DEM Conference



The Diagnostic Error in Medicine
3rd International Conference
Agenda

Session Presentations available to download after the conference

Sunday, October 24, 2010
DEM will not have official, scheduled events on Sunday. DEM attendees are, however, welcome to register and participate in SMDM's Short Courses that are being offered. DEM attendees who are members of SMDM are invited to attend the SMDM Welcome Reception and their first poster presentation.
8:00 AM - 9:00 AM Continental Breakfast for Short Course Attendees
9:00 AM - 5:30 PM Short Courses - Full Day
9:00 AM - 12:30 PM Short Courses - Morning Half Day
12:30 PM - 2:00 PM Lunch on Your Own
2:00 PM - 5:30 PM Short Courses - Afternoon Half Day
6:30 PM - 8:30 PM SMDM Welcome Reception and Poster Presentations, Session 1
 
Monday, October 25, 2010Day One
DEM Conference will officially start at 12:30 PM. DEM attendees are welcome to attend the SMDM morning sessions.
7:00 AM - 8:30 AM SMDM Poster Presentations, Session 2 with Continental Breakfast
8:30 AM - 8:45 AM SMDM Welcome and Opening Remarks
8:45 AM - 10:00 AM SMDM Plenary Presentation of Top-Ranked Abstracts
10:00 AM - 10:30 AM SMDM Coffee Break
10:30 AM - 12:00 PM SMDM Keynote Presentation
 
12:00 PM -12:30 PM Lunch on Your Own
 
12:30 PM - 1:00 PM DEM Welcome and Opening Remarks
  • David E. Newman-Toker, MD, PhD, DEM 2010 Chair, Johns Hopkins University School of Medicine
  • Gordon D. Schiff, MD, DEM 2010 Co-Chair Brigham and Women's Hospital
  • Mark L. Graber, MD, DEM 2009 Chair, SUNY Stony Brook and VAMC
 
1:00 PM - 2:00 PM Learning from Diagnostic Mistakes - Past, Present, & Future
Click here to view the VIDEO for this session
Click on the speaker's name below to view the PowerPoint Presentation for this session

Moderator: Gordon D. Schiff, MD

Speaker:
  • Kaveh G. Shojania, MD, Sunnybrook Health Sciences Centre

Abstract: Dr. Shojania will draw on his extensive experience in studying diagnostic error through the lens of medical autopsy (the historical gold standard for diagnostic error recognition) to reflect on the present and future of diagnostic error detection and feedback systems.
 
2:00 PM - 3:00 PM Oral Abstracts: Diagnostic Reasoning, Accuracy, Tools, Errors
Click here to view the complete abstract for each of the 4 oral presentations
Click on the session title below to view the PowerPoint Presentation for this session

Moderator: Olga Kostopoulou, PhD

2:00 PM - 2:15 PM
Methods for Studying the Cognitive Causes of Diagnostic Error: A Systematic Review.
 Martine Nurek, MSc, Brendan C. Delaney, MD and Olga Kostopoulou, PhD

2:15 PM - 2:30 PM
Thought Process Effects in Diagnostic Decisions.
 Marieke De Vries, PhD, MA, Cilia L. M. Witteman, PhD, Leontien de Kwaadsteniet, PhD, John Van den Bercken, PhD, Rob W. Holland, PhD and Ap Dijksterhuis, PhD

2:30 PM - 2:45 PM
Diagnostic Errors in Adult Intensive Care Units: A Systematic Review of Autopsy Studies.
 Bradford Winters, MD, PhD, Jason W. Custer, MD, Atul Nakhasi, B.S., Victoria Goode, B.A., Karen Robinson, B.S., David E. Newman-Toker, MD, PhD and Peter J. Pronovost, MD, PhD, FCCM

2:45 PM - 3:00 PM
Diagnostic Errors are Common Causes of Adverse Events in Hospitalized Canadian Children.
 Anne Matlow, MSc, MD, FRCPC, Catherine M. G. Cronin, MD, MBA, FRCPC, FRCPI, FAAP, Virginia Flintoft, MSc, BN, Cheri Nijssen-Jordan, MD, MBA, Mark Fleming, MA, MSc, PhD, Barbara Brady-Fryer, BSc, MN, PhD, RN, Mary-Ann Hiltz, CHIM, MHA Candidate, Elaine Orrbine and G. Ross Baker, PhD
 
3:00 PM - 4:30 PM DEM Poster Presentations and Coffee Break
Click here to view the complete abstract for each of the 40 poster presentations

Moderators: Gordon D. Schiff, MD; Omar Hasan, MBBS, MPH
 
4:30 PM - 5:30 PM Diagnostic Errors Related to Test Results and the Role of Electronic Health Records in Error Prevention
Click on the speaker's name below to view the PowerPoint Presentation for this session

Moderator: Hardeep Singh, MD, MPH

Speakers:
Abstract: This session will focus on assessing our current understanding of diagnostic errors linked to ordering and interpretation of diagnostic tests (e.g., laboratory, radiographic) and their relationship to adequacy of reporting and alerting mechanisms in the electronic health record.
 
6:30 PM - 9:30 PM DEM "Meet the Professor" Dutch Dinner
Social dinners with Diagnostic Errors in Medicine experts. Enjoy an evening of stimulating discussion with your peers and experts in the field while experiencing the local cultures! Choose from a range of discussion topics and nearby restaurants. Details and sign-up sheets will be sent via email prior to the conference and available at the registration desk.
 
Tuesday, October 26, 2010 Day Two
 
7:00 AM - 8:00 AM Continental Breakfast
 
8:00 AM - 9:30 AM Current Research Approaches to Diagnostic Error
Click on the speaker's name below to view the PowerPoint Presentation for this session

Moderator: Jonathan A. Edlow, MD

Speakers:
Abstract: This session will focus on current research methods for identifying that nature, cause, and frequency of diagnostic errors. Three internationally-recognized leaders in the field will outline their approach and reflect on the broader implications of their methods and results.
 
9:30 AM - 10:00 AM Networking Coffee Break
 
10:00 AM - 11:00 AM DEM Keynote Presentation:
Safe Patients, Smart Hospitals: What can the DEM movement learn from successes in therapeutic safety?
Click here to view the VIDEO for this session
Click on the speaker's name below to view the PowerPoint Presentation for this session

Moderator: David E. Newman-Toker, MD, PhD

Speaker:
  • Peter J. Pronovost, MD, PhD, FCCM, Division of Adult Critical Care Medicine; Director, JHU Quality & Safety Research Group; Medical Director, Center for Innovations in Quality Patient Care, Johns Hopkins University School of Medicine, Baltimore, MD

Abstract: World-renowned patient safety leader and change agent Peter Pronovost will leverage his extensive personal experience with creating a culture of safety in medicine and the use of simple interventions such as checklists to create measurable improvements in patient safety to suggest a path forward for the burgeoning Diagnostic Error in Medicine movement.
 
11:00 AM - 11: 45 AM Research Methods Panel Discussion: Is there a Right Way Forward?
Moderator: Jonathan A. Edlow, MD

Speakers:
  • Peter J. Pronovost, MD, PhD, Johns Hopkins University
  • Gordon D. Schiff, MD, Brigham and Women's Hospital
  • Michael J. Schull, MSc, MD, Sunnybrook Health Sciences Centre
  • Olga Kostopoulou, PhD, King's College London
  • Brendan Delaney, MD, King's College London
  • Hardeep Singh, MD, MPH, Houston VA Medical Center; Baylor College of Medicine
  • David E. Newman-Toker, MD, PhD, Johns Hopkins University

Abstract: This panel discussion will offer participants the opportunity to directly interact with research leaders in the field of DEM.
 
11:45 AM - 1:00 PM Lunch on your own
 
12:00 Noon - 1:00 PM SMDM "DEM Interest Group" Lunch Meeting
Moderator: Cindy Bryce, PhD

Abstract: SMDM "DEM Interest Group" Lunch Meeting
Moderator: Cindy Bryce, PhD

The goal of this recently-formed interest group is to improve patient safety by reducing the likelihood of diagnostic error in medicine (DEM). SMDM has worked closely with organizers of the Diagnostic Error in Medicine 2010 Conference, which is running concurrently with this year's SMDM meeting, to provide attendees with even more topics and sessions from which to choose. Many of the DEM-related sessions appear in the SMDM program; information about the DEM schedule is also available in the registration area. Coordination between the two meetings will continue for the next several years. By bringing participants from both meetings together, we hope to focus attention on the problem of diagnostic errors and promote solutions for reducing them. During the special interest group meeting, representatives from both groups will discuss the challenges of the past year and seek your input for potential sessions, resources, or activities for future meetings. And, of course, we welcome volunteers who would like to become more involved!
 
1:00 PM - 2:30 PM SMDM/SJDM/DEM Invited Papers on Dual Processes in Reasoning and Decision Making
Click here to view the complete abstract for each of the 3 presentations.
Click on the session title below to view the PowerPoint Presentation for this session

Moderators: Olga Kostopoulou, PhD; Mark L. Graber, MD

Abstract: This special session will feature invited oral presentations of mutual interest to DEM, SMDM, and SJDM (Society for Judgment and Decision-Making) participants.

