directed to the problem of diagnostic error. Unfortunately, we are still early in the development of effective interventions. However, such interventions do exist. In this workshop, we will share case studies of what works, hear the results of an environmental scan that sought to learn all interventions being attempted, and in a highly interactive environment, determine strategies for implementing diagnostic error quality improvement in the clinical setting now.
8:00 a.m. - 12:00 p.m.
Diagnostic Reasoning: Key Teaching Skills at the Bedside...and How to Fill Out the Evaluation Form 3.50 CME/CNE Read more... Moderators: Gurpreet Dhaliwal, MD, University of California, San Francisco Andrew P.J. Olson, MD, University of Minnesota Speakers: Paul Bergl, MD, Medical College of Wisconsin Denise Connor, MD, University of California, San Francisco VA Medical Center Benji Mathews, MD, FACP, CLHM, HealthPartners and University of Minnesota Medical School Lisa Sanders, MD, FACP, Yale University School of Medicine This interactive session will help front-line educators highlight the diagnostic process on inpatient rounds and outpatient encounters. Sessions will focus on using the patient’s story to diagnose, using the physical exam to reduce diagnostic error and increase high value care, and how to fill out the evaluation form with something more meaningful than “really great differentials…continue to read more and see more."
8:00 a.m. - 12:00 p.m.
The Cognitive Psychology of Diagnostic Error 3.50 CME/CNE Read more... Speakers: Sandra Monteiro, PhD, McMaster University Geoffrey Norman, PhD, McMaster University Laura Zwaan, PhD, Institute of Medical Education Research, Rotterdam, Erasmus MC This course will provide a broad overview of the cognitive psychology of diagnostic reasoning, aimed at physicians or researchers who want to learn more about the cognitive psychology of diagnostic decision making. We will discuss the main theories of diagnostic reasoning and decision making (e.g. dual process thinking, the use of heuristics, cognitive biases) and ways to reduce cognitive error. The latest developments and results of recent studies will be reviewed.
12:00 p.m. - 1:00 p.m.
Lunch on Own

Sunday, October 8

Day One

1:00 p.m. - 1:30 p.m.
Opening Remarks Speakers: Mark L. Graber, MD, FACP, Society to Improve Diagnosis in Medicine Dana Siegal, RN, CPHRM, CPPS, CRICO Strategies Robert Trowbridge, MD, Tufts University School of Medicine and Maine Medical Center
1:30 p.m. - 2:30 p.m.
Diagnostic Error and Clinical Reasoning Case Conference 1.00 CME/CNE Read more... Moderator: Karen Cosby, MD, CPPS, Rush Medical College Case Presenter: Megan Baker, BS, Wayne State University School of Medicine Case Discussant: Gurpreet Dhaliwal, MD, University of California, San Francisco Case Commentators: Andrew P.J. Olson, MD, University of Minnesota Joe Rencic, MD, Tufts University School of Medicine In this session, an expert clinician will review and discuss a case previously unknown to him as it is presented in the way it unfolded in the clinical setting. He will share his thought processes and how he approaches such cases. Two experts in clinical reasoning will contemporaneously comment on his thought processes, specifically concentrating on what others can learn from expert clinicians. An emphasis will be placed on common sources of error, potential means of avoiding error, and the interaction between systems factors and cognition.
2:30 p.m. - 3:00 p.m.
Panel Discussion: Teamwork and the Clinical Reasoning Case Conference 0.50 CME/CNE Read more... Moderator: Karen Cosby, MD, CPPS, Rush Medical College Speakers: Gurpreet Dhaliwal, MD, University of California, San Francisco Penny Greenberg, MS, RN, CPPS, CRICO Strategies Linda Kenney, MITSS Medically Induced Trauma Support Services, Inc. The case presentation will be followed by a multi-disciplinary panel discussion centered on the role of teamwork in the diagnostic process. The case will be used to exemplify how multi-disciplinary collaboration and teamwork can make diagnosis more reliable, accurate and timely.
3:00 p.m. - 3:15 p.m.
Break
3:15 p.m. - 5:00 p.m.
Oral Plenary Abstracts 1.75 CME/CNE Read more... Moderator: Robert El-Kareh, MD, MS, MPH, University of California, San Diego The field of diagnostic error is in the early days of translating research into interventions shown to be effective in clinical settings. In this session researchers present submitted abstracts selected through peer review. During the second part of this session, there will be an interactive discussion with the presenters and experts on strategies for making a difference for patients today.
5:00 p.m. - 6:00 p.m.
Poster Session 1: Research and Clinical Vignettes 1.00 CME/CNE Read more... Submitted abstracts went through peer review and the top ranked abstracts will be presented by their authors.
6:00 p.m. - 7:00 p.m.
Networking Reception Posters submitted in the Research and Clinical Vignette categories will be available for viewing and participate in a judged competition.

