An estimated 800,000 patients each year experience serious harm because of a delayed, missed or incorrect diagnosis, many of which disproportionately affect patients of marginalized populations. IHQSE Faculty Dr. Katie Raffel, along with fellow diagnostic error experts, penned a perspective piece in the Journal of Hospital Medicine aimed creating a framework for understanding and evaluating inequity within hospital-based diagnosis and describing key strategies for beginning the work to achieve equity within diagnosis.

IHQSE faculty member, Dr. Katie Raffel, along with colleague Dr. Josué Zapata, published a Leadership and Professional Development piece in Journal of Hospital Medicine, "Strategies to disagree productively: Persuasive DISNT". As providers, we often have experiences and insights that can improve how decisions are made within healthcare organizations. In expressing these perspectives, we may need to disagree. However, dissent is not always well-received. They discuss the need to: Determine value, Illustrate commitment, Show logic, Negotiate partnerships and Transform success into future impact in order to have the most success in disagreeing.

After observing a low but consistent rate of incorrect surgical line placement for pediatric cancer patients, IHQSE graduate Dr. Jonathan Roach and team implemented a new multi-factorial process to schedule and place surgical central lines. The intervention reduced the rate of incorrect line placement and near miss events to zero! IHQSE Faculty Dr. Tyler Anstett and Dr. Michael Tchou are coauthors of this publication in the Journal of the American College of Surgeons.

Clinical pathways translate best evidence into the local context through a structured multidisciplinary care plan. However, little is known about clinical pathway programs especially in pediatric settings. This study sought to determine the prevalence of clinical pathway programs in pediatric hospitals and describe similarities and differences. The team, led by IHQSE graduate, Dr. Leigh Anne Bakel, surveyed 81 of 111 Pediatric Research in Inpatient Settings (PRIS) network hospitals regarding the existence of a clinical pathway program, number, type, creation or revision of clinical pathways as well as other pathway program characteristics. More than half of respondents confirmed that clinical pathways were in place; however, nearly half of those programs were hindered by limited funding and an inability to measure pathway outcomes or improvements in care.