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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2011
January 01, 2011 - Balasubramanian developed a measure of imbalance of resident panels to determine the mix of diagnoses … Balasubramanian examined the number of diagnoses per resident panel versus the number of patient visits … This analysis showed a wide variation in number of diagnoses per resident panel and that patients with … more diagnoses have more clinic visits. … By applying the model within and across preceptor panels, the difference between number of diagnoses
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digital.ahrq.gov/icd
January 01, 2023 - Diseases (ICD) is an international standard for classifying diseases and other health problems (clinical diagnoses … The latest version (2001) of ICD-CM is ICD-9-CM , which is the official system of assigning codes to diagnoses … Combination diagnosis/symptom codes to reduce the number of codes needed to fully describe a condition … The ICD-O-3 standard is used to capture cancer diagnosis and treatment information.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ullah-r-et-al-2002
January 01, 2002 - After history taking and clinical examination, investigations were requested if required and a diagnosis … There were thus 42 patients with 55 diagnoses included in the trial, 26 (62%) females and 16 (38%) males … in three patients and a missed diagnosis in five patients. … All of the next 22 patients had a correct diagnosis and management plan. … postintervention with intervention and control groups
Study Participants
There were 42 patients with 55 diagnoses
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berner-es-et-al-1999
January 01, 1999 - physicians, and 6 other physicians used the...diagnostic decision support system to assist them in the diagnosis … history, physical, and basic laboratory data) into the system, and the system output a list of possible diagnoses … previous study] suggest that the DDSS served a prompting function by reminding physicians of the correct diagnoses … this prompting was occurring and that it was effective in aiding physicians to arrive at the right diagnosis … The physicians were more likely to select the correct diagnosis when the DDSS displayed it.
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digital.ahrq.gov/principal-investigator/hsu-john
January 01, 2023 - Evolving health information technology and the timely availability of visit diagnoses … Evolving health information technology and the timely availability of visit diagnoses from ambulatory
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digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality
January 01, 2023 - This lack of feedback means that incorrect diagnoses may not be detected, medication adverse events may … automated system for feedback to emergency medicine physicians of the concordance between their initial diagnoses … secondary study conducted in the emergency department (ED) setting looked at the agreement between diagnoses … In the ED portion of the study, the diagnoses made in the ED differed from those made at the time of
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digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain
January 01, 2023 - High risk patients may go undetected, resulting in missed diagnoses of acute myocardial ischemia, while … The study team found that over one-third of diagnoses of acute myocardial infarction were missed and
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/krall-m-et-al-1995
January 01, 1995 - Clinicians use the product to select code diagnoses, and directly order laboratory, Imaging, and other … Most of this time was spent performing "orders and diagnosis" work, which included new required elements … medical records (EMR)
Type of Health IT Functions
"Clinicians use the product to select code diagnoses
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2012
January 01, 2012 - Balasubramanian used data from 14 residents and three preceptors to examine the number of diagnoses per … This analysis showed a wide variation in number of diagnoses per resident panel and that patients with … more diagnoses have more clinic visits. … By applying the model within and across preceptor panels, the difference between number of diagnoses
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digital.ahrq.gov/principal-investigator/chen-jin
January 01, 2023 - Chen, Jin
Complexity, Incidence, and Costs Related to Delayed Diagnosis … and surveys, electronic health records, and machine learning) to better understand missed and delayed diagnoses
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digital.ahrq.gov/funding-mechanism/understanding-and-improving-diagnostic-safety-ambulatory-care-incidence-and
January 01, 2023 - Factors (R01)
Complexity, Incidence, and Costs Related to Delayed Diagnosis … and surveys, electronic health records, and machine learning) to better understand missed and delayed diagnoses
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digital.ahrq.gov/principal-investigator/mullican-charlotte
January 01, 2023 - Forward
Furthering the reliable and valid measurement of mental health screening, diagnoses … Furthering the reliable and valid measurement of mental health screening, diagnoses, treatment and outcomes
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ou-mh-et-al-2008
January 01, 2008 - support system based on case-based reasoning (CBR: a database of cases consisting of attributes and diagnoses … , and a query system that has been trained to speed up the search through the database for diagnoses, … the examination of similar cases) to offer increased functionality to the GPs and thus help in their diagnosis … If a GP is not confident of a diagnosis while using the system, he can forward historical details of
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digital.ahrq.gov/care-setting/urgent-care-center
January 01, 2023 - Urgent Care Center
Complexity, Incidence, and Costs Related to Delayed Diagnosis … and surveys, electronic health records, and machine learning) to better understand missed and delayed diagnoses
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digital.ahrq.gov/ahrq-funded-projects/evaluating-electronic-health-record-data-use-diabetes-quality-reporting/annual-summary/2012
January 01, 2012 - consistency of EHR data, specifically on how physicians use the EHR to store information about patient diagnoses … on existing quality measures for diabetes (Achieved)
Learn where in the EHR physicians document diagnoses … First, clinicians identified two data fields – the problem list diagnosis field and the encounter diagnosis … field – as the locations in the EHR where they most frequently document a diagnosis of diabetes. … Second, clinicians endorsed the use of a problem list diagnosis for identifying patients with diabetes
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rollman-bl-et-al-2001
January 01, 2001 - for by
16 board-certified internists, who were electronically informed of their patients' diagnoses … Three days after notification, 120 (65%) of 186 PCP responses indicated agreement with the diagnosis, … Primary care physicians who agreed with the diagnoses sooner were more likely to make a medical chart … Conclusions: Electronic feedback of the diagnosis of major depression can affect PCP initial management … "Although agreement with the diagnosis of depression typically precedes treatment of the disorder, we
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017099-weiner-final-report-2010.pdf
January 01, 2010 - and 9664 has at least 2 diagnoses. … , and 6,720 patients had at least 2 diagnoses. … of diabetes and
3359 had at least 2 diagnoses. … Among this set of patients, 5614 have at least 1
diagnosis of diabetes and 4701 have 2 or more diagnoses … as the diagnosis date.
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digital.ahrq.gov/technology/clinical-informatics
January 01, 2023 - Agarwal, Ritu
Frequent emergency department utilization and behavioral health diagnoses … Frequent emergency department utilization and behavioral health diagnoses.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015169-middleton-final-report-2009.pdf
January 01, 2009 - The CAD cohort of included
patients with a diagnosis of coronary artery disease, younger than age 85 … The ARI
cohort included patients with a billing diagnosis of non-specific upper respiratory infection … practice factors (size of practice), and predictors unique to each outcome (e.g., number of years
since diagnosis … visits in which the
ARI Smart Form was used (n = 990), there was good agreement between the ICD-9 diagnosis … and the Smart Form-listed diagnosis (κ, 0.54; 95% CI, 0.50 to 0.58).
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digital.ahrq.gov/sites/default/files/docs/quality-metrics-slides-042811.pdf
January 01, 2011 - EHR systems have the potential to routinely
measure quality with a high accuracy
Denominator (if diagnoses … Numerator (e.g., satisfied measure): meds,
screening tests, blood pressure, etc
Exceptions: diagnoses … Diagnoses HBA1c
1 6.46
2 6.81
3 7.01
4 7.04
5 6.95
6 7.05
7 7.05
8 7.06
9 7.16
>=10 7.3
Case … • Individual comorbid diagnosis categories (CCS)
• Number of comorbid diagnosis categories
• Types … panels of poor quality
doctors
• Other predictors
– age, pulse, income, use of diabetes drugs
– No diagnosis