Signals in the Noise came out of a research practicum I did during my MSIM program at the University of Washington. I was looking at how information moves, or doesn't move, through a diagnostic journey.

After the practicum ended, I kept thinking about it. A lot of delayed diagnoses aren't really about missing information. The information is usually there somewhere. It just doesn't reach the right person at the right time.

So after graduating, I kept researching it. I read more on my own, and I kept coming back to the same question: not "was the information there," but "what actually happened to it." That question turned into the five failures in this framework, and the habits that go with them.

The result is a patient centered way of looking at diagnostic information. The patient isn't just someone the system happens to. They're part of the information itself.

How Signals In The Noise came to be