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psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another
April 10, 2024 - This case study discusses the chain of events surrounding the delayed diagnosis and treatment of a patient … Download Citation
Related Resources From the Same Author(s)
Inappropriate diagnosis … April 5, 2013
Development of patient safety measures to identify inappropriate diagnosis … View More
Related Resources
Interventions to improve timely cancer diagnosis … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/node/42096/psn-pdf
March 06, 2013 - Skin-deep diagnosis: affective bias and zebra retreat
complicating the diagnosis of systemic sclerosis … Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic
sclerosis … https://psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis … https://psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
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psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa
April 24, 2018 - To assess the accuracy of both radiologic and pathologic diagnoses, this study directly compared diagnoses … on imaging tests, as well as cases where the premortem radiologic diagnosis proved to be incorrect at … An autopsy diagnosis that was missed on an initial radiograph is discussed in this AHRQ WebM&M commentary … February 9, 2011
Delayed or missed diagnosis of cervical spine injuries. … October 20, 2010
Characteristics and predictors of missed opportunities in lung cancer diagnosis
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psnet.ahrq.gov/node/860381/psn-pdf
January 10, 2024 - Measuring the impact of AI in the diagnosis of
hospitalized patients: a randomized clinical vignette … Measuring the impact of AI in the diagnosis of hospitalized
patients: a randomized clinical vignette … https://psnet.ahrq.gov/issue/measuring-impact-ai-diagnosis-hospitalized-patients-randomized-clinical- … Clinicians’ baseline diagnostic accuracy for the three
diagnoses was 73%; AI models with and without … https://psnet.ahrq.gov/issue/artificial-intelligence-clinical-diagnosis-opportunities-challenges-and-hype
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psnet.ahrq.gov/node/48025/psn-pdf
June 19, 2019 - Accuracy of a popular online symptom checker for
ophthalmic diagnoses. … Accuracy of a Popular Online Symptom Checker for Ophthalmic
Diagnoses. … As with
prior studies, the performance of the online symptom checker in producing the correct diagnosis … authors suggest that current performance of symptom checkers is not sufficient for timely
and accurate diagnosis … /issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/838083/psn-pdf
September 14, 2022 - Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010. … pause-pediatrics-implementation-pediatric-diagnostic-time-out
Diagnostic timeouts can improve the differential diagnosis … In the majority of cases, the diagnostic
timeout led to the pursuit of alternative diagnoses. … pause-pediatrics-implementation-pediatric-diagnostic-time-out
https://psnet.ahrq.gov/issue/diagnostic-time-out-improve-differential-diagnosis-pediatric-abdominal-pain … web-mm/diagnostic-delay-emergency-department
https://psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis
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psnet.ahrq.gov/node/60902/psn-pdf
September 09, 2020 - Using telehealth to revolutionize the speed of making rare
disease diagnoses. … https://psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses
Patients … This article introduces the potential for
improvements in diagnosis that telemedicine brings to the … https://psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses
https … https://psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
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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?