Monday, October 9

Day Two

7:00 a.m. - 8:45 a.m.
Poster Session 2: Practice Innovations and Clinical Vignettes Read more... Posters submitted in the Practice Innovations and Clinical Vignette category will be available for viewing and participate in a judged competition.
8:45 a.m. - 9:00 a.m.
Opening Remarks Speakers: Dana Siegal, RN, CPHRM, CPPS, CRICO Strategies Robert Trowbridge, MD, Tufts University School of Medicine and Maine Medical Center
9:00 a.m. - 10:00 a.m.
Keynote Presentation: Donald M. Berwick, MD, MPP, FRCP, Institute for Healthcare Improvement The Role of Diagnostic Error in Patient Safety 1.00 CME/CNE Read more... Despite being the subject of increasing attention, diagnostic error remains a significant risk to patient safety. Factors underlying the unacceptable rates of diagnostic error are complex and stem from the intricacy and uncertainty inherent to the diagnostic process and the structure of health care system. Improvements in diagnostic reliability, however, are likely to lead to significant gains in all domains of the quadruple aim, including improved patient experience, lower costs, better patient outcomes, and higher clinician satisfaction. A priority must be placed on improving diagnostic safety as a means of providing safe and patient-centered care.
10:00 a.m. - 10:30 a.m.
Keynote Panel: Discussion of The Role of Diagnostic Error in Patient Safety 0.50 CME/CNE Read more... Speakers: Donald M. Berwick, MD, MPP, FRCP, Institute for Healthcare Improvement Patricia Folcarelli, RN, MA, PhD, Beth Israel Deaconess Medical Center Helen Haskell, MA, President, Mothers Against Medical Error Timothy J. Mosher, MD, Penn State University College of Medicine A panel of experts from various healthcare domains will add context, building on the comments of the keynote speaker. Discussion and audience interaction will follow as the concepts presented are examined from the perspective of multiple different members of the healthcare community.
10:30 a.m. - 10:45 a.m.
Break
10:45 a.m. - 12:15 p.m.
The Coalition in Action: Interventions, Advocacy and Driving Change 1.50 CME/CNE Read more... Speakers: Paul Epner, MBA, MEd, Society to Improve Diagnosis in Medicine Diana Rusz, MPH, Society to Improve Diagnosis in Medicine Lorie Slass, MA, Society to Improve Diagnosis in Medicine Leslie Tucker, Society to Improve Diagnosis in Medicine The Coalition to Improve Diagnosis was formed just before the publication of the National Academies (formerly IOM) landmark report on Improving Diagnosis in Health Care. With more than 30 leading healthcare organizations as members, the Coalition is intent on improving diagnosis through collective and individual actions. Collective actions are focused on inventorying quality improvement interventions, advocating for increased research funding, and developing a campaign to drive change among patient and healthcare professionals. In this session, we will provide updates which will include the results of the environmental scan of quality improvement interventions and the market research results on beliefs about diagnostic error. We will also share some of the work of Coalition members.
12:15 p.m. - 1:00 p.m.
Lunch
1:00 p.m. - 1:45 p.m.
What Do We Know About Collaborative Diagnostic Decision Making? 0.75 CME/CNE Read more... Speaker: Wolf Hautz, MD, MME, Inselspital University Hospital Berne Modern healthcare is highly fragmented and many more than one person commonly contributes to a patient’s care. Still, diagnosing a patient’s condition is all too often conceptualized as a “lone wolf’s endeavor”. Consequently, much of what we know about diagnostic decision making may not be ecologically valid. In this presentation, what is generally known about collaborative decision making will be introduced followed by a discussion of diagnostic decision making by more than one individual. A specific focus will be placed on when, if, and how diagnostic decision making benefits from this collaboration. Although many of the studies cited are experimental and thus commonly removed from real clinical settings, an attempt will be made to closely link their findings to the workplace and elaborate on their clinical implications, supported by real-world data wherever possible. Because working in a team is different from simply working alongside one another, forms of collaboration in healthcare and their differences and implications will also be discussed. The presentation will end with a number of open questions on collaborative diagnostic decision making, providing a starting point for reflection and discussion.
1:45 p.m. - 2:30 p.m.
Keynote Presentation: David Mayer, MD, MedStar Health Leading a Culture of Teamwork 0.75 CME/CNE Read more... Dr Mayer, vice president of Quality and Safety for MedStar Health and recipient of the 2016 Humanitarian Award from the Patient Safety Movement Foundation, will discuss the critical role of leadership in creating an institution-wide culture of patient safety, with a specific focus on building teams for diagnostic safety and the importance of including patients and their families in every step of the process.
2:30 p.m. - 3:00 p.m.
Keynote Panel: Discussion of Collaborative Decision Making and Leading a Culture of Teamwork 0.50 CME/CNE Read more... Speakers: Michael Gibbs, MD, Carolinas Medical Center Wolf Hautz, MD, MME, Inselspital University Hospital Berne David Mayer, MD, MedStar Health Ruth Ryan, RN, BSN ,MSW, CPHRM, RiskWriter LLC A panel of experts from various healthcare domains will add context, building on the comments of the speakers. Discussion and audience interaction will follow as the concepts presented are examined from the perspective of multiple different members of the healthcare community.
3:00 p.m. - 3:15 p.m.
Break
3:15 p.m. - 4:30 p.m. and 4:45 p.m. - 6:00 p.m.*
Interactive Workshops
Engaging Nursing in Diagnostic Error: A Practical Workshop 1.25 CME/CNE Read more... Speakers: Kelly Gleason, RN, BSN, Johns Hopkins University School of Nursing Kathleen Rea, DNP, RN, ACNS-BC, PCCN, CNL, UVA Health System Historically, diagnosis is considered solely a physician responsibility, and teamwork in diagnosis generally refers to physicians working together across medical specialties. There is a pressing need to adjust this view and for nurses to take part in efforts addressing diagnostic errors. While there are logistical, regulatory, and sociocultural barriers to nurses participating as full members of the diagnostic team that must be addressed, the potential benefits of their participation are immense. In this workshop, we address how to formalize and expand nurses’ engagement in the diagnostic process and how to maximize effectiveness of interprofessional teamwork and communication.	Engaging Your Institution in Reducing Diagnostic Error: A Practical Workshop 1.25 CME/CNE Read more... Speakers: Harry Hoar III, MD, Baystate Health Doug Salvador, MD, MPH, Baystate Health Although there has been increasing focus on diagnostic error, many healthcare organizations may still be unsure of how to implement effective methods of reducing diagnostic error. This workshop will discuss barriers to engaging local decision makers and propose means of overcoming them. Participants will leave the workshop with an action plan to reduce diagnostic error in their own institution.	Engaging Patients in Research: A Practical Workshop 1.25 CME/CNE Read more... Speakers: Traber Davis Giardina, PhD, MSW, Michael E. DeBakey Veterans Affairs Medical Center Regina Greer-Smith, MPH - Fellow, American College of Healthcare Executives, Healthcare Research Associates, LLC Despite the growing recognition of the prevalence and consequences of diagnostic errors, patient perspectives are seldom taken into consideration when researching diagnostic error causes or solutions. In this workshop, we will present data on patients’ perspectives of diagnostic error and why these perspectives are important for improving health outcomes. Additionally, we will present methods for engaging patients in research from beginning to end, providing researchers with the tools to successfully engage patients in research.	Balancing Diagnostic Errors with Conservative Diagnosis: Developing a New Paradigm for More Appropriate Diagnosis 1.25 CME/CNE Read more... Speakers: Stephen Martin, MD, EdM, Barre Family Health Center \| University of Massachusetts Medical School Gordon Schiff, MD, Brigham and Women's Hospital Center for Patient Safety Research There is a need for a more nuanced understanding of diagnosis that goes beyond merely “balancing tradeoffs” between under-diagnosis (diagnosis errors and delays) and over-diagnosis and wasteful over-testing. We must instead treat these problems as two sides of the same coin, with the unifying concept being more appropriate and careful diagnosis. Some diagnoses are pursued and treated that have little impact on patients’ health and well-being, with diagnostic interventions causing harm that outweigh any benefits; yet other diagnoses that would help relieve suffering are being missed entirely. To reframe and better approach this core challenge in diagnosis science, we have developed a new diagnosis paradigm built around 10 Key Principles of Conservative Diagnosis.
4:30 p.m. - 4:45 p.m.
Break
6:30 p.m.
Meet the Experts Dinner

Tuesday, October 10

Day Three

8:00 a.m. - 8:10 a.m.
Opening Remarks Speakers: Dana Siegal, RN, CPHRM, CPPS, CRICO Strategies Robert Trowbridge, MD, Tufts University School of Medicine and Maine Medical Center As healthcare changes at an ever faster rate, we find ourselves moving from stable, bounded, clearly defined teams to a form of dynamic “teaming” across siloes, requiring a set of organizational and interpersonal skills that can be learned. Teaming means quickly building trust with others who are not always like you via self-disclosure and systematic inquiry. It involves coordinating care with other providers and disciplines across varied settings in an environment of uncertainty and unfamiliarity, and doing so without a script.
8:10 a.m. - 9:00 a.m.
Keynote Presentation: Amy C. Edmondson, PhD, AM, Harvard University The End of the Team as We Know It 0.75 CME/CNE Read more... As healthcare changes at an ever faster rate, we find ourselves moving from stable, bounded, clearly defined teams to a form of dynamic “teaming” across siloes, requiring a set of organizational and interpersonal skills that can be learned. Teaming means quickly building trust with others who are not always like you via self-disclosure and systematic inquiry. It involves coordinating care with other providers and disciplines across varied settings in an environment of uncertainty and unfamiliarity, and doing so without a script.
9:00 a.m. - 9:30 a.m.
Keynote Panel: Discussion of The End of the Team as We Know It 0.50 CME/CNE Speakers: Amy C. Edmondson, PhD, AM, Harvard University Mark Reynolds, President & CEO, RMF/CRICO Strategies William Strull, MD, The Permanente Federation Peggy Zuckerman, MSEd, Patient Advocate
9:30 a.m. - 9:45 a.m.
Break
9:45 a.m. - 12:30 p.m.
Concurrent Sessions
Oral Abstracts of Current Research and Educational Innovations 2.50 CME/CNE Read more... Moderators: Laura Zwaan, PhD, Institute of Medical Education Research, Rotterdam, Erasmus MC Expert Discussants: Robert El-Kareh, MD, MS, MPH, University of California, San Diego David E. Newman-Toker, MD, PhD, Johns Hopkins University School of Medicine Andrew P.J. Olson, MD, University of Minnesota Authors selected by peer review will present submitted abstracts of research and educational interventions, followed by an interactive discussion with the presenters and experts.	Oral Abstracts of Current Practice Improvement Strategies 2.50 CME/CNE Read more... Moderators: Michael Kanter, MD,The Permanente Federation and The Southern California Permanente Medical Group The field of diagnostic error is in the early days of translating research into interventions shown to be effective in clinical settings. In this session researchers present submitted abstracts selected via peer review. During the second part of this session, there will be an interactive discussion with the presenters and experts on strategies for making a difference for patients today.	Building and Sustaining Healthy Teams: Improving Communication, Reducing Burnout 2.50 CME/CNE Read more... Speakers: Laurie C. Drill-Mellum, MD, MPH, Constellation Penny Greenberg, MS, RN, CPPS, CRICO Strategies Susan Mann, MD, Beth Israel Deaconess Medical Center, QualBridge Institute Dana Siegal, RN, CPHRM, CPPS, CRICO Strategies Risk management, patient safety leaders and clinicians have long understood the value of teamwork in acute care / task-oriented settings such as ED, OB and the OR. But building teams across multiple clinical specialties and locations, and over longer timelines is a newer concept of “teaming”. Using success stories from real clinical settings, this session will explore how we build, support and sustain successful teams for diagnostic safety including coordination of roles and responsibilities, the critical role of communication in diagnostic teamwork, and the ever growing concern of provider burnout and its impact on successful teaming.
12:30 p.m. - 1:30 p.m.
Lunch/SIDM Business Meeting
1:30 p.m. - 2:30 p.m.
"Remember When" ... Envisioning the Future of Diagnostic Safety 1.00 CME/CNE Read more... Speaker: Dana Siegal, RN, CPHRM, CPPS, CRICO Strategies This is a dramatized look-back at the evolution of hospital culture, from the 1970's where crisp white uniforms, hand-written notes and smoking in the nurses station prevailed, to today's colorful scrubs, electronics everywhere, and entire non-smoking campuses. Other significant social and healthcare changes are also reviewed, highlighting how persistence and dedication has made for great strides in safety and patient-centeredness.. The session concludes by asking the audience , "what changes will you make now, that will create similar "can you remember when we (did...did not..)" stories, 20 years from now. (e.g. Do you remember when we did surgery without a time-out... did not share medical record with patients.... made needless diagnostic errors?
2:30 p.m. - 3:30 p.m.
Embracing Uncertainty in Medicine 1.00 CME/CNE Read more... Speaker: Arabella Simpkin, MA (Oxon), BMBCh, MRCPCH, MMSc, Massachusetts General Hospital Although physicians are rationally aware when uncertainty exists, the culture of medicine evinces a deep-rooted unwillingness to acknowledge and embrace it. This session will explore the presence of uncertainty in medicine, identifying the impact it has on learners, clinicians, educators, and patients and how this effects the diagnostic process. It will discuss key implications for the future of medical education, and identify ways to embrace and find strength in uncertainty.
3:30 p.m. - 3:45 p.m.
Break
3:45 p.m. - 4:45 p.m.
An Interactive Discussion of Pressing Questions in Diagnostic Error 1.00 CME/CNE Read more... Speakers: Mark L. Graber, MD, FACP, Society to Improve Diagnosis in Medicine Linda Kenney, ADME, MITSS Medically Induced Trauma Support Services, Inc. Elizabeth Mort, MD MPH, Mass General, Partners HealthCare Gordon Schiff, MD, Brigham and Women's Hospital and Harvard Medical School Dana Siegal, RN, CPHRM, CPPS, CRICO Strategies Laura Zwaan, PhD, Institute of Medical Education Research Rotterdam, Erasmus MC Using audience participation technology, the audience will be polled on important questions regarding diagnostic error that have arisen over the course of the conference. A moderated discussion will follow with a multi-disciplinary panel of experts weighing in on the audience’s answers and providing their own opinions.
4:45 p.m. - 5:00 p.m.
Conference Summary 0.25 CME/CNE Speakers: Robert Trowbridge, MD, Tufts University School of Medicine and Maine Medical Center Dana Siegal, RN, CPHRM, CPPS, CRICO Strategies

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