Top Tweets for #improvingDx
Looking forward to all that will come from this significant public investment in #improvingDx for #patients #equity #safety #quality
#improvingDx #patientsafety #cancer #equity in patient diagnostic journeys
Looking forward to this workshop, open to all.
What research opportunities exist for improving diagnosis in the field of #cancer within the U.S. #healthcare system?
Join @theNASEM on 10/6 to learn more. Register now: https://t.co/eewvYTUaeF
Visioning + practical = our paper for #patientsafety #improvingdx
It fills in more detail on organizations and frontline teams as put forth in 2015 @theNAMedicine Improving Diagnosis report.
How can High-Reliability Organizing (HRO)help organizations/ individuals achieve Diagnostic Safety in clinical medicine? Check out our new publication @Elhamyousef10 @KMSutcliffePhD @KathyMcDonald @DNewmanToker @JHM_Armstrong @UHhospitals https://t.co/whAFMTcLJ6
Future of AI? Reverse-Dr Watson? #AI helping busy docs think/review?
"With the help of digital disease history, the algorithm is able to register disease trajectories that differ so much from normal trajectories tht thr may be a misdiagnosis"
#improvingdx
https://t.co/8GP4f8B7MY
Love hearing from @alimharrington and @Sdoc_rad talking about breaking down silos on diagnostic team. Talk to the lab. Walk down to radiology.
Also Dr Harrington reminds of value of empathy for our colleagues on Dx team. We are all in this together
#fpsaw2020 #improvingDx
Awesome panelist discussions #FPSAW2020 on #improvingDx.
Goals are to involve pts and family, but time for counseling, timing of conversations, and pt Googling and diagnosing themselves all potential barriers
Gave some Dx feedback to 1 of our chiefs.
(BTW I did not make Dx myself.)
This was the response I got.
This is amazing role modeling!
By end of training, this is exactly what every IM trainee should be able to do w/ Dx feedback.
#teachDx #improvingDx
True pt-centered research from @DrYCovin on barriers in DX process that Latino communities experience
Key themes in pic
Kudos for excellent focus group data and keeping pts part of this
#dem2019 #improvingDx
Drum roll... After rigorous methodology, @LauraZwaan81 et al reveal the top priority amongst researchers in the #improvingDx space
(See pic)
Most top questions revolved around SOLUTIONS to #dxerror, not measuring burden or contributing factors
#DEM2019
I'll repeat myself but diverse persectives @improvedx fellows are so important
@ArtsPractica shares a reflection (and lit) on wisdom & uncertainty
Wisdom's roles in #improvingDx
1 Making sense of our knowledge
2 Acceptance of our uncertainty
#DEM2019
Kicking myself re: possible #DxError but prob would make same decisions if faced w/ same case again
Blaming *truly* atypical cholangitis seems like excuse
Yet "Always trust your gut" isn't lesson here either
So what is #meded lesson?
(PS pt is fine & grateful)
#improvingDx
What are risk factors & consequences of #DxError in ICU?
Our paper out today online in @CritCareMed
In our cohort, women & higher acuity pts at higher risk
Much to learn still to reduce pt risk
#critcare #improvingDx cc @HardeepSinghMD @ImproveDX
https://t.co/xm0QKiOcvD
@Mcw_Medchiefs You spelled Bayes' theorem incorrectly :)
Can I shamelessly plug this too?
https://t.co/irrXB2N0Om
#teachDx #improvingDx
I've officially cracked.
When #medstudents starting talking about mnemonics, I fire off on a virtual rant & do things like angrily scribble out diagnostic schema
Schema >>>> mnemonics for durable learning of Dx reasoning
#improvingDx
This is a little braggy, but tracking pt outcomes is critical to learn from mistakes BUT ALSO to calibrate future (good) decisions
Also helps to write what you were thinking if you are to be honest w/ yourself
#improvingDx #deliberatepractice #meded
(Epilogue: Pt was fungemic)
New SaferDx instrument out! Anyone interested in studying & measuring diagnostic errors/missed opportunities should read.
Thanks for putting this revised tool out & considering me informed enough to partake as a "subject matter expert". #improvingDx #ptsafety
Our Revised Safer Dx Instrument w/ open access recommendations how to
• identify diagnostic errors with case reviews
• generate data for clinician feedback and reflection
• advance the science of measuring & reducing diagnostic errors
https://t.co/zEPvA6un1e #patientsafety
Great episode of Annals On-Call w/ @medrants & @HardeepSinghMD
https://t.co/2Ua01QYoO9
Thanks for pointing us to 1957 in @AnnalsofIM on #DxError
https://t.co/kStwpwMEj0
You guys should read this even older classic in @JAMA_current 1912
https://t.co/2Tsbfeqz26
#improvingDx
Great work by my @ImproveDX co-fellow.
This link works:
https://t.co/q7TxFWCkkh
It looks like both residents & attendings grossly underestimate their #dxerror rate. #improvingDx #meded
Excited to have the last publication of my @YaleMed thesis out! Thanks to @JournalGIM and @ImproveDX for supporting our work on diagnostic error
Nothing more humbling than reading the final autopsy reports 3 months later...
Even high-tech antemortem dx tests miss things.
Ideally, we'd autopsy everyone that dies in hospital & feed it back to clinicians who cared for them
Otherwise, we stagnate.
#improvingDx #meded
Flexibility. Also said well by an old Jedi: “Luke, you’re going to find that many of the truths we cling to depend greatly on our own point of view.” #AlwaysPresent #listen @ShaneLewisMD #improvingDx
How can diagnosticians exhibit flexibility in #clinicalreasoning?
1. Maintain an open mind
2. Recombine findings to activate new scripts
3. Don't think in absolutes & question previous labels
#improvingDx w/ @DxRxEdu @andrewolsonmd cc @ImproveDX
https://t.co/TuCXRir9Hy
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