We will be presenting our preliminary findings on the current state of diagnostic safety. As we present the findings, we will pause to ask about your thoughts on any major themes or gaps in knowledge.
[Introduce team members]
We are reviewing the state of the science of diagnostic safety to identify gaps and outline next steps for research, policy, and practice.
After scanning numerous leading sources in diagnostic safety, including the Institute of Medicine reports, AHRQ PSNet, Society to Improve Diagnosis in Medicine, NAM Scholars in Diagnostic Excellence, etc., we identified themes that encompass the current state of diagnostic safety.
With these themes in mind, we conducted a rapid narrative review. Our search duration was from 2013 to 2023. Our review included published literature, grey literature, projects, and, lastly, tools, resources, and guides on diagnostic safety.
The initial rapid narrative review led us to 10 domains of diagnostic safety [read through list]. We then identified subdomains. We will review these domains, subdomains, and provide an example of a gap within each of the domains in the following slides. A note of caution is that the gap is for the entire domain and not linked to a particular subdomain. Also wanted to note, the 10 domains may not be inclusive, and some domains are overlapping.
Based on the previously sent figure of the domains, feel free to let us know if any of the listed domains is out of your field of expertise. We would appreciate your comments on the domains you are comfortable and familiar with. [Pause for feedback]
The interviewee will list the domain on the slide and ask the following questions after each domain.
[Pause for feedback] Does this domain adequately represent the field? Do the subdomains encompass the domain? Are there additional subdomains needed?
Then the interviewer will list out some gaps.
[Pause for feedback] Do these gaps make sense? Are there additional gaps in this domain that should be included? Do you have any suggestions or recommendations on how to address these gaps? What are some of the imminent next steps in moving forward in this domain?
We know that we are covering a wide range of topics and ideas here, and so next we want to share a framework we’re working on to try to visualize how all these domains are connected to one another and how they relate to the diagnostic process. As you can see, our framework is based on the NAM model. We’d love to hear your thoughts on this framework. Do you think anything is missing? Do you think anything should be moved?
[Pause for feedback]
To wrap up, we want to know your overall thoughts about our methodological approach to address the state of diagnostic safety. Do you think it is comprehensive? Any last-minute refinement that you would suggest?
Lastly, can you share what are your perspectives on how we can promote broad-scale improvements in diagnostic safety and at the same time making sure not to duplicate any activity already taking place?
