Session: DEM POSTER SESSION

1

IMPROVING DIAGNOSIS: STARTING A LOCAL STRATEGY
Lorenzo Alonso, Facultad DE Medicina DE MÁlaga (MEDICAL SCHOOL), Malaga, Spain, Jose Luis Escolar, Facultad DE Medicina Malaga(MEDICAL SCHOOL), Malaga, Spain, Pedro Valdivielso, Facultad DE Medicina Malaga (MEDICAL SCHOOL), Malaga, Spain and Miguel Angel Sanchez Chaparro, Facultad DE Medicina Malaga (MEDICAL SCHOOL), MÁlaga, Spain

2

A QUALITATIVE REVIEW OF DIFFERENTIAL DIAGNOSIS GENERATORS
William F. Bond¹, Linda M. Schwartz¹, Kevin R. Weaver¹, Donald Levick¹, Michael Giuliano² and Mark L. Graber³, (1)Lehigh Valley Health Network, Allentown, PA, (2)Hackensack University Medical Center, Hackensack, NJ, (3)VA Medical Center, Northport, NY

3

MISSED TEST RESULTS: THE ROLE OF INFORMATION TECHNOLOGY
Joanne Callen¹, Johanna Westbrook² and Andrew Georgiou², (1)The University Of New South Wales, Kensington , Australia, (2)The University of Sydney, Sydney, Australia

4

CAN ELECTRONIC HEALTH RECORDS IMPROVE THE RELIABILITY OF TEST RESULT FOLLOW-UP? AN EVALUATION OF ON-LINE RESULT ENDORSEMENT
Joanne Callen¹, Andrew Georgiou² and Johanna Westbrook², (1)The University Of New South Wales, Kensington, Australia, (2)The University of Sydney, Sydney, Australia

5

GAINING INSIGHT INTO DIAGNOSTIC ERROR: OBSERVING HOW PHYSICIANS DETECT AND CORRECT MISDIAGNOSIS IN REAL TIME
Marlys K. Christianson, University of Toronto, Toronto, ON, Canada and Jenny W. Rudolph, Harvard Medical School and Massachusetts General Hospital, Cambridge, MA

6

DIAGNOSTIC ERROR IN THE PEDIATRIC INTENSIVE CARE UNIT: A SYSTEMATIC REVIEW OF AUTOPSY STUDIES
Jason W. Custer, MD¹, Bradford Winters, MD, PhD², Victoria Goode, B.A.², Karen Robinson, B.S.², Peter J. Pronovost² and David E. Newman-Toker, MD, PhD², (1)University of Maryland School of Medicine, Baltimore, MD, (2)Johns Hopkins University School of Medicine, Baltimore, MD

7

THE MOST COMMONLY MISSED DIAGNOSES IN PRIMARY CARE
John W. Ely, Lauris C. Kaldjian and Donna M. D'Alessandro, University of Iowa, Iowa City, IA

8

A CASE OF IATROGENIC HYPERTHYROIDISM
Gaurav Gulati¹, Antony Kaliyadan¹, Shuchi Gulati¹, Mary P. Kaliyadan² and Richard Alweis, MD, FACP¹, (1)The Reading Hospital and Medical Center, West Reading, PA, (2)Drexel University College of Medicine, Philadelphia, PA

9

CHANGES IN STRUCTURE OF DIAGNOSIS KNOWLEDGE DUE TO A CHEST PAIN DIAGNOSIS TUTORIAL
Robert M. Hamm, PhD¹, Matthew J. Schuelke², Chee Yoon S. Bauer¹, Michelle Ward¹ and Frank J. Papa, DO, PhD³, (1)University of Oklahoma Health Sciences Center, Oklahoma City, OK, (2)University of Oklahoma, Norman, OK, (3)Texas College of Osteopathic Medicine, Fort Worth, TX

10

HIV – ESTABLISHMENT AND PERPETUATION OF AN INCORRECT DIAGNOSIS
Antony Kaliyadan¹, Gaurav Gulati, MD¹, Mary P. Kaliyadan², Shuchi Gulati¹ and Richard Alweis¹, (1)The Reading Hospital and Medical Center, West Reading, PA, (2)Drexel Univeristy College of Medicine, Philadelphia, PA

11

THE IMPACT ON USERS OF A WEB BASED DIAGNOSIS DECISION SUPPORT SYSTEM
Napoleon B. Knight, Carle Foundation Hospital, Urbana, IL

12

PENNSYLVANIA DIAGNOSTIC ERROR IN ACUTE CARE
Cynthia A. Lacker, RN, MS, LNCC, CPHRM, Pennsylvania Patient Safety Authority, Plymouth Meeting, PA