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psnet.ahrq.gov/node/47979/psn-pdf
May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists
to improve diagnosis. … Annals for Hospitalists Inpatient Notes - Just What the Doctor
Ordered-Checklists to Improve Diagnosis … https://psnet.ahrq.gov/issue/inpatient-notes-just-what-doctor-ordered-checklists-improve-diagnosis
Standardized … which can can help manage cognitive challenges, and
content checklists, which provide differential diagnoses … https://psnet.ahrq.gov/issue/inpatient-notes-just-what-doctor-ordered-checklists-improve-diagnosis
https
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psnet.ahrq.gov/node/42498/psn-pdf
December 30, 2014 - 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. … ://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer
https://psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Formulate differential diagnoses for an acute abdomen. … likely had a powerful impact on the failure to consider alternative diagnoses. … which failure to perform an adequate history or physical examination contributed to 42% of all missed diagnoses … , and to almost 70% of missed cancer diagnoses. 2 In this case, it is unclear whether findings suggesting … unanticipated change in clinical exam or status occurs, one should broaden the differential to consider other diagnoses
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psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections
July 03, 2014 - This prospective study examined the impact of wound photography on surgeons' remote diagnosis and suggestions … Surgeons did report improved confidence in diagnosis of SSIs when photographs were included, whether … February 3, 2021
Using telehealth to revolutionize the speed of making rare disease diagnoses … February 5, 2020
Comparative accuracy of diagnosis by collective intelligence of multiple … February 3, 2016
Readmission after delayed diagnosis of surgical site infection: a focus
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psnet.ahrq.gov/issue/identifying-diagnostic-errors-primary-care-using-electronic-screening-algorithm
April 04, 2011 - In more than 10% of these cases, the initial evaluating physician missed the diagnosis or arrived at … an incorrect diagnosis, most commonly due to failure to take an adequate history. … A prior study used comparable methods to identify a strikingly similar incidence of missed diagnosis … April 18, 2012
View More
Related Resources
Missed diagnosis of … 2012
Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - are other important
diagnoses that do not appear to have been given sufficient
consideration in this … As such,
mesenteric ischemia is one of several potentially life-threatening diagnoses
that were not … However, as in our
presented case, inaccurate or delayed diagnoses can have
catastrophic consequences … and
overconfidence appears to have led to an inability to consider
additional reasonable possible diagnoses … Importance of a Broad Differential Diagnosis (1)
Importance of a Broad Differential Diagnosis (2)
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psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
May 12, 2021 - Diagnosis (Berl). 2022;9(4):430-436. doi:10.1515/dx-2022-0083. … The process is illustrated with three diagnoses: ectopic pregnancy , abdominal aortic aneurysms , and … February 23, 2022
Antecedent treat-and-release diagnoses prior to sepsis hospitalization … the diagnosis of systemic sclerosis. … March 6, 2013
Missed and delayed diagnoses in the ambulatory setting: a study of closed
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psnet.ahrq.gov/node/45536/psn-pdf
October 05, 2016 - Clinician-identified problems and solutions for delayed
diagnosis in primary care: a PRIORITIZE study … Clinician-identified problems and solutions for delayed diagnosis in
primary care: a PRIORITIZE study … Missed or delayed diagnoses are a common reason for malpractice claims. … This study sought to determine
barriers and solutions to delays in diagnosis in primary care. … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
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psnet.ahrq.gov/node/73533/psn-pdf
July 28, 2021 - Clinical diagnoses vs. autopsy findings in early deceased
septic patients in the intensive care: a retrospective … https://psnet.ahrq.gov/issue/clinical-diagnoses-vs-autopsy-findings-early-deceased-septic-patients- … Of those, four patients were
found to have class I missed major diagnosis. … These results underscore the need to perform autopsies to
improve diagnosis. … https://psnet.ahrq.gov/issue/diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric
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psnet.ahrq.gov/issue/human-centered-design-workshops-meta-solution-diagnostic-disparities
July 31, 2024 - Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025. … Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025. … June 15, 2022
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid … December 7, 2022
Antecedent treat-and-release diagnoses prior to sepsis hospitalization … December 21, 2022
Diagnoses Without Names: Challenges for Medical Care, Research, and
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psnet.ahrq.gov/issue/missed-diagnosis-cardiovascular-disease-outpatient-general-medicine-insights-malpractice
December 22, 2018 - Study
Missed diagnosis of cardiovascular disease in outpatient general medicine: … Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice … Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice … December 22, 2018
Evidence that nurses need to participate in diagnosis: lessons from … January 11, 2012
Missed diagnoses by urologists resulting in malpractice payment.
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psnet.ahrq.gov/node/45483/psn-pdf
March 20, 2018 - Impact of initial hospital diagnosis on mortality for acute
myocardial infarction: a national cohort … Editor's Choice - Impact of initial hospital diagnosis on mortality for acute
myocardial infarction: … In this study, researchers sought to assess whether a correct initial diagnosis had an
impact on the … cohort of patients over 9 years across 243
acute care hospitals in England and Wales with discharge diagnoses … https://psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and