Improving diagnosis in health care is considered the next imperative for patient safety.1,2 Rapidly evolving diagnostic tests and treatments and competing priorities and pressures encountered by clinicians to deliver high-quality, low-cost health care make this a major challenge. Clinicians frequently balance undertesting, possibly missing a diagnosis, with pursuing overzealous diagnostic testing, which could be harmful and costly. Rigorous multidisciplinary research and innovation from cognitive psychology, human factors, informatics, and social sciences are needed to stimulate previous efforts to reduce diagnostic errors. The Moore Foundation’s recently announced $85 million, 6-year initiative on improving diagnostic excellence could be particularly transformative because it “aims to reduce harm from erroneous or delayed diagnoses” but also “goes beyond avoiding errors and includes consideration of cost, timeliness and patient convenience.”3
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. Published online February 08, 2019321(8):737–738. doi:10.1001/jama.2019.0113
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: