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Record W4414367144 · doi:10.1515/dx-2025-0120

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

2025· article· en· W4414367144 on OpenAlexafffund
Laura J. Chien, Janice L. Kwan, Christina L. Cifra, Ava L. Liberman, Helen Haskell, Kathryn M. McDonald, M. Suzanne Schrandt, Rebecca Jones, Andrew Olson, Eliana Bonifacino, Leslie E. Tucker, Mark L. Graber, Maria R. Dahm

Bibliographic record

VenueDiagnosis · 2025
Typearticle
Languageen
FieldMedicine
TopicClinical Reasoning and Diagnostic Skills
Canadian institutionsSinai Health System
FundersAustralian Research CouncilAmerican Heart AssociationShionogiAgency for Healthcare Research and QualityUniversity of TorontoGordon and Betty Moore Foundation
KeywordsExcellenceHarmTransformative learningHealth careFoundation (evidence)Best practiceDo no harmPatient safety

Abstract

fetched live from OpenAlex

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.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.220
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.374
Threshold uncertainty score0.855

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.220
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.027
GPT teacher head0.375
Teacher spread0.348 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes2
Has abstractyes

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