After participating in this educational activity, attendees should be able to:
1. Discuss a case of a missed or delayed diagnosis resulting in patient morbidity or mortality
2. Identify systems-related causes of the error(s) in the case
3. Identify cognitive causes of the error(s) in the case
4. Discuss methods of preventing similar errors in the future


Harry Hoar, MD
Assistant Professor of Pediatrics
UMMS - Baystate

Taylor Koerner, MD
Chief Resident
UMMS - Baystate

Veronica Alix, MD
Chief Resident
UMMS - Baystate

Faculty Disclosure
Shannon Kay, PH.D., BCBA-D is a stock shareholder in Allergan, Pfizer, Glaxosmithklein, Merck, Gilead.

Session date: 
11/26/2019 - 8:00am to 9:00am EST
Baystate Medical Center
759 Chestnut Street
Springfield, MA 01199
United States
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC Contact Hours
  • 1.00 APA American Psychological Association
    Baystate Health is approved by the American Psychological Association to sponsor continuing education for psychologists. Baystate Health maintains responsibility for this program and its content.
  • 1.00 BCIPE Instructional Hours
  • 1.00 BCIPE Risk Management

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