One of the most pressing issues in health care today is the quality and safety of care that people receive. Diagnostic errors, which include both delayed and inaccurate diagnoses, are the most common cause of medical errors reported by patients, accounting for nearly 60 percent of all errors.
The Moore Foundation’s Diagnostic Excellence Initiative team recently partnered with the editors at the Journal of the American Medical Association (JAMA), the most widely circulated general medicine journal in the world, to publish a series of Viewpoint essays written by leading thinkers and researchers in health care that explore different aspects of diagnostic excellence.
The inaugural essay in the diagnostic excellence series was written by Moore Foundation president Harvey Fineberg along with Karen Cosby and Daniel Yang, directors for the Patient Care Program. This Viewpoint kicked off the series by describing a framework for diagnostic excellence which embraces the six dimensions of health care quality enumerated by the Institute of Medicine in 2001: diagnosis must be safe, effective, patient-centered, timely, efficient, and equitable. The Viewpoint essays that followed addressed a wide range of topics related to diagnostic excellence including the historical context and evolving meaning of diagnosis to patients, the role of artificial intelligence tools to improve diagnosis, and how we might better align financial incentives and policy to improve diagnosis.
After several essays highlighting the challenges and importance of diagnostic excellence, the Viewpoint series concluded in September 2022 - Harvey Fineberg along with Susan Song and Tommy Wang, Patient Care Program team members, penned a final piece that discusses the future of diagnostic excellence.
A full list of the Viewpoint series is below:
Daniel Yang, M.D., Harvey V. Fineberg, M.D., Ph.D., Karen Cosby, M.D.
Amrapali Maitra, M.D., Ph.D., Abraham Verghese, M.D.
Donald M. Berwick, M.D., M.P.P.
Julia Adler-Milstein, Ph.D., Jonathan H. Chen, M.D., Ph.D., Gurpreet Dhaliwal, M.D.
Derek C. Angus, M.D., M.P.H., Andrew B. Bindman, M.D.
Pat Croskerry, M.D. Ph.D.
David A. Simon, J.D., L.L.M., Ph.D., Carmel Shachar, J.D., M.P.H., I. Glenn Cohen, J.D.
Christine Cassel, M.D., Terry Fulmer, Ph.D., R.N.
Maria R. Dahm, M.A., Ph.D.; Carmel Crock, M.B.B.S., BLitt
Ashley Graham Kennedy, Ph.D.
Bob Kocher, M.D., Ezekiel J. Emanuel, M.D., Ph.D.
Leila Agha, Ph.D.; Jonathan Skinner, Ph.D.; David Chan, M.D., Ph.D.
Helen Burstin, M.D., M.P.H.; Karen Cosby, M.D.
Allan S. Detsky, M.D., Ph.D.
Kathryn M. McDonald, M.M., Ph.D.
Nirav R. Shah, M.D., MPH.; Tejal K. Gandhi, M.D., MPH; David W. Bates, M.D., M.S.
Matthew A. Reyna, Ph.D., M.S.; Elaine O. Nsoesie, Ph.D.; Gari D. Clifford, DPhil, M.A., MSc
Elizabeth A. Sarma, Ph.D., MPH; Fiona M. Walter, M.A., M.D.; Sarah C. Kobrin, Ph.D., MPH
Jonathan H. Chen, M.D., Ph.D.; Gurpreet Dhaliwal, M.D.; Daniel Yang, M.D.
Urmimala Sarkar M.D., MPH; Kirsten Bibbins-Domingo, Ph.D., M.D., MAS
Harvey V. Fineberg, M.D., Ph.D.; Susan Song, MPH; Tommy Wang, Ph.D.