The Society to Improve Diagnosis in Medicine's legacy: building a foundation for diagnostic excellence.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL

Diagnosis Pub Date : 2025-09-18 DOI:10.1515/dx-2025-0120

Laura J Chien, Janice L Kwan, Christina Cifra, Ava L Liberman, Helen Haskell, Kathy McDonald, Suz Schrandt, Rebecca Jones, Andrew P J Olson, Eliana Bonifacino, Leslie Tucker, Mark L Graber, Maria R Dahm

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Abstract

The Society to Improve Diagnosis in Medicine (SIDM) played a pivotal role in elevating diagnostic error from an overlooked aspect of patient safety to a recognized healthcare priority during its thirteen-year history (2011-2024). Through strategic advocacy, coalition building, and engagement with policymakers, SIDM secured dedicated federal funding for diagnostic safety research and promoted diagnostic excellence as a critical healthcare imperative. This article examines the organization's establishment, evolution and lasting impact on the field of diagnostic safety across research, education, practice improvement, and patient engagement. A crowning achievement was SIDM's success in stimulating the Institute of Medicine to study the problem, resulting in the landmark 2015 report Improving Diagnosis in Health Care (1). Despite the transformative impact of this report, substantial challenges remain in reducing harm from diagnostic error. We conclude with a call to address gaps in three critical areas: awareness, measurement, and implementation.

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改善医学遗产诊断协会：为卓越诊断奠定基础。

改善医学诊断协会（SIDM）在其13年的历史（2011-2024年）中，在将诊断错误从患者安全的一个被忽视的方面提升到公认的医疗保健优先事项方面发挥了关键作用。通过战略宣传、联盟建设和政策制定者的参与，SIDM为诊断安全性研究获得了专门的联邦资金，并将卓越诊断作为一项关键的医疗保健必要措施。本文考察了该组织的建立、发展和对诊断安全领域的持久影响，包括研究、教育、实践改进和患者参与。最大的成就是SIDM成功地促使美国医学研究所（Institute of Medicine）研究这一问题，并在2015年发表了具有里程碑意义的《改善医疗保健诊断》报告(1)。尽管该报告具有变革性影响，但在减少诊断错误造成的伤害方面仍存在重大挑战。最后，我们呼吁解决三个关键领域的差距：意识、衡量和实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diagnosis MEDICINE, GENERAL & INTERNAL-

CiteScore

7.20

自引率

5.70%

发文量

期刊介绍： Diagnosis focuses on how diagnosis can be advanced, how it is taught, and how and why it can fail, leading to diagnostic errors. The journal welcomes both fundamental and applied works, improvement initiatives, opinions, and debates to encourage new thinking on improving this critical aspect of healthcare quality.　 Topics: -Factors that promote diagnostic quality and safety -Clinical reasoning -Diagnostic errors in medicine -The factors that contribute to diagnostic error: human factors, cognitive issues, and system-related breakdowns -Improving the value of diagnosis – eliminating waste and unnecessary testing -How culture and removing blame promote awareness of diagnostic errors -Training and education related to clinical reasoning and diagnostic skills -Advances in laboratory testing and imaging that improve diagnostic capability -Local, national and international initiatives to reduce diagnostic error