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psnet.ahrq.gov/node/60921/psn-pdf
September 16, 2020 - Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010. … describes the use of a case-based simulation to explore how physicians reason, create
differential diagnoses … , and ultimately achieve a correct diagnosis. … Participating physicians who achieved
the correct diagnosis (herpes zoster) utilized systems-based or … anatomic approaches, rather than focuses
on life-threatening diagnoses alone, and employed debiasing
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psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
May 29, 2014 - Commentary
Measuring safety culture in healthcare: a case for accurate diagnosis. … Measuring safety culture in healthcare: A case for accurate diagnosis. … Measuring safety culture in healthcare: A case for accurate diagnosis. … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/issue/imagining-future-diagnostic-performance-feedback
September 01, 2021 - Diagnosis (Berl). 2023;10(1):31-37. doi:10.1515/dx-2022-0055. … Diagnosis (Berl) . 2023; 10 (1) :31-37 .
View more articles from the same authors. … Diagnosis (Berl). 2023;10(1):31-37. doi:10.1515/dx-2022-0055. … February 17, 2021
A call to action: next steps to advance diagnosis education in the … WebM&M Cases
Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses
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psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
May 12, 2021 - 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 … Diagnosis (Berl). 2021;8(2):177-186. doi:10.1515/dx-2020-0049. … May 12, 2021
Antecedent treat-and-release diagnoses prior to sepsis hospitalization among
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psnet.ahrq.gov/curated-library/diagnostic-error
August 10, 2025 - Diagnosis (Berl) . 2019; 6 :227-240 . … to 2002 was performed to determine the rate at which autopsies detect important, clinically missed diagnoses … Researchers also sought to determine the types of diagnoses most vulnerable to misdiagnosis. … Missed or delayed diagnoses accounted for 21% of 55,377 claims analyzed, and the majority of these cases … Fifty-three autopsy series were studied that reported diagnoses involving a primary cause of death (major
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psnet.ahrq.gov/node/74160/psn-pdf
December 08, 2021 - Antecedent treat-and-release diagnoses prior to sepsis
hospitalization among adult emergency department … Antecedent treat-and-release diagnoses prior to sepsis
hospitalization among adult emergency department … Diagnosis (Berl).
2021;8(4):469-478. doi:10.1515/dx-2020-0140. … https://psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among … research on missed myocardial infarction, this study used the SPADE approach to identify
delays in sepsis diagnosis
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psnet.ahrq.gov/node/46386/psn-pdf
April 03, 2018 - The impact of electronic health records on diagnosis. … The impact of electronic health records on diagnosis. … Diagnosis (Berl).
2017;4(4):211-223. doi:10.1515/dx-2017-0012. … 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/improving-diagnosis-health-care
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psnet.ahrq.gov/node/45891/psn-pdf
October 11, 2017 - extent-diagnostic-agreement-among-medical-referrals
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. … https://psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - systems, like DXplain, QMR, and Iliad, were "expert systems" and produced a rank-
ordered list of diagnoses … head
to our offices, flip through our textbooks to jog our memory, and create a checklist of likely diagnoses … And we
return the likely diagnoses, which you can click on and then read about? … The purpose of Isabel is not just to give a checklist of likely diagnoses to consider, but also to help … https://psnet.ahrq.gov/issue/do-physicians-know-when-their-diagnoses-are-correct-implications-decision-support-and-error
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psnet.ahrq.gov/node/38621/psn-pdf
February 18, 2011 - Process of care failures in breast cancer diagnosis. … Process of care failures in breast cancer diagnosis. … Missed or delayed cancer diagnoses are a frequent cause of malpractice lawsuits,
and errors in cancer … diagnosis are also a noted challenge. … psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
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psnet.ahrq.gov/node/37400/psn-