Emergency Medicine
Hospital Medicine
Quality Improvement/Patient Safety
Andrea Cruz, MD, MPH (she/her/hers)
Professor of Pediatrics
Pediatrics
Baylor College of Medicine
Houston, Texas, United States
Angela Ellison, MD, MSc (she/her/hers)
Associate Professor of Pediatrics; Vice Chair, Department of Pediatrics
Childrens Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
Session
Description: Diagnostic Errors in Pediatric Emergency Departments – A Global Hidden Epidemic in Pediatric Patient SafetyDiagnostic errors possibly involve 1 in every 10 diagnoses and ~ 50% result in harm. Diagnostic errors are the leading cause of malpractice claims and costly (~$100 billion). Pediatric emergency departments are particularly vulnerable as clinicians are expected to make an accurate diagnosis, a cognitively complex activity, under substantial time constraints and uncertainty, and often with inadequate information about illnesses of varying severity, many of which have incompletely evolved. Current research suggests that diagnosis occurs in the socio-technical context of emergency department and arriving at an accurate and timely diagnosis requires a better understanding of the interaction between the patient-, provider team- (physicians and nurses), and health system- related factors. In this 90-minute session, we will have Prashant Mahajan MD MPH MBA, a pediatric emergency physician and diagnostic safety researcher describe the issues involved in diagnostic safety in the emergency department, Colonel Steven Coffee, Co-Founder Patients for Patient Safety will describe the patient perspective, Milisa Manojlovich PhD RN, will describe the nursing aspects and breakdowns in communication in emergency department, and finally Kathy Shaw MD MSCE, pediatric emergency physician will describe the systems related factors and methods to measure the frequency of diagnostic errors in pediatric emergency care. all 4 speakers will participate in a panel discussion with the audience. The audience can submit questions during the talks, and these will be compiled thematically by the SIG co-chairs to allow for a more robust conversation during the panel discussion.
SIG Speaker: Prashant Mahajan, MD, MPH, MBA (he/him/his) – University of Michigan Medical School
SIG Speaker: Steven L. Coffee, MA, EMCQSL (he/him/his) – United States Air Force
SIG Speaker: Milisa Manojlovich, PhD – University of Michigan
SIG Speaker: Kathy Shaw, MD, MSCE (she/her/hers) – Perelman School of Medicine at the University of Pennsylvania