SHM Converge Scientific Abstract ePoster Gallery-Building a Hospital Medicine Diagnostic Excellence Program

Pdf Summary

The document describes the development of a Hospital Medicine Diagnostic Excellence Program at UCSF as part of the ADEPT national research collaborative. The program was created to measure and improve diagnostic excellence at the system level by evaluating both diagnostic error (“Safety I”) and diagnostic resilience (“Safety II”).<br /><br />The program reviews hospitalized hospital medicine patients who experienced trigger events such as inpatient death, ICU transfer, or Rapid Response Team calls. To support protected chart review, the team created a subcommittee within the health system’s Patient Safety Committee. Over three years, the program completed 460 case reviews.<br /><br />Key lessons learned included the value of a large review team to accommodate hospitalists’ limited availability, and the importance of adding a dedicated Program Manager to distribute cases and track completion. Reviewers preferred smaller, more frequent assignments, and early scheduling of adjudication meetings helped build consensus more effectively.<br /><br />The authors conclude that hospitalists are well positioned to lead inpatient diagnostic safety efforts, but successful programs require institutional support, expertise, and resources. Future directions include developing physician feedback systems for hospitalists and trainees, and exploring artificial intelligence tools to identify trigger events earlier and reduce workload.<br /><br />Overall, the document emphasizes that embedding diagnostic excellence work within existing patient safety infrastructure and using a rapid, structured review process are essential foundations for building such programs.

Asset Subtitle

Peter Barish

Meta Tag

Author List Andrew D. Auerbach, Armond Esmaili, Charumathi Raghu Subramanian, Cynthia Fenton, Jeffrey J. Glasheen, Jeffrey L. Schnipper, Katie E. Raffel, Kristen Kipps, Madison Sui, Molly A. Kantor, Monisha Bhatia, Peter Barish, Tiffany M. Lee

Category Innovations

Concept Diagnostic Error

Concept Diagnostic Excellence Program

Concept Diagnostic Review Process

Concept Hospitalized Patient

Concept Inpatient Mortality

Distinguished Non-Finalist

Presenter Organization University of California, San Francisco

Presenting Author Peter Barish

Track Patient Safety

Keywords

Hospital Medicine

Diagnostic Excellence

Diagnostic Error

Safety I

Safety II

Patient Safety

Chart Review

Hospitalists

Trigger Events

Artificial Intelligence

Diagnostic Error

Diagnostic Excellence Program

Diagnostic Review Process

Hospitalized Patient

Inpatient Mortality