Objectives

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.

Presenter(s): 
Harry Hoar, MD
Assistant Professor of Pediatrics
Pediatric Hospitalist
Medical Director, Quality Assurance
Director, Clinical Reasoning Education
UMass Chan Medical School - Baystate

Veronica Andrade, DO, MPH
Chief Resident
UMass Chan Medical School - Baystate

Robert B. Manges, MD
Chief Resident
UMass Chan Medical Shool - Baystate

NameRoleFinancial Relationship DisclosuresDiscussion of
Unlabeled/Unapproved Uses of
Drugs/Devices in Presentation?
Harry Hoar III, MD    Speaker   No relevant relationships with ineligible companies to discloseNo
Veronica Andrade, DO SpeakerNo relevant relationships with ineligible companies to disclose No
Robert Manges, MD SpeakerNo relevant relationships with ineligible companies to discloseNo
Session date: 
02/03/2026 - 8:00am to 9:00am EST
Add to calendar: 
  • 1.00 ACPE Contact Hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC Contact Hours
  • 1.00 BCIPE Risk Management
  • 1.00 IPCE Credit Hour(s)
Please login or register to take this course.