Closing the Loop on Diagnostic Error: One Hospital’s Success 

An analysis of Constellation malpractice claims reveals that diagnostic errors are frequent, costly and preventable. Over half of the analyzed cases involved follow-up system failures, which shows that accurate and timely diagnosis depends nearly as much on the health care team and systems as it does on the diagnosticians themselves. Join us to learn how our collaboration with industry experts helped a critical access hospital improve diagnostic processes in their organization.

Objectives

This webinar will provide you with the knowledge to:

  1. Recognize that diagnostic errors are a frequent, costly and preventable cause of patient and senior living resident harm.
  2. Learn about how a hospital assessed their diagnostic processes and are working to close the loop around diagnostic testing in their emergency department and perioperative setting.
  3. Access resources and tools to improve diagnosis in clinics, hospitals and health systems.
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Presenters

Gerry Castro, PhD, MPH, PMP
Director of Quality Improvement, Society to Improve Diagnosis in Medicine

Dr. Gerry is Director of Quality Improvement for the Society to Improve Diagnosis in Medicine (SIDM). Prior to joining SIDM he was the Project Director for Patient Safety Initiatives in the Office of Patient Safety at the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission). His professional efforts are focused on improving patient safety through defining and applying evidence-based strategies in health care. Dr. Castro was the Principal Investigator for the Office of the National Coordinator for Health IT project “Investigations of Health IT-related Deaths, Serious Injuries or Unsafe Conditions.” He was a member of the AAMI Foundation Board of Directors, as well as the NQF Common Formats and HIT Patient Safety and Expert Panels.

Gavin Hyde, MSN, RN, CPHQ
Director of Quality, Caribou Medical Center

Gavin is the Director of Quality at a rural critical access hospital. He has over 6 years of clinical, IT, and management experience at Caribou Medical Center which has provided him the opportunity of seeing challenges through different lenses. Gavin enjoys being part of a team that supports creative and innovative strategies to address many rural barriers that may impact the overall health and wellbeing of the community.

Jan Mangun, MSA, MT(ASCP), CPHRM
QI Consultant, Society to Improve Diagnosis in Medicine

Jan has been working with the Society to Improve Diagnosis in Medicine (SIDM) since 2020.  Her 30+ years-experience includes serving as a quality, patient safety and risk management leader for a 250-bed community hospital and comprehensive health system in Virginia, the Virginia Hospital and Healthcare Association, and as founding director for Mary Baldwin University’s Murphy Deming College of Health Sciences MHA program. Jan has a maintained a passion for this work over the course of her career and enjoys the opportunity to work with and mentor others in their journey towards reducing harm and improving patient experience and outcomes.

Traci Poore, JD, CPHRM
Sr. Risk Consultant, Constellation

With her strong background in medical liability law, Traci is invaluable in helping customers in times of question or crisis, no matter how simple or complex the risk management situation may be. In her role as Senior Risk Consultant for Constellation, Traci provides risk mitigation support and education to physician practices in the Midwest region. Traci believes that alleviating areas of risk for customers gives them the ability to practice with confidence, knowing that Constellation has their back and will support them in their care of patients and residents.