A Multiyear Grant to Support the Diagnostic Error in Medicine (DEM) Annual Confer

描述(申请人提供)：诊断错误占所有医疗错误的很大一部分，并对重大伤害和可避免的医疗成本负责，但在有关患者安全的讨论中，它们没有得到其他类型错误的关注。医学诊断错误(DEM)会议的主要目标是通过减少诊断错误的可能性来提高患者的安全性。DEM会议的主要目标与医疗研究与质量机构(AHRQ)的目标一致，包括AHRQ的重点领域，即患者安全、医疗差错、非卧床护理以及利用信息学提高医疗质量。前两次DEM会议分别于2008年和2009年举行，通过为期一年的会议赠款获得了AHRQ的支持。在目前的申请中，DEM会议规划委员会请求AHRQ提供资金，通过为期3年的奖励继续支持2010、2011和2012年的会议。2009年，DEM会议与医疗决策学会(SMDM)的年会同时举行，我们计划继续将两次会议联系起来，以利用两次会议的与会者共享的共同利益，以及这种合作所产生的协同效应。这两个群体都渴望提高医疗质量，并理解优化医疗决策作为实现这一目标的基础的重要性。这种独特的伙伴关系促进了DEM社区的几个主要目标，包括为临床推理建立共识课程的目标，促进最佳决策策略的目标，以及尽可能纳入最佳证据的目标。该协会还通过吸引对医疗差错有主要兴趣的临床医生和教育工作者，为SMDM提供了好处。这一伙伴关系还提供了一个重要的认可，有助于扩大DEM会议的知名度，并提高人们对这些会议的兴趣和参与。SMDM为DEM会议规划委员会提供了后勤支持，协调的会议时间表通过联合注册、分担共同费用以及关键教师在两次会议上的演讲，实现了一些规模经济。拟议供资期间的会议日期和地点已经确定，接下来的3次会议定于2010年10月在多伦多、2011年10月在伊利诺伊州芝加哥和2012年10月在亚利桑那州凤凰城举行。2010年，DEM会议的主题将是“将证据转化为行动”，并将重点介绍与诊断错误研究(诊断技术评估、诊断错误的当前研究、知识转化和资助、研究优先事项)和诊断错误教育(对临床推理的新见解、循证医学在诊断中的作用，以及制定诊断错误教育课程)有关的内容。科学摘要会议将致力于展示正在进行的研究项目的结果。演讲者将是国际公认的DEM新领域的领导者，包括来自不同学科的研究人员和临床医生。AHRQ的持续支持将使DEM会议能够在前两次会议的成功基础上再接再厉，在国家和国际舞台上确立自己作为主要会议和活动中心的地位，专注于减少诊断错误。鉴于DEM会议代表了诊断错误的学术和实践方面，但不是一个专业协会，目前的应用旨在帮助会议在未来3年“获得牵引力”并实现几个重要目标：(1)加强与SMDM的持续伙伴关系，这一伙伴关系为DEM会议委员会的会议筹备工作提供组织基础设施和连续性；(2)将DEM会议从18个月的会议周期转变为12个月的周期，这将反过来帮助会议获得知名度并提高公众对DEM的认识；以及(3)扩大会议项目，将正式的短期课程和有组织的兴趣小组包括在内。 公共卫生相关性：这是一项大型会议拨款申请，以支持一次致力于医学诊断错误主题的全国学术会议。我们预计将有150多位该领域的顶尖专家出席，讨论目前对这一问题的理解，以及未来可以采取哪些步骤将错误降至最低。

DESCRIPTION (provided by applicant): Diagnostic errors account for a significant portion of all medical errors and are responsible for substantial harm and avoidable healthcare costs, yet they have not received the attention that other types of errors have received in discussions on patient safety. The primary goal of the diagnostic error in medicine (DEM) conferences is to improve patient safety by reducing the likelihood of diagnostic errors. The major objectives of the DEM conferences are consistent with the objectives of the Agency for Healthcare Research and Quality (AHRQ), including the AHRQ's focus areas of patient safety, medical error, ambulatory care, and the use of informatics to improve the quality of medical care. The first 2 DEM conferences, which were held in 2008 and 2009, received support from the AHRQ through 1-year conference grant awards. In the current application, the DEM conference planning committee requests funding from the AHRQ to continue support through a 3-year award to cover conferences in 2010, 2011, and 2012. In 2009, the DEM conference occurred in conjunction with the annual meeting of the Society for Medical Decision Making (SMDM) and we plan to continue to link the two meetings to take advantage of the common interests that attendees of both meetings share, and the synergies that this collaboration fosters. Both groups share the desire to improve healthcare quality and understand the importance of optimizing medical decision making as the foundation for achieving this goal. This unique partnership facilitates several of the major goals of the DEM community, including the goal of building a consensus curriculum for clinical reasoning, promoting optimal decision-making strategies, and incorporating best-evidence whenever possible. The association also provides benefits to SMDM, by attracting clinicians and educators with a primary interest in medical error. The partnership also provides an important endorsement that helps broaden the visibility of DEM conferences and increase interest and participation in them. The SMDM provides the DEM conference planning committee with access to logistical support, and the coordinated meeting schedule allows for some economies of scale through joint registrations, sharing of common expenses, and presentations by key faculty at both meetings. The dates and sites of meetings during the proposed funding period have been confirmed, with the next 3 meetings scheduled to take place in Toronto, ON (October 2010); Chicago, IL (October 2011); and Phoenix, AZ (October 2012). In 2010, the theme for the DEM conference will be "Translating Evidence into Action" and will heavily feature content related to both diagnostic error research (assessment of diagnostic technology, current research in diagnostic error, knowledge translation and funding, research priorities) and diagnostic error education (new insights into clinical reasoning, the role of evidence-based medicine in diagnosis, and developing educational curricula for diagnostic error). Scientific abstract sessions will be devoted to presenting the results of ongoing research projects. Speakers will be internationally recognized leaders in the new field of DEM, including researchers and clinicians from diverse disciplines. Ongoing support from the AHRQ would enable the DEM conference to build on the success of its first 2 meetings by establishing itself in national and international arenas as the premier conference and center of activity focused on reducing diagnostic error. Given that the DEM conference represents both academic and practical aspects of diagnostic error but is not a professional society, the current application is designed to help the conference "gain traction" over the next 3 years and achieve several important goals: (1) to strengthen the ongoing partnership with SMDM, a partnership that provides the DEM conference committee with an organizational infrastructure and continuity in its conference preparations; (2) to transition the DEM conference from an 18-month conference cycle to a 12-month cycle, which will in turn help the conference gain visibility and raise public awareness of DEM; and (3) to expand the conference program offerings to include formal short courses and organized interest groups. PUBLIC HEALTH RELEVANCE: This is a large conference grant request in support of a national academic conference dedicated to the topic of diagnostic error in Medicine. We expect 150+ of the leading experts in this field to attend to discuss current understandings of this problem and what steps can be taken to minimize errors in the future.