QI: Understanding Error and Improvement in Diagnosis | Domain: Radiologist Performance Improvement (2024)-MSQI3217-2024

Video Transcription

Video Summary

The RSNA's Quality Improvement Symposium emphasizes the need for understanding and improving diagnostic processes, drawing from the influential 2015 Institute of Medicine report. Speakers at the symposium outline the challenges faced in diagnostics, including cognitive and system errors. Ella Casarone highlights the importance of engaging both radiologists and pathologists in this endeavor since both fields encounter similar diagnostic pathway issues.<br /><br />Dr. Timothy Mosher discusses the historical context of medical errors, using the landmark "To Err is Human" report, which highlighted alarming rates of medical errors, including diagnostic errors. Mosher examines failure points within the diagnostic process, noting that cognitive errors are particularly challenging due to their idiosyncratic and contextual nature.<br /><br />Dr. Danny Kim addresses non-cognitive barriers to improving diagnostic performance, such as technology, medical liability, reimbursement models, and organizational culture. He highlights the drawbacks of fee-for-service models, which do not incentivize high-quality care, and the repercussions of medical liability, which often inhibit transparency and learning from errors.<br /><br />Dr. Jeffrey Myers from the University of Michigan concludes by advocating for a patient and family-centered approach to diagnostics. He underscores the importance of incorporating patient advisors in healthcare processes to create mutually beneficial partnerships and foster a culture that values patient involvement in their care.<br /><br />Collectively, the symposium emphasizes a holistic approach to improving diagnostics through addressing errors, leveraging technology, and embracing patient-centered care models to enhance safety and quality in healthcare.

Keywords

Quality Improvement Symposium

diagnostic processes

Institute of Medicine report

cognitive errors

system errors

radiologists

pathologists

medical errors

To Err is Human

non-cognitive barriers

patient-centered care

diagnostic performance