Diagnostic Error in Medicine Annual Conference

描述（由申请人提供）：会议原理：本次申请的总体目标是利用AHRQ的大型会议支持机制来推进减少诊断错误的科学。诊断错误（定义为漏诊、延迟或错误诊断）是一个重要、常见且代价高昂的问题，但迄今为止在患者安全领域一直未得到重视。尽管最近对门诊护理环境中患者安全的日益关注已经揭示了诊断错误的影响，但识别和跟踪这些错误的困难已经减缓了预防这些错误的干预措施的步伐。理解和解决诊断错误的复杂根源需要一种多学科方法，协调临床医生、人为因素专家、信息学家和认知科学家的投入，以及重要利益相关者（如支付方、医学教育者、患者倡导者和认证/资格认证组织）的参与。以前的会议和影响：第一次医学诊断错误（DEM）会议在AHRQ的支持下于2008年举行。在AHRQ的持续支持下，DEM会议已发展成为年度会议，不仅作为开创性研究的论坛，而且作为汇集研究人员、从业人员、著名演讲者和专家的手段，专注于诊断推理和医疗错误交叉的问题。除了高影响力的出版物外，DEM会议参与者的工作还吸引了包括《华尔街日报》在内的主要媒体和美国医学协会等主要组织的注意。这些会议的另一个重要成果是成立了一个新的独立组织（提高医学诊断学会），致力于对诊断错误的研究、教育和认识。持续的支持对于促进多学科学术合作和在新兴的诊断错误领域吸引几个关键的国家利益攸关方至关重要。会议计划：我们对2013年DEM会议的计划将是一个为期2.5天的会议，会议之前将有半天的关于诊断错误当前主题的研讨会。各种会议形式将用于吸引参与者，包括大小组报告、小小组讨论、“热门话题”辩论、海报会议、口头科学摘要和分组讨论。2013年会议将围绕三个主要主题进行组织：诊断错误的测量，通过改进过程测量减少诊断错误，以及实现变革。演讲者将是来自不同学科的国际公认的领导者。会议设施和住宿将通过学术附属东道主协调。随后的会议将遵循相同的总体计划，并根据参与者的反馈进行修改。影响/成果：除了发表会议论文集和白皮书外，会议还将提供一个论坛，以确定该领域的研究重点，制定教育课程和促进跨学科合作，最终目标是制定减少诊断错误的策略。

DESCRIPTION (provided by applicant): Conference Rationale: The overall goal of this application is to leverage AHRQ's large conference support mechanism to advance the science of diagnostic error reduction. Diagnostic errors (defined as missed, delayed, or wrong diagnosis) are an important, common, and costly problem but have been underemphasized in the patient safety field to date. Although recent increased attention to patient safety in ambulatory care settings has shed light on the impact of diagnostic errors, the difficulty of identifying and trackng these errors has slowed the pace of interventions to prevent them. Understanding and addressing the complex origins of diagnostic errors requires a multidisciplinary approach that coordinates the input of clinicians, human factors experts, informaticians, and cognitive scientists, as well as participation of important stakeholders such as payers, medical educators, patient advocates, and accrediting/credentialing organizations. Previous Conferences and Impact: The first Diagnostic Error in Medicine (DEM) conference was held in 2008 with the support of AHRQ. With continued support from AHRQ, the DEM conferences have evolved into annual meetings that serve not only as forums for groundbreaking research but also as means of bringing together researchers, practitioners, and noted speakers and experts to focus on issues that lie at the intersection of diagnostic reasoning and medical error. In addition to high-impact publications, work presented by DEM conference participants has attracted the attention of major media outlets including the Wall Street Journal and key organizations such as the AMA. Another significant outcome of these meetings has been the formation of a new, independent organization (Society to Improve Diagnosis in Medicine) dedicated to research, education, and awareness about diagnostic error. Continued support is crucial to stimulate scholarly multidisciplinary collaboration and to engage several key national stakeholders in the emerging field of diagnostic error. Conference Plan: Our plan for the DEM conference in 2013 will be a 2.5-day meeting preceded by half-day workshops on current topics in diagnostic error. A variety of session formats will be used to engage participants, including large-group presentations, small-group discussions, "hot topics" debates, a poster session, oral scientific abstracts, and breakout groups. The 2013 conference will be organized around three major themes: measurement of diagnostic error, reducing diagnostic error through improved process measurement, and achieving change. Speakers will be internationally recognized leaders from diverse disciplines. Meeting facilities and accommodations will be coordinated through an academic affiliate host. Subsequent meetings will follow the same general plan, with modifications based on participant feedback. Impact/ Deliverables: In addition to published conference proceedings and white papers, the conferences will provide a forum to establish research priorities in the field, develop educational curricula and foster interdisciplinary collaboration, with the ultimate goal of developing strategies to reduce diagnostic errors.