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141. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
     January 01, 2025 - safety, less attention has been paid to how clinicians gather, interpret, and convey information about diagnoses … Vizient was used to categorize comorbidities based on the Elixhauser method and to define inpatient diagnoses … , failure to recognize complications, or suboptimal prioritizing of potential diagnoses), access and … support on pre-test and post-test probabilities, providing guidance on test selection for common diagnoses … , and training physicians and patients in how to make better and faster diagnoses is only now coming

142. Medical Injury Identification Using Hospital Discharge Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
     January 01, 2003 - screening criteria for medical injury was based on International Classification of Disease code discharge diagnoses … Conclusions: Screening criteria applied to discharge diagnoses identify frequently occurring medical … Compared with those without any such diagnosis, patients with a discharge diagnosis indicating a medical … Our validation study found that screening criteria based on ICD-9-CM N-code and E-code discharge diagnoses … All Patient Refined–Diagnosis Related Groups (APR– DRGs): Version 15.0.

143. Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
     August 01, 2025 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and … electronic clinical quality measure to measure timely, delayed, and missed venous thromboembolism (VTE) diagnoses … learning tools to identify and address vulnerabilities in workflows to help reduce delayed and missed VTE diagnoses … The research team is using a combination of administrative and claims data to identify diagnoses at risk … E-trigger algorithms can efficiently identify patterns of care indicating missed or delayed diagnoses

144. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
     June 01, 2017 - of stay or hospital admission date Treatment received in the ED, if returning from ED Discharge diagnosis … from hospital (principal diagnosis and secondary diagnoses) Surgical procedures received in the hospital … Assisted Living |___| Home Treatments Received in the ED/HOSP ED Discharge/Hospital Discharge Diagnoses … : Primary & Secondary ( Indicate principal or secondary if more than one hospital discharge diagnosis

145. A Call To Action: Diagnostic Excellence In Rural Healthcare | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare4.html
     October 01, 2024 - Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Improving Diagnosis in the … Context of Rurality Three Areas To Immediately Advance Diagnosis In Rural Healthcare A Call To Action … patient safety improvement toolkits and resources from organizations such as AHRQ (e.g., TeamSTEPPS for Diagnosis … This patient enabling enhances the accuracy and timeliness of diagnoses, contributing to better diagnostic … screenings for early detection of health conditions, and ultimately lead to more accurate and timely diagnoses

146. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
     January 01, 2022 - Safety Supplemental Item Set • For medical offices ► Focus on − The diagnostic process − Accurate diagnoses … − Communication around diagnoses 22 Survey Development Process 23 Review literature and existing

147. Final Progress Report: Profiling the Needs of Dying Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
     January 01, 2024 - Based on all the discharge diagnoses recorded for each case, 39% had no CCC diagnosis, 44% had diagnoses … diagnoses representing three or more CCC categories. … identified as having a CCC if either the death certificate or the hospital utilization records cited a diagnosis … included on a previously published list of ICD-9- CM diagnoses. … No diagnosis accounted for more than 5% of cases; 41% were deemed to be technology dependent, with

148. Table 1. Health IT and Patient Engagement in the ED | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/healthit-ed-table1.html
     February 01, 2021 - perceptions on healthcare messaging via text Role in diagnostic safety, such as followup of uncertain diagnoses …   Apps  Monitoring symptoms to aid diagnosis Educating patients Facilitating shared … decision making (SDM) Communicating treatment options after the initial diagnosis  Variable

149. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
     June 01, 2023 - , between admission and discharge diagnoses, and between clinical diagnoses and autopsy findings among … Improving Diagnosis in Health Care. … A comparison of emergency department admission diagnoses and discharge diagnoses: retrospective study … Do emergency department patients receive a pathological diagnosis? … The importance of cognitive errors in diagnosis and strategies to minimize them.

150. TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
     January 13, 2022 - findings, to consider additional tests and procedures that may be appropriate, and to review potential diagnoses … , and to delineate possible alternative diagnoses. … the referring provider to ask for input on reasoning, what may have been missed, or what working diagnoses … including setting expectations, explaining the diagnostic process, discussing relevant differential diagnoses … or alternative diagnoses, and providing reassurance.                                                                  

151. SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey - Spanish (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-12-15-22-SPANISH.docx
     November 01, 2022 - medical offices assess the extent to which their organizations support the diagnostic process, accurate diagnoses … , and communication around diagnoses. … Testing and Referrals (4 items) (Cronbach’s alpha = 0.81) · Provider and Staff Communication Around Diagnosis

152. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 01, 2023 - For example, patients need enough time to assess when diagnoses were appropriate, timely, and effectively … Contexts in which clinicians and patients might have agreed to not aggressively pursue certain diagnoses … However common, these circumstances raise the specter of age-related biases inhibiting appropriate diagnoses … ■ Diagnoses for conditions that are poorly understood ■ Diagnoses for patients approaching the end … of life ■ Diagnoses affected by organizational or systemic constraints 2.

153. Next Steps and Barriers | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-5.html
     March 01, 2022 - Education Current State of Diagnosis Education Competencies To Improve Diagnosis in Health Professions … Society to Improve Diagnosis in Medicine. … One of the most important next steps in diagnosis education is developing team-based diagnosis assessment … 100 Domain 2: Person Centered Care Contributing to or making diagnoses is one essential aspect … of nursing practice and critical to an informed plan of care and improving outcomes of care (p. 29)… Diagnoses

154. Improving Patient Safety with the Military Electronic Health Record (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
     January 24, 2004 - providers worldwide to order laboratory tests, request radiology exams, issue prescriptions, and record diagnosis … Providers can access executive-level reports on common diagnoses and procedures to identify trends … Providers can immediately see past symptoms, diagnoses, allergies, and test results that may require … The DoD forwards diagnosis and geographic information on 890,000 medical encounters in an average week … Such a deployment would enhance the ability of the Departments to document symptoms, diagnoses, and

155. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
     July 01, 2024 - Three Areas To Immediately Advance Diagnosis In Rural Healthcare 1. … patient care, minimizing redundancies, and ensuring accurate and timely diagnoses. … Leadership To Improve Diagnosis: A Call to Action. … Diagnosis. 2019;6(3):227-240. doi: 10.1515/dx-2019-0019. 23. … TeamSTEPPS® Team Assessment Tool for Improving Diagnosis.

156. Background | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship3.html
     August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Background … Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis … percent used it frequently. 21 Ensuring that clinicians are optimally equipped to use tests to inform diagnoses … Although for the purpose of this brief we focus on improving diagnosis by optimizing clinical laboratory

157. Measure 1, Section 8, Attachment 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-8-attachment-1.pdf
     June 02, 2025 - Measure 1: Accurate ADHD Diagnosis … Eligible Populations Preliminary Testing Results – ADHD Measure: Accurate Diagnosis 58 Charts abstracted … Patients ages 4-18 diagnoses with ADHD Summary Statistics: ADHD Patients (2 Sites) Gender N (58) … Section 8: Feasibility Attachment 1: Preliminary Results Agreement results for Accurate Diagnosis … Agreement ADHD Measure – Accurate Diagnosis N Agree % Evidence of ADHD diagnostic clinical exam

158. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
     September 01, 2023 - Nearly half of those visits ended with diagnoses of acute or chronic constipation.18 However, studies … Pediatric diagnoses such as Kawasaki disease, bronchiolitis, autism spectrum disorder, and juvenile … While most of these conditions may be common pediatric diagnoses, rarer and atypical presentations may … Delayed Diagnoses in Children with Constipation: Multicenter Retrospective Cohort Study. … Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Nat Med.

159. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
     August 01, 2024 - supported by bringing the clinical laboratory into a broader strategy to advance accurate and timely diagnoses … percent used it frequently.21 Ensuring that clinicians are optimally equipped to use tests to inform diagnoses … or necessary next steps in the workup), and use of test results to inform diagnoses. … Finally, improving specimen collection practices can further reduce false positive diagnoses and is an … Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.

160. Challenges to Real-Time Decision Support in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
     January 01, 2007 - Approximately half the litigation brought against emergency physicians arises from delayed or missed diagnoses … Cumulative Fluid Totals Vital Signs Pre-hospital Data Patient Details Visual Prompts Diagnoses … Treatments / Procedures Diagnoses Treatments / Procedures Figure 3. … Outcome measurements include compliance with prompts, error rate per patient, missed diagnoses, and … The importance of cognitive errors in diagnosis and strategies to minimize them.