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  1. psnet.ahrq.gov/web-mm/missed-pneumonia
    June 01, 2005 - Discharge diagnoses were "fever, pleural effusion, and chest wall pain." … pleural effusions remain undiagnosed.( 9 ) However, thoracentesis could have ruled out other important diagnoses … such as a PE-CT, which in addition to evaluating for a PE, may provide further clues to alternative diagnoses … We must rely on the diagnostic skills of clinicians and a certain mindfulness that not all diagnoses … The radiologic diagnosis of autopsy-proven ventilator-associated pneumonia.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836996/psn-pdf
    April 27, 2022 - Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning … Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning … https://psnet.ahrq.gov/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact- … , an incorrect diagnosis, or lacked a diagnostic suggestion. … the referral letter did not influence subsequent diagnostic accuracy but did reduce the number of diagnoses
  3. psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
    October 31, 2011 - Diagnostic uncertainty is common and can lead to missed or delayed diagnoses . … Investigators compared the final diagnosis from the subspecialty visit with the presumed diagnosis at … Costs were higher for cases with substantively different diagnoses compared to cases where subspecialists … confirmed or further clarified diagnoses. … The authors conclude that subspecialty access is critical to timely and accurate diagnosis.
  4. psnet.ahrq.gov/issue/effects-rudeness-experience-and-perspective-taking-challenging-premature-closure-after
    February 16, 2022 - Diagnosis (Berl). 2021;8(3):358-367. doi:10.1515/dx-2020-0083. … Diagnosis (Berl) . 2021; 8 (3) :358-367 . View more articles from the same authors. … Diagnosis (Berl). 2021;8(3):358-367. doi:10.1515/dx-2020-0083. … and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit … June 3, 2020 Uncertain diagnoses in a children's hospital: patient characteristics and
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74012/psn-pdf
    January 01, 2022 - Should electronic differential diagnosis support be used early or late in the diagnostic process? … Should electronic differential diagnosis support be used early or late in the diagnostic process? … https://psnet.ahrq.gov/issue/should-electronic-differential-diagnosis-support-be-used-early-or-late- … psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/effectiveness-electronic-differential-diagnoses-ddx-generators-systematic-review-and-meta … https://psnet.ahrq.gov/issue/effectiveness-electronic-differential-diagnoses-ddx-generators-systematic-review-and-meta
  6. psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner
    March 05, 2025 - This commentary describes a delayed diagnosis of non-Hodgkin lymphoma that was perpetuated by confirmation … 2021 View More Related Resources Notes on healing after a missed diagnosis … June 29, 2022 Missed diagnosis of cancer in primary care: insights from malpractice claims … 2013 Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses … October 23, 2012 Challenges of making a diagnosis in the outpatient setting: a multi-site
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73489/psn-pdf
    July 15, 2021 - A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. … A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. … Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054. … Results showed marginal improvement in quality of differential diagnosis. … https://psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
  8. psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic-error-reduction
    October 06, 2021 - Checklists  are considered a promising intervention to  improve diagnosis  because they can support clinical … decision-making by ensuring that correct diagnostic steps are taken and that all possible diagnoses … October 6, 2021 Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis … February 17, 2021 Leadership To Improve Diagnosis: A Call to Action. … October 5, 2022 Improved Diagnostic Accuracy Through Probability-Based Diagnosis.
  9. psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
    April 24, 2018 - Commentary Hospice diagnosis: polypharmacy—a teachable moment. … Hospice Diagnosis: Polypharmacy: A Teachable Moment. … Hospice Diagnosis: Polypharmacy: A Teachable Moment.
  10. psnet.ahrq.gov/web-mm/outpatient-zebra
    January 23, 2020 - The patient ultimately received a diagnosis of left superficial femoral artery occlusion and underwent … The tip-off in diagnosis was presumably the finding of a diminished pulse in the affected limb. … disease, the resident thought that there was such a high pretest probability of sciatica that no further diagnoses … Residents must generate a differential diagnosis regardless of the situation. … spends with a patient should serve as a reminder to be even more vigilant to avoid possible missed diagnoses
  11. psnet.ahrq.gov/issue/improving-communication-diagnostic-uncertainty-families-hospitalized-children
    December 23, 2020 - Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. … Diagnosis (Berl) . 2024; 11 (2) :186-191 . View more articles from the same authors. … examined deterrents to effective sharing of clinician uncertainty with caregivers of children whose diagnosisDiagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. … December 23, 2020 Uncertain diagnoses in a children's hospital: patient characteristics
  12. psnet.ahrq.gov/issue/characteristics-and-trends-medical-diagnostic-errors-united-states
    December 14, 2022 - Failure to diagnose and delay in diagnosis were the most common specific allegation types. … Overall, diagnosis-related allegations trended downward; however, inpatient allegations trended upward … August 3, 2017 Missed ischemic stroke diagnosis in the emergency department by emergency … June 24, 2020 Missed diagnosis of cardiovascular disease in outpatient general medicine … November 20, 2013 Clinical impact and frequency of anatomic pathology errors in cancer diagnoses
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50658/psn-pdf
    November 13, 2019 - Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related … Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related … Diagnosis (Berl). 2019;7(2):115-121. doi:10.1515/dx- 2019-0025. … This qualitative study examined primary care providers experience with missed diagnoses. … After reviewing cases involving a missed diagnosis, clinicians proposed both analytical and intuitive
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73352/psn-pdf
    June 02, 2021 - Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation … Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation … Diagnosis (Berl). 2021;8(2):157-160. doi:10.1515/dx-2020-0129. … https://psnet.ahrq.gov/issue/improving-diagnosis-feedback-and-deliberate-practice-one-one-coaching- … These sessions focused on generating differential diagnoses and identifying cognitive errors and knowledge
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60761/psn-pdf
    August 05, 2020 - COVID-19: making the right diagnosis. August 5, 2020 Schiff G, Mirica MM. … COVID-19: making the right diagnosis. Diagnosis (Berl). 2020;7(4):377-380. … https://psnet.ahrq.gov/issue/covid-19-making-right-diagnosis This commentary discuses key issues related … to diagnostic accuracy in the era of COVID-19, including considering differential diagnoses for COVID … -19, the challenges of remote diagnoses, and the consequences of lapses in routine diagnostic and preventive
  16. psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
    April 01, 2005 - eA/eB) methodology, an innovation designed to compile cases of specific populations of patients and diagnoses … Instead, eA/eB relies on specific clinical diagnoses that meet a set of designated criteria. … to improve diagnostic accuracy, the diagnoses’ cases can be filtered using administrative data, there … are evidence-based guidelines and best practices for the diagnosis, the diagnosis is likely to benefit … Diagnosis. 2022;9(4):430-436.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837336/psn-pdf
    June 08, 2022 - Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. … , for instance admission and discharge diagnoses. … researchers developed and tested an automated trigger system to determine concordance between pairs of diagnoses … automated-identification-diagnostic-labelling-errors-medicine https://psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis … https://psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency-departments
  18. psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
    September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education … Diagnosis (Berl). 2019;6(4):335-341. doi:10.1515/dx-2018-0107. … Diagnosis (Berl) . 2019; 6 (4) :335-341 . View more articles from the same authors. … Diagnosis (Berl). 2019;6(4):335-341. doi:10.1515/dx-2018-0107. … September 12, 2018 Root cause analysis of cases involving diagnosis.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73634/psn-pdf
    August 25, 2021 - Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. … Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. … https://psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency- … Analyses show that the e-trigger identified missed diagnoses of stroke with a modest positive predictive … https://psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency-departments
  20. psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
    December 18, 2024 - typical stroke features that are determined, after further evaluation, to be attributable to other diagnoses … The differential diagnosis of altered mental status is broad, and a full examination of its causes is … Therefore, measurement of blood or breath alcohol levels remains the most definitive means of diagnosis … the use of this platform raises questions regarding the accuracy of remote evaluations when critical diagnoses … In these cases, “cannot miss” diagnoses, such as stroke, rise to the top of differential.

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