WIHI - A Podcast from the Institute for Healthcare Improvement

Date: February 8, 2018 Featuring: Gordon Schiff, MD, Associate Director, Brigham and Women's Center for Patient Safety Research and Practice; Quality and Safety Director, Harvard Medical School (HMS) Center for Primary Care Christine K. Cassel, MD, Executive Advisor to Founding Dean, Kaiser Permanente School of Medicine Bruce Lambert, PhD, Director, Center for Communication and Health, Northwestern University We don’t like to think of the diagnosis process as causing as many problems as it’s trying to solve. But when the complaints are more chronic than acute, there’s growing concern that a plethora of diagnostic tests and procedures have raised expectations of always finding a precise answer or explanation. When that's not possible, or tests aren't recommended as the first line of attack, a provider's clinical observations and reasoning can seem less than satisfactory. It’s this complexity of diagnosis and the difficulty of sometimes having to admit "there's no way to know for sure" that we explored o