13

PROPORTION OF DIAGNOSIS ERRORS PREVENTABLE BY DIAGNOSIS SUGGESTION SYSTEMS
Brandon L. Morris¹, Dimitriy Levin¹, Greg Misky¹ and Michael Victoroff², (1)University of Colorado School of Medicine, Aurora, CO, (2)Colorado Physicians Insurance Company (COPIC), Denver, CO

14

NYSTAGMUS ASSESSMENTS DOCUMENTED BY EMERGENCY PHYSICIANS IN ACUTE DIZZINESS PRESENTATIONS: A TARGET FOR DECISION SUPPORT?
Kevin Kerber¹, Lewis Morgenstern¹, William Meurer², Jane Forman³, A. Mark Fendrick, MD⁴ and David E. Newman-Toker, MD, PhD⁵, (1)University of Michigan, Ann Arbor, MI, (2)Univerisity of Michigan, Ann Arbor, MI, (3)VA Ann Arbor, Ann Arbor, MI, (4)University of Michigan, Ann Arbor, MI, USA, Ann Arbor, MI, (5)Johns Hopkins University, Baltimore, MD

16

DELAYED DIAGNOSIS OF APPENDICITIS IN AN AML PATIENT
Robyn I. Schultz, Stephanie Grayson and Satid Thammasitboon, West Virginia University Children's Hospital, Morgantown, WV

17

A WEB-BASED “DIAGNOSTICIAN 101” LEARNING MODULE: TEACHING COGNITIVE STRATEGIES TO REDUCE DIAGNOSTIC ERRORS
Satid Thammasitboon¹, Stephanie Grayson¹ and Geeta Singhal², (1)West Virginia University, Morgantown, WV, (2)Baylor College of Medicine, Houston, TX

18

THE EFFECT OF RADIOLOGY TRAINING ROUTE AND WORKSTATION LAYOUT ON MAMMOGRAPHY DECISIONS
Sian Taylor-Phillips, PhD, The University of Warwick, Coventry, United Kingdom, Matthew G. Wallis, MB, ChB, FRCR, Addenbrookes Hospital, Cambridge, United Kingdom, Alastair G. Gale, PhD, Loughborough University, Loughborough, United Kingdom and Alison Duncan, MBChB, MRCP, FRCR, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom

19

A SIX-ITEM MNEMONIC TO REDUCE COGNITIVE ERRORS DURING MEDICAL DIAGNOSIS
Patrick A. Williams, University of Mississippi Medical Center, Jackson, MS

20

THE ROLE OF EXPERT CLINICAL REASONING IN PREVENTING DIAGNOSTIC ERROR IN REHABILITATION MEDICINE: A CASE REPORT
Euson Yeung, Heather Carnahan and Adam Dubrowski, University of Toronto, Toronto, ON, Canada

21

DO DIAGNOSTIC REASONING FAULTS ALWAYS RESULT IN DIAGNOSTIC ERRORS OR PATIENT HARM?
Laura Zwaan, MSc¹, Abel Thijs, MD, PhD², Cordula Wagner, PhD³, Gerrit van der Wal, MD, PhD⁴ and Danielle R.M. Timmermans, PhD¹, (1)EMGO Institute/ VU University Medical Center, Amsterdam, Netherlands, (2)Department of Internal Medicine, VU university medical center, Amsterdam, Netherlands, (3)NIVEL and EMGO Institute for Health and Care Research, Utrecht, Netherlands, (4)EMGO Institute for Health and Care Research, Amsterdam, Netherlands

22

HOW ARE EVIDENCE-BASED DECISIONS RULES APPLIED TO PATIENTS WITH A SUSPICION ON PULMONARY EMBOLISM?
Laura Zwaan, MSc¹, Abel Thijs, MD, PhD², Cordula Wagner, PhD³ and Danielle R.M. Timmermans, PhD¹, (1)EMGO Institute/ VU University Medical Center, Amsterdam, Netherlands, (2)Department of Internal Medicine, VU university medical center, Amsterdam, Netherlands, (3)NIVEL and EMGO Institute for Health and Care Research, Utrecht, Netherlands

23

POSTNATAL UMBILICAL CORD BLOOD TESTING: PROLIFERATION OF CONFOUNDING NON-VALUE ADDED LABORATORY TESTING
George S. Cembrowski¹, Erin M. Lim¹, George Blakney² and Mireille Kattar¹, (1)University of Alberta Hospital, Edmonton, AB, Canada, (2)Royal Alexandra Hospital, Edmonton, AB, Canada

24

SUSPICION REQUIRED
Editta Maria Falco, Cespa, Montevideo, Uruguay

25

INCOMPLETE PHYSICAL EXAMINATION
Editta Maria Falco, Cespa, Montevideo, Uruguay

26

AN INNOVATIVE APPROACH TO ADDRESSING DIAGNOSTIC ERRORS AND SHARED DECISION MAKING
Diane Zuckerman, RPh, Evidence Based Solutions, Inc, New York, NY, Leonard Fromer, MD, UCLA, Los Angeles, CA and Andy McCrea, PhD, Evidence-Based Solutions, Inc, New York, NY

