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| DEM Conference |
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| Sunday, October 23, 2011 DEM AFTERNOON HALF-DAY SHORT COURSE |
| 1:00 - 5:00 PM | The Role of Testing in Diagnostic Error |
1:00 - 1:15 | Introduction of Short Course, Philip E. Castle, PhD, MPH, Executive Director, American Society for Clinical Pathology Institute and Center for Health Services Research, Washington, DC
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1:15 - 1:45 | Introduction to Diagnostic Errors, Mark L. Graber, MD, DEM Executive Committee, RTI International, St James, NY |
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1:45 - 2:30 | Errors in Test Selection and Result Interpretation: A Major Source of Poor Patient Outcome, Michael Laposata, MD, PhD, Edward and Nancy Fody Professor. Executive Vice Chair of Pathology, Dept of Pathology. Pathologist-in-Chief, Vanderbilt University Hospital, Nashville TN
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2:45 - 3:30 | The Impact of Anatomical Pathology on Diagnostic Error, Stephen Raab, University of Washington
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3:30 - 4:15 | The Impact of Imaging Studies on Diagnostic Error, Leonard Berlin, MD, FACR, Radiology Department, Skokie Hospital, Skokie, Illinois; Professor of Radiology, Rush University and University of Illinois, Chicago, Illinois
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4:15 - 5:00 | Panel Discussion: How Can Testing Services Reduce Diagnostic Error in the Future? |
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| MONDAY, OCTOBER 24, 2011 DEM MORNING HALF-DAY SHORT COURSE |
| 9:00 AM - 12:00 PM | Diagnostic Error: A State of the Science Overview |
9:00 - 9:10 | Introduction and Objectives, Hardeep Singh, MD, MPH |
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9:10 - 9:40 | Epidemiology, Mark L. Graber, MD and Geeta Singhal, MD
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9:40 - 10:25 | Interactive Diagnostic Error M&M: How to Do Them and What Do We Learn
Karen S. Cosby, MD, FACEP and Geeta Singhal, MD
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10:35 - 11:35 | Contributory Factors and Interventions,
Cognitive: Patrick Croskerry, MD, PhD and Systems: Gordon D. Schiff, MD
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11:35 - 12:00 | Wrap Up, Putting it all Together, Hardeep Singh, MD, MPH and Mark L. Graber, MD |
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| MONDAY, OCTOBER 24, 2011 CONFERENCE DAY ONE |
12:30 - 1:00 PM DEM | Welcome and Opening Remarks
David E. Newman-Toker, MD, PhD, DEM 2011 Chair, Johns Hopkins University School of Medicine, Baltimore, MD
Gordon D. Schiff, MD, DEM 2011 Co-Chair, Brigham and Women's Hospital, Boston, MA
Mark L. Graber, MD, DEM Executive Committee, RTI International |
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| 1:00 - 2:00 PM | Keynote Presentation: What Physicians Can Learn from Firefighters
Gary Klein, PhD, is a Senior Scientist at MacroCognition LLC.
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| 2:00 - 3:00 PM | Diagnostic Error "Hot Topics" Debate
David E. Newman-Toker, MD, PhD, DEM 2011 Chair, Johns Hopkins University School of Medicine, Baltimore, MD
Hardeep Singh, MD, MPH, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College |
2:00 - 2:20 | Diagnostic Error Definitions: Are we all on the same page? |
2:20 - 2:40 | Diagnostic Error Measurement: Where should we focus our attention? |
2:40 - 3:00 | Diagnostic Error Solutions: How should we invest our resources? |
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3:00 - 4:30 PM | DEM Poster Presentations and Coffee Break |
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4:30 - 5:30 PM | Trainee "Stump the Professor" Case Session |
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6:00 - 10:00 PM | DEM "Meet the Professor" Dinners. |
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| TUESDAY, OCTOBER 25, 2011 CONFERENCE DAY TWO |
| 8:00 - 11:00 AM | Critical Misdiagnoses with Common Symptoms |
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8:00 - 10:00 | Part I: What Have We Learned? |
8:00 - 8:30 | Chest Pain and Acute Coronary Syndromes, Christopher Ross, MD, FACEP, FAAEM, FRCPC, Cook County Emergency Medicine Residency, |
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8:30 - 9:00 | Dizziness and Stroke, David E. Newman-Toker, MD, PhD, DEM 2011 Chair, Johns Hopkins University School of Medicine, Baltimore, MD |
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9:00 - 9:30 | Headache and Aneurysms, Jonathan A. Edlow, MD, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA |
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9:30 - 10:00 | Dyspnea Evaluation, Hardeep Singh, MD, MPH, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX and Laura Zwaan, MSc, VU University Medical Center, Netherlands
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10:15 - 11:00 | Part II: Where Do We Go From Here? Panel Comments and Open Audience QA |
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| 11:00 AM - 12:00 PM | Keynote Presentation: The Theory and Reality of Developing Clinical Decision Rules
Ian G. Stiell, MD, MSc, FRCPC, Distinguished Professor and University Health Research Chair,
University of Ottawa / Senior Scientist, Ottawa Hospital Research Institute |
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| 12:15 - 1:00 PM | DEM New Society Meeting |
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| 1:00 - 2:30 PM | Concurrent Tracks |
| TRACK 1 - | Clinical Care and Education |
1:00 - 2:20 PM | Clinician's Corner
Robert L Trowbridge, Jr., MD, Maine Medical Center, Portland, ME
Arthur Elstein, PhD, University of Illinois, Chicago, IL
Stuart Levin, MD, Rush University Medical Center, Chicago, IL |
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| TRACK 2 - | Research and Methods |
| 1:00 - 2:30 | Researcher's Corner |
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1:00 - 1:30 PM | Insight in the Brain: Neuroimaging Insight and Intuition, Mark Beeman, PhD, Northwestern University, Evanston IL
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1:30 - 2:00 PM | Interventions to Improve Clinical Reasoning, Sílvia Mamede, MD, PhD, Erasmus University, Rotterdam, The Netherlands
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| 2:30 - 4:00 PM | Cognitive Debiasing Workshop, Patrick Croskerry, MD, PhD, Dalhousie University, Halifax |
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| 4:00 - 5:30 PM | DEM Plenary Presentation of Oral Abstracts |
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4:00PM | 20-YEAR SUMMARY OF US MALPRACTICE CLAIMS FOR DIAGNOSTIC ERRORS FROM 1985-2005
Ali Saber Tehrani, MD1, HeeWon Lee, MD-candidate1, Simon Mathews, MD1, Andrew Shore, PhD1, Kevin D. Frick, PhD2, Martin Makary, MD, MPH1, Peter J. Pronovost, MD, PhD, FCCM1 and David E. Newman-Toker, MD, PhD1, (1)Johns Hopkins University School of Medicine, Baltimore, MD, (2)Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
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4:15PM | A FOCUS ON SUPPORTIVE FEATURES MEDIATES THE TENDENCY TO ACCEPT DIAGNOSTIC SUGGESTIONS
Kees van den Berge, MD1, Silvia Mamede, MD, PhD2, Tamara van Gog, PhD2, Jacqueline de Graaf, MD, PhD3, Jan van Saase, MD, PhD1 and Remy Rikers, PhD2, (1)Erasmus Medical Center, Rotterdam, Netherlands, (2)Erasmus University Rotterdam, Rotterdam, Netherlands, (3)Radboud University Medical Center, Nijmegen, Netherlands
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4:30PM | REDUCING COGNITIVE ERRORS BY CAPTURING AND DISSEMINATING EXPERT REASONING
Sandra Kay Tice, BS1, Robert McNutt, MD, FACP2, Paul Tice, MD3, Arthur Elstein, PhD4, Alan Schwartz, PhD5, Georges Bordage, MD, PhD5, Richard Abrams, MD6 and Richard J. Stuckey, MBA1, (1)Management Integration Process Corporation (MIP), Chicago, IL, (2)Rush University Medical Center, Lagrange, IL, (3)Harrison Memorial Hospital, Locum tenens nationally and internationally, Bremerton, WA, (4)The University of Illinois at Chicago, Wilmette, IL, (5)University of Illinois at Chicago, Chicago, IL, (6)Rush Medical College, Chicago, IL
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4:45PM | THE THINK STUDY: HIGH-FIDELITY SIMULATION TO PROMOTE THE USE OF A DIAGNOSTIC TIME-OUT AND A DIAGNOSTIC CHECKLIST IN PEDIATRIC PRACTICE
Lara G. Kothari, MD, Children's Hospital Boston, Boston, MA
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5:00PM | DEVELOPING RELIABLE SYSTEMS FOR TRACKING AND FOLLOW-UP OF ABNORMAL TEST RESULTS IN ELECTRONIC HEALTH RECORDS
Michael W. Smith, PhD1, Daniel R. Murphy, MD, MBA1, Archana Laxmisan, MD, MA1, Brian Reis, BE1, Dean F. Sittig, PhD2 and Hardeep Singh, MD, MPH1, (1)Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, (2)University of Texas Health Science Center at Houston, Houston, TX
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5:15PM | AUDIT OF ESOTERIC COAGULATION LABORATORY TESTING REVEALS 63% ERROR RATE IN TEST SELECTION AND RESULT INTERPRETATION
Jennifer Giltnane, MD, PhD and Michael Laposata, MD, PhD, Vanderbilt University School of Medicine, Nashville, TN
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| WEDNESDAY, OCTOBER 26, 2011 CONFERENCE DAY THREE & CONCLUSION |
| 8:00 - 9:30 AM | Diagnostic Error Disclosure: Patient, Provider, Legal, and Risk Management Perspectives |
8:00 - 8:20 | Patient Perspective, Linda K. Kenney, Medically Induced Trauma Support Services (MITSS), Chestnut Hill, MA |
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8:20 - 8:50 | Lawyer vs. Doctor: Perspective Wearing Both Hats, Allen Kachalia, MD, JD, Brigham and Women's Hospital, Boston, MA
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8:50 - 9:10 | Disclosure Protocols, Laura Zwaan, MSc, VU University Medical Center, Netherlands |
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| 10:00 AM - 12:00 PM | How Much Diagnostic Safety Can We Afford? |
10:00 - 10:20 | Session Introduction, Kathryn McDonald, MM, Stanford Health Policy, Stanford University, Stanford, CA
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10:20 - 10:40 | Diagnostic Errors and Malpractice Costs, Allen B. Kachalia, MD, JD, Brigham and Women's Physician Organization, Brigham and Women's Hospital, Boston, MA
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10:40 - 11:00 | Adult Pharyngitis: When to Use a Clinical Prediction Rule; When to Use a Diagnostic Test
Robert M Centor, MD, Huntsville Regional Campus, University of Alabama at Birmingham School of Medicine, Birmingham, AL
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11:00 - 11:20 | Applying Cost-Effectiveness Analysis: Strategies to Reduce Misdiagnosis Among Patients Who Present With Dizziness, David E. Newman-Toker, MD, PhD, DEM 2011 Chair, Johns Hopkins University School of Medicine, Baltimore, MD |
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11:20 - 11:40 | Ensuring That Perfect is Not the Enemy of the Good: Framing the Role of Costs in the Study
of Diagnostic Error, David Meltzer, MD, PhD, University of Chicago, Chicago, IL |
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11:40 - 12:00 | What Research will be Useful to Decision Makers Committing Resources to Improving
Diagnostic Accuracy? |
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| 1:00 - 3:00 PM | 21st Century Decision Support - How Can Computers Best Help Us Avoid Misdiagnosis? |
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1:05 - 1:50 | DSS: Examples of Almost-Ready-for-Primetime Solutions |
1:05 - 1:20 | Checklists to Prevent Diagnostic Errors, John W. Ely, MD, University of Iowa, Iowa City, IA |
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1:20 - 1:35 | Automated Interviewing
David E. Newman-Toker, MD, PhD, DEM 2011 Chair, Johns Hopkins University School of Medicine, Baltimore, MD |
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1:35 - 1:50 | Telemedicine by Smartphone, Beau Bruce, MD, MS, Emory University, Atlanta, GA |
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1:50 - 2:20 | Watson and DSS: Are We There Yet?, Martin S. Kohn, MD, MS, FACEP, CPE, FACPE, Chief Medical Scientist, Care Delivery Systems, IBM Research and Josko Silobrcic, MD, MPH, MS, Strategy, IBM Research |
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2:20 - 2:45 | Discussants (Multidisciplinary)
Cognitive Psychology, Valerie Reyna, PhD, Cornell University, Ithaca, NY
Informatics, Harold Lehmann, MD, PhD, Johns Hopkins University School of Medicine, |
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2:45 - 3:00 | Audience question and answer session with the speakers |
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| 3:00 - 3:30 PM | Conference Summary and Challenges to Attendees, Let's Get Serious About Solutions
Gordon D. Schiff, MD, DEM 2010 Co-Chair, Brigham and Women's Hospital, Boston, MA
Robert A. McNutt, MD, Rush University Medical Center, Chicago, IL |
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