-
psnet.ahrq.gov/node/36718/psn-pdf
July 26, 2011 - Causes of errors in the electrocardiographic diagnosis of
atrial fibrillation by physicians. … Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by
physicians. … https://psnet.ahrq.gov/issue/causes-errors-electrocardiographic-diagnosis-atrial-fibrillation-physicians … cohort study, cardiologists re-
reviewed ECGs to identify the rate of false-positive and false-negative diagnoses … Both false-positive and false-negative diagnoses were relatively
common, especially in patients with
-
psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
March 23, 2022 - Missed or delayed diagnoses can lead to treatment delays and worse outcomes. … Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis … March 17, 2021
Uncertain diagnoses in a children's hospital: patient characteristics
-
psnet.ahrq.gov/node/46873/psn-pdf
June 27, 2018 - enhance clinical knowledge, physical
examination practice, and medical history-taking skills to improve diagnosis … psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care … ://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims … -4-liability
https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims
-
psnet.ahrq.gov/node/60814/psn-pdf
August 19, 2020 - Diagnosis (Berl). 2021;8(2):177-186. doi:10.1515/dx-2020-0049. … hospitalization for acute myocardial infarction (AMI) to identify symptoms
linked to probable missed diagnoses … Within 30 days of a subsequent hospitalization for AMI, common ED
discharge diagnoses included chest
-
psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
February 10, 2012 - and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American … August 20, 2018
The "Big Dog" effect: variability assessing the causes of error in diagnoses … November 12, 2008
Clinical impact and frequency of anatomic pathology errors in cancer diagnoses … July 30, 2014
Clinical impact and frequency of anatomic pathology errors in cancer diagnoses … September 29, 2010
The "Big Dog" effect: variability assessing the causes of error in diagnoses
-
psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
October 10, 2018 - This commentary describes a proposed set of diagnoses to track, discusses the limitations of metrics … and suggests that a culture of diagnostic safety is needed to fully engage health care in improving diagnosis … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses … July 5, 2017
A learning health care system using computer-aided diagnosis. … March 22, 2017
How can we make diagnosis safer?
-
psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
October 24, 2018 - Study
Root cause analysis reports help identify common factors in delayed diagnosis … Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients … Failure to properly follow up on test results can result in missed or delayed diagnoses . … results, and inadequate communication between clinicians—contributed to most of the missed or delayed diagnoses … Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients
-
psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-potential-delays-cancer-diagnosis
January 19, 2012 - Study
Electronic health record-based triggers to detect potential delays in cancer diagnosis … Electronic health record-based triggers to detect potential delays in cancer diagnosis. … Delayed diagnoses in cancer may commonly be caused by cognitive errors or logistical breakdowns . … Electronic health record-based triggers to detect potential delays in cancer diagnosis. … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
-
psnet.ahrq.gov/node/40321/psn-pdf
March 30, 2011 - inaccuracies-assignment-clinical-stage-localized-prostate-cancer
For many types of cancer, the extent of disease at diagnosis … Diagnostic errors have also been documented in the pathologic
diagnosis of cancer. … diagnostic-errors
https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses … https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
-
psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
July 21, 2025 - Study
Emerging Classic
Diagnosis of physical and mental health … investigate the indirect effect of the COVID-19 pandemic on primary care health care use and subsequent diagnoses … Between March and May 2020, there was a 50% reduction in expected diagnoses for mental health conditions … , as well as substantial decreases in diagnoses and associated medication prescriptions for circulatory
-
psnet.ahrq.gov/node/43205/psn-pdf
April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda.
April 4, 2018
Berenson RA, Upadhyay D, Kaye DR. … https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
This comprehensive policy brief … The authors note the lack of attention to diagnosis in the seminal To Err is
Human report. … To enhance timely and accurate diagnoses, the report advocates for increasing research
funding, greater … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
-
psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
March 09, 2022 - A past AHRQ WebM&M commentary discusses a case of a missed diagnosis that was discovered at autopsy … February 14, 2024
Clinical diagnoses and autopsy findings: discrepancies in critically … August 17, 2022
Clinical diagnoses vs. autopsy findings in early deceased septic patients … March 27, 2019
Discrepancies between clinical diagnoses and autopsy findings in critically
-
psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
March 04, 2020 - Download Citation
Related Resources From the Same Author(s)
Chronic pain diagnoses … May 18, 2022
Consensus statement on effective communication of urgent diagnoses and significant … , unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
-
psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
June 14, 2011 - March 28, 2012
Clinical impact and frequency of anatomic pathology errors in cancer diagnoses … April 9, 2013
The "Big Dog" effect: variability assessing the causes of error in diagnoses … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses … 2016
A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis … July 22, 2013
Quality in cancer diagnosis.
-
psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Describe the impact of considering the clinical spectrum of disease presentations or alternative
diagnoses … Some classifications consider the terms “missed diagnosis” or “delayed diagnosis” as merely adverse … events (and not errors), reserving the designation of “error” for those missed or delayed diagnoses that … We think that the designation of “missed or delayed diagnoses” is fraught with ambiguity and
unclear … potential
cases of missed or delayed diagnoses often come to light when a “surprise” diagnosis is found—one
-
psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 08, 2021 - Diagnosis (Berl). 2020;8(3):347-352. doi:10.1515/dx-2020-0032. … included a diagnostic recommendation from the HS-ASP team (e.g., recommendations to consider alternative diagnoses … Diagnosis (Berl). 2020;8(3):347-352. doi:10.1515/dx-2020-0032. … December 4, 2015
Consensus statement on effective communication of urgent diagnoses and … significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American
-
psnet.ahrq.gov/issue/pediatric-musculoskeletal-radiographs-anatomy-and-fractures-prone-diagnostic-error-among
March 24, 2021 - important to know what features of the image area are associated with false-positive or false-negative diagnoses … False-positive diagnosis (i.e., a fracture was identified when there was none) were reviewed by an expert … August 26, 2020
Antecedent treat-and-release diagnoses prior to sepsis hospitalization … 2020
Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis … August 10, 2022
Does a suggested diagnosis in a general practitioners' referral question
-
psnet.ahrq.gov/issue/electronic-trigger-detect-telemedicine-related-diagnostic-errors
June 21, 2023 - researchers used the Safer Dx Trigger tool framework to develop an electronic trigger to identify delayed diagnoses … March 19, 2018
Errors in diagnosis of spinal epidural abscesses in the era of electronic … August 20, 2018
Validation of an electronic trigger to measure missed diagnosis of stroke … August 25, 2021
Evaluation and accurate diagnoses of pediatric diseases using artificial
-
psnet.ahrq.gov/node/45587/psn-pdf
January 23, 2017 - software programs that use
diagnostic algorithms based on patients' self-reported symptoms to suggest diagnoses … Physicians consistently arrived at more accurate diagnoses across a variety of
simulated cases. … comparison-physician-and-computer-diagnostic-accuracy
https://psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
-
psnet.ahrq.gov/node/38481/psn-pdf
May 25, 2011 - diagnostic-difficulty-and-error-primary-care-systematic-review
This systematic review of 21 published studies found that missed diagnoses … malpractice claims
, in which system problems contributed to a majority of outpatient missed or delayed diagnoses … diagnostic-difficulty-and-error-primary-care-systematic-review
https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims