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Tytuł pozycji:

Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Plan.

Tytuł :
Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Plan.
Autorzy :
Singh H; H. Singh is chief, Health Policy, Quality, and Informatics Program, Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, and professor of medicine, Baylor College of Medicine, Houston, Texas. D.K. Upadhyay is researcher-in-residence and program manager, Division of Quality, Safety and Patient Experience, Geisinger, Danville, Pennsylvania. D. Torretti is associate chief medical officer, Geisinger Medical Center, and chairman emeritus, Division of Medicine, Geisinger, Danville, Pennsylvania.
Upadhyay DK
Torretti D
Pokaż więcej
Źródło :
Academic medicine : journal of the Association of American Medical Colleges [Acad Med] 2020 Aug; Vol. 95 (8), pp. 1172-1178.
Typ publikacji :
Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.
Język :
English
Imprint Name(s) :
Publication: Philadelphia, PA : Published for the Association of American Medical Colleges by Lippincott Williams & Wilkins
Original Publication: [Philadelphia, Pa. : Hanley & Belfus, c1989-
MeSH Terms :
Academic Medical Centers*
Organizational Culture*
Quality Improvement*
Diagnostic Errors/*prevention & control
Delayed Diagnosis/prevention & control ; Delivery of Health Care ; Diagnosis ; Humans ; Medical Overuse/prevention & control ; Patient Safety
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Grant Information :
R01 HS022087 United States HS AHRQ HHS; R01 HS027363 United States HS AHRQ HHS; R18 HS017820 United States HS AHRQ HHS
Entry Date(s) :
Date Created: 20191106 Date Completed: 20200928 Latest Revision: 20200928
Update Code :
20201023
PubMed Central ID :
PMC7402609
DOI :
10.1097/ACM.0000000000003062
PMID :
31688035
Czasopismo naukowe
Reducing errors in diagnosis is the next big challenge for patient safety. Diagnostic safety improvement efforts should become a priority for health care organizations, payers, and accrediting bodies; however, external incentives, policies, and practical guidance to develop these efforts are largely absent. In this Perspective, the authors highlight ways in which health care organizations can pursue learning and exploration of diagnostic excellence (LEDE). Building on current evidence and their recent experiences in developing such a learning organization at Geisinger, the authors propose a 5-point action plan and corresponding policy levers to support development of LEDE organizations. These recommendations, which are applicable to many health care organizations, include (1) implementing a virtual hub to coordinate organizational activities for improving diagnosis, such as identifying risks and prioritizing interventions that cross intra-institutional silos while promoting a culture of learning and safety; (2) participating in novel scientific initiatives to generate and translate evidence, given the rapidly evolving "basic science" of diagnostic excellence; (3) avoiding the "tyranny of metrics" by focusing on measurement for improvement rather than using measures to reward or punish; (4) engaging clinicians in activities for improving diagnosis and framing missed opportunities positively as learning opportunities rather than negatively as errors; and (5) developing an accountable culture of engaging and learning from patients, who are often underexplored sources of information. The authors also outline specific policy actions to support organizations in implementing these recommendations. They suggest this action plan can stimulate scientific, practice, and policy progress needed for achieving diagnostic excellence and reducing preventable patient harm.

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