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Research necessary to achieve declared five year goal: Generate solutions to provide meaningful, timely feedback & effective strategies to improve Dx Quality

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Mind Map branch: Research necessary to achieve declared five year goal: Generate solutions to provide meaningful, timely feedback & effective strategies to improve Dx Quality Research necessary to achieve declared five year goal: Generate solutions to provide meaningful, timely feedback & effective strategies to improve Dx Quality Error Generation Human Factors What are the pathyways to expertise? Cognitive Issues Relevance of Type 1/Type 2 thinking How to improve metacognition? Overconfidence How does this arise? Degree of impact on dx accuracy Communication breadowns How to address this? What is the role? Epidemiology of dx error What is prevalence? What is cost burden? What environmental factors contribute? Error Reduction Understand contributing factors What is the role of distraction? How can systems errors be reduced? What changes in the practice environment would help? Is there a role for EMR/EHR vendors in error reduction? How can decision tools be utilized? What tools would be most effective to add? How is the uptake of decision tools optimized? What is a reasonable goal to set for the degree of "acceptable error"? Effective Educational Strategies What strategies work best for clinician behavior change? How best to integrate dx error education into medical school/residency curriculums? How best to improve clinician self-awareness, self-assessment & metacognition? Research Methodologies Taxonomy for dx error What is an error? What is the definition of dx delay? Discovery of dx error Autopsy studies Other considerations? Research tools for studying dx error Standardized patients? Electronic data? Case scenarios? Simulation? Assessing dx error impact Scale/scope of dx error Cost burden of dx error

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