Diagnostic Scope: Implications for AI, Clinicians, and Patients
Time:
11:00 AM – 12:00 PM ET
Diagnostic Scope: Implications for AI, Clinicians, and Patients
Diagnostic scope—the range of diagnoses considered, observed, and documented in a clinical setting—is a critical yet underexplored factor in the diagnostic process. It shapes diagnostic accuracy, clinician reasoning, and the effectiveness of AI-driven clinical decision support systems. This webinar will explore how diagnostic scope influences AI training, evaluation, and implementation, its role in clinical decision-making, and the importance of incorporating patient experiences to enhance the diagnostic process. Additionally, we will discuss strategies for integrating diagnostic scope into diagnostic safety initiatives and medical education, ultimately aiming to improve diagnostic accuracy and promote patient-centered care in an evolving healthcare landscape.
About the Presenters
About the Presenters
About the Presenters
Sigall Bell, MD, is an Associate Professor of Medicine at Harvard Medical School. She leads the OpenNotes Patient Safety Initiative, a multi-site study examining the relationship between OpenNotes and safety outcomes. With her collaborators, she developed a patient reporting tool linked to OpenNotes, among the first in the country to solicit patient feedback on notes to improve safety and quality. She also leads educational innovations, such as including patients and family voices in medical education through feedback on notes. Bell also serves as Director of Patient Safety and Quality Initiatives at the Institute for Professionalism and Ethical Practice (IPEP), Boston Children’s Hospital, where she is part of a team that has trained more than 900 inter-professional clinician-leaders in medical error disclosure nationally. She has participated in several Agency for Healthcare Research and Quality (AHRQ) liability reform grants focused on national Communication and Resolution Programs and involving patients in post-adverse event learning. As a recipient of the Arnold P. Gold Professorship, Sigall’s research probes the effects of organizational culture and the “hidden curriculum” – the customs that shape communication and moral decision-making in the clinical learning environment – on patient safety. With her collaborators, she has helped develop a “speaking up scale” to enhance safety culture metrics and a new educational paradigm for “Patients as Teachers” in inter-professional training sessions on medical error disclosure and prevention. Bell has received several teaching awards and is a member of Academy of Medical Education at Harvard Medical School.
Gary Weissman, MD, MSHP, is an Assistant Professor of Medicine and Informatics, pulmonary and critical care physician, and researcher at the University of Pennsylvania Perelman School of Medicine. His lab is focused on building and testing predictive clinical decision support systems in both inpatient and outpatient settings, and to studying policies that provide oversight and governance for such systems. His methodologic focus includes statistical learning methods, natural language processing, and social network analysis. He is committed to creating open-source predictive systems that are safe, effective, and equitable.
Laura Zwaan, PhD, is an Assistant Professor at the Institute of Medical Education Research Rotterdam (iMERR) of the Erasmus MC in Rotterdam, The Netherlands. Dr. Zwaan has a background in cognitive psychology and epidemiology and obtained a PhD degree from the VU University Medical Center in Amsterdam. Zwaan is fascinated by how clinicians make complex decisions under uncertainty. Her research focuses on the clinical reasoning process and the cognitive causes of diagnostic errors. Zwaan received several grants and awards for her research, including prestigious personal VENI grant from the Netherlands Scientific Organization. Zwaan initiated the European Diagnostic Error in Medicine conferences and was the main organizer and chair of the 1st European conference in Rotterdam in 2016 and the co-chair for the conference in Bern, Switzerland (2018). Zwaan is an active member of the Society to Improve Diagnosis in Medicine (SIDM) and has been on the scientific committee for the Diagnostic Error in Medicine conferences for 8 years (2011-2018) and she served as the chair of the SIDM research committee (2015-2017).
Continuing Education
In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.
This program is approved to provide 1 credit for physicians, nurses, and Certified Professional in Patient Safety (CPPS) recertification.
The Institute for Healthcare Improvement designates this US Physician Internet live course for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity may also be applicable for other professions that accept AMA PRA Category 1 Credits™.
A growing list of countries accept ACCME-accredited education.
As a result of this program, attendees will be able to:
- Define the role of the diagnostic scope in the diagnostic process.
- Apply the concept of diagnostic scope to the training, evaluation, and use of AI systems in clinical practice.
- Integrate consequences of diagnostic scope use and measurement into the clinical reasoning process.
- Establish a framework for integrating patient experiences into measurement and evaluation of the diagnostic scope.
Planning Committee
- Sigall Bell, MD, Associate Professor of Medicine, Harvard Medical School
- Gary Weissman, MD, MSHP, Assistant Professor of Medicine and Informatics, University of Pennsylvania Perelman School of Medicine
- Laura Zwaan, PhD, Assistant Professor, Institute of Medical Education Research Rotterdam
- Britney Pierre, RN, MAS, BSN, Senior Project Manager, IHI
- Patricia McGaffigan, RN, MS, CPPS, Senior Advisor, Patient and Workforce Safety, IHI
Disclosure: None of the planners, presenters, or staff for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.