27

EXPERT INITIAL INTERPRETATION OF ADVANCED IMAGING SCANS SIGNIFICANTLY REDUCES DOWNSTREAM MEDICAL COSTS
C. Alan Henry, Med Solutions, Franklin, TN

28

HOSPITAL LIBRARIES INFLUENCE PATIENT CARE: SURVEY RESULTS FROM 4 HOSPITALS
Deborah Ward, MA, MSLS, MaryEllen Sievert, PhD, Dirk Burhans, PhD and Barbara Jones, MLS, University of Missouri, Columbia, MO

29

DETECT AND CORRECT THE LIES THAT DATA IN MEDICAL STUDIES TELL: WHICH TYPE OF META-ANALYSIS?
Esther Kaufmann, PhD, University of Teacher Education Central Switzerland, Zug, Zug, Switzerland, Ulf-Dietrich Reips, University of Deusto and IKERBASQUE, Foundation for Science, Spain, Bilbao, Spain and Werner W. Wittmann, Area 1: Evaluation, Assessment & Research Methodology University of Mannheim, Mannheim, Germany

30

THE PSYCHOMETRIC BEAUTY OF EXPERT MODELS: A PSYCHOMETRIC EVALUATION OF LINEAR VS. NON-LINEAR MEDICAL EXPERT MODELS IN LENS-MODEL TASKS
Esther Kaufmann, PhD, University of Teacher Education Central Switzerland, Zug, Zug, Switzerland

31

SPECIALIZATION INDUCED TUNNEL VISION – A CAUSE OF LIFE THREATENING DIAGNOSTIC DELAY
Mihas M. Kodenchery and Howard Rosman, St.John Hospital & Medical Center, Detroit, MI

32

CONTEXTUALIZING THE USE OF HEURISTICS AND BIASES: FAILING TO 'SLOW DOWN WHEN YOU SHOULD' IN SURGICAL PRACTICE
Annie S.O. Leung and Carol-anne Moulton, University Health Network, Toronto, ON, Canada

33

PSYCHOLOGICAL REACTIONS OF SURGEONS TO ERROR
Shelly Luu¹, Steven Gallinger² and Carol-anne Moulton¹, (1)University Health Network, Toronto, ON, Canada, (2)University of Toronto, Toronto, ON, Canada

34

THE IMPACT OF A WEB BASED DIAGNOSIS CHECKLIST SYSTEM ON SPECIALIST REFERRALS FROM PRIMARY CARE: RESULTS OF A SURVEY OF GENERAL PRACTITIONERS
Jason Maude, Isabel Healthcare, Haslemere, United Kingdom, Padmanabhan Ramnarayan, Great Ormond Street Hospital, London, United Kingdom and Amanda Tomlinson, Isabel Healthcare, London, United Kingdom

35

DIAGNOSTIC ERRORS OF METHODOLOGIC NATURE
Jorge Otero Sr. and Ana María Suárez, Facultad Carlos J. Finlay, Ciudad Habana, Cuba

36

LABORATORY ERRORS AND PATIENT SAFETY: THE IFCC WORKING GROUP PROJECT
Mario Plebani, UNIVERSITY-HOSPITAL of Padova and Castelfranco Veneto REGIONAL HOSPITAL, Padova, Italy and Laura Sciacovelli, Castelfranco Veneto General Hospital, ULSS n°8, Castelfranco Veneto (TV), Italy

37

DELAYED DIAGNOSIS OF INTESTINAL MALROTATION IN A NEWBORN INFANT
Mary Valina¹, Pavis Laengvejkal² and Satid Thammasitboon¹, (1)West Virginia University, Morgantown, WV, (2)Prince of Songkla University, Songkhla, Thailand

38

MULTIPLE EXPOSURES TO HEPATITIS B IN A HEMODIALYSIS UNIT
Shuchi Gulati, MD, Gaurav Gulati, MD and Richard Alweis, MD, FACP, The Reading Hospital and Medical Center, West Reading, PA

40

MISSED DIAGNOSES OF ACUTE MYOCARDIAL INFARCTION IN THE EMERGENCY DEPARTMENT: AN EXPLORATION USING HCUP DATA
Cheryl A. Kassed, PhD, MSPH¹, Ernest Moy, MD, MPH², Marguerite L. Barrett, MS³, Rosanna M. Coffey, PhD¹ and Anika L. Hines, PhD, MPH¹, (1)Thomson Reuters, Washington, DC, (2)Agency for Healthcare Research and Quality, Rockville, MD, (3)M.L Barrett, Inc., Del Mar, CA