Diagnostic error gained recognition as a patient safety concern with the publication of the Improving Diagnosis in Health Care report. This commentary reviews insights shared at a conference convened to discuss issues associated with diagnosis, including the need for concrete definitions of diagnostic error, the role of technology in improvement, and organizational factors that contribute to the problem.

The author discusses medical error in the neonatal intensive care unit (NICU) and the role of teamwork in achieving safety. Continuing education credit is available.