1:00 PM
Feeling We're Wrong: Intuitive Bias Detection During Decision-Making
Wim De Neys, PhD, University of Toulouse, Toulouse, France

1:25 PM
Instinct vs Reason: How Metacognitive Experiences Control Analytic Thinking
Valerie Thompson, BSc, MA, PhD, University of Saskatchewan, Saskatoon, SK, Canada

1:50 PM
Intuition In Decision Making - Potential and Shortcomings
Tilmann Betsch, PhD, University of Erfurt, Erfurt, Germany
 
2:30 PM - 3:00 PM Networking Coffee Break
 
3:00 PM - 5:30 PM Breakout Session: Setting the Agenda for Diagnostic Errors Research

Moderator: David Newman-Toker, MD PhD

Abstract: This breakout session will offer participants the opportunity to contribute to developing the diagnostic error research agenda. Leveraging work done at last year's conference, audience members will have the opportunity to review, discuss, and critique proposed areas and focus for future research in four key diagnostic error domains: (1) Common Symptoms; (2) Visual Misdiagnosis; (3) Critical Illness; and (4) "Asymptomatic" ambulatory patients, including the role of electronic health records in error reduction. The session will be introduced by the moderator (~20 minutes), after which each participant will have the opportunity to attend two breakout sessions (~ 1 hour each).

3:30 PM - 4:30 PM Session One
1. Visual Misdiagnosis
Art Papier, MD and Karen Cosby, MD
     OR
2. Common Symptoms
David Newman-Toker, MD, PhD and Jonathan A. Edlow, MD

4:30 PM - 5:30 PM Session Two
1. Critical Illness
Michael Giuliano, MD, MEd, MHPE and Jonathan A. Edlow, MD
     OR
2. Minimally Symptomatic
Hardeep Singh, MD, MPH and Gurpreet Dhaliwal, MD
 
Wednesday, October 27 2010 Day Three
 
7:00 AM - 8:00 AM Continental Breakfast
 
8:00 AM - 9:30 AM Improving Diagnostic Accuracy - What Will it Take?
Click here to listen to the AUDIO Recording for this session 1 hr 38 mins
Click on the speaker's name below to view the PowerPoint Presentation for this session

Moderator: Kaveh G. Shojania, MD

Speakers:
  • Donald Redelmeier, MD, MS, Sunnybrook Health Sciences Centre

Abstract: This session will focus on the interventions for reducing diagnostic error. International experts in the cognitive psychology of diagnostic decision making and knowledge translation will offer their insights into the future of improved diagnosis. This session will include a question and answer period for participants to interact with speakers.
 
9:30 AM - 10:00 AM Networking Coffee Break
 
10:00 AM - 12:00 PM Can Evidence-Based Medicine Help Reduce Diagnostic Error?
Click here to listen to the AUDIO Recording for this session 2 hrs
Click on the speaker's name below to view the PowerPoint Presentation for this session

Moderators: Omar Hasan, MBBS, MPH; D.E. Newman-Toker, MD, PhD

Speakers:
  • R. Brian Haynes, MD, MSc, PhD, McMaster University
  • Gordon Guyatt, BSc, MD, MSc, McMaster University
  • Barbara Bowers Jones, MLS, J. Otto Lottes Health Science Library, University of Missouri - Columbia
  • Ann McKibbon, BSc, MLS, PhD, McMaster University

Abstract: This session will include platform presentations by two of the world leaders in the science and practice of evidence-based medicine. Each will offer a unique perspective on the relationship between EBM and the future of diagnostic error reduction. Prof. Haynes will focus on the search for and synthesis of evidence related to diagnosis, while Prof. Guyatt will focus on the critical appraisal of diagnostic studies and the dissemination and teaching of EBM related to bedside diagnosis. Experts in library science will offer personal experiences and perspectives being embedded with healthcare teams to provide evidence at the bedside. A panel discussion with interactive questions and answers will follow.
 
12:00 PM - 1:00 PM DEM Interest Group Breakout Discussions
 
1:00 PM - 2:30 PM Simulation to Reduce Diagnostic Error
Click here to listen to the AUDIO Recording for this session 1 hr 48 mins
Click on the speaker's name below to view the PowerPoint Presentation for this session

Moderators: Mark L. Graber, MD; William Bond, MD, MS

Speakers:
Abstract: Diagnostic errors often involve cognitive failings. In this session, recent innovations will be presented that use case scenarios and high-fidelity simulation strategies to cognitively 'debias' trainees with the goal of reducing diagnostic errors.
 
2:30 PM - 3:30 PM Conference Summary and Challenges to Attendees
  • Gordon D. Schiff, MD, DEM 2010 Co-Chair
    Brigham and Women's Hospital