National Academies Report

The National Academies of Sciences, Engineering, and Medicine hosted an implementation workshop focused on the 2015 Improving Diagnosis in Health Care report, and what can be done to further advance progress on addressing diagnostic error.  The agenda for the meeting can be found here.  You can watch the webcast of the meeting in the video below.

The 2015 report contained eight major goals and recommendations.  Although none of these have been fully met or implemented, the meeting highlighted the substantial progress that’s been made.  SIDM leadership presented examples of accomplishments to date, featuring the contributions made by SIDM’s partners in the Coalition to Improve Diagnosis, many of whom attended the workshop.

The meeting was well attended, and included a virtual “Who’s Who” in the field, including Dr. Victor Dzau, the current NAM President, and the President of the Gordon and Betty Moore Foundation (and past president of the IOM), Dr Harvey Fineberg.  Besides Paul Epner and myself, the SIDM Board and Committees were represented by David Newman-Toker, David Meyers, Andrew Olson, Kathy McDonald, Sue Sheridan, and Helen Haskell. 

Beyond SIDM, all of the major federal agencies were present (AHRQ, CMS, the ONC, VA and CDC), and a host of professional societies and Boards, including large contingencies from the AAMC, ACP, and ABIM.  We were also delighted to see ‘new’ participants in the diagnostic error discussion: The Joint Commission, “payers” (eg Anthem Blue Cross), Consumer’s Union, CVS Health, and the Milbank Memorial Fund.

In additional to the plenaries, three working sessions, each attended by a representative from SIDM, focused on:

  • Improving Diagnosis in Clinical Practice
  • Improving Diagnosis Through Health Care Professional Education
  • Patient-Centered Health Care, Education, and Policy to Improve Diagnosis

The meeting highlighted not only the progress that’s been made in the past two years, but the imperative going forward to address harm related to diagnostic error as an urgent patient safety concern.  SIDM is committed to leading that effort, and we will continue to look for every opportunity to accelerate progress.