Diagnostic Error Chat

Transcript: http://bit.ly/1JK3L6W

Diagnostic Error (#DXError) Chat
Thursday, January 28, 2016
9:00 pm Eastern/6 :00 pm Pacific
Led by Lorri Zipperer (@lzipperer), Barbara Jones & Elaine Allgood

Diagnostic Error (DXerror)--a major factor in patient harm-- hasn’t received the attention it deserves as a challenge to safe healthcare until recently.  This #medlibs Twitter chat will focus discussion on how medical librarians and informationists as members of multidisciplinary teams can contribute to the reduction of diagnostic error. It hopes to surface evidence-based processes, knowledge sharing strategies and front line success stories to enhance the need for collaboration between clinicians and their librarians/ informationists to reduce organizational factors that minimize the reliable use of information, evidence and knowledge (#kmhcare) and challenge diagnostic safety.

Introductory resources:

• PSNet #Dxerror primer:
• https://psnet.ahrq.gov/primers/primer/12/diagnostic-errors
• IOM DXerror report: Institute of Medicine. Improving Diagnosis in Health Care// Brief http://iom.nationalacademies.org/~/media/Files/Report%20Files/2015/Improving-Diagnosis/DiagnosticError_ReportBrief.pdf.
• Free full text: #improvingdiagnosis // #dxerror http://www.nap.edu/read/21794/chapter/1
• Brief newsletter article: http://c.ymcdn.com/sites/www.improvediagnosis.org/resource/resmgr/Files/ImproveDx_Nov2015.pdf
• Free Dec 2015 Webcast with leaders in the #Dxerror field: http://www.ihi.org/resources/Pages/AudioandVideo/WIHIImprovingDiagnosisErrors.aspx

A few readings on librarians, #DXerror and getting activated for #ptsafety:

• http://nnlm.gov/mcr/p2pp/2015/04/whooo-says-15/#more-8243
• https://www.researchgate.net/publication/261759762_Diagnostic_errors_Teamwork_to_solve_tough_diagnostic_puzzles_includes_librarians

Chat questions:

·         Why are you professionally interested in DXerror?

·         The existing role for librarians in diagnosis is to provide excellent research to support decision making (both patient and Clinician) and address bias. How can librarians best articulate this role to their leadership and organizations to improve the reliability of diagnostic processes and communication? What type of primary research does our profession need to resource and undertake to raise awareness of the role of librarians in Dxerror improvement?

·         Of the 8 recommendations in the 2015 IOM report on DXerror (see SIDM newsletter above for a brief discussion) which do you think our profession can impact the most? What door should this open to librarians to reframe their role in this work? What can be done tomorrow to make a difference?

·         Would it be of value to librarians to develop a checklist for frontline clinicians to support their effective searching – given they are quite likely to do their own in a number of circumstances. This could serve as a knowledge transfer tool from our profession to theirs. What other cognitive aids or tools could be developed?

About #medlibs

Join us on Twitter using the #medlibs hashtag Thursday evening to share your stories and engage with colleagues. Never been to a Twitter chat before? Check out this overview and come on in - all are welcome including first timers, lurkers, students and others interested in the topic and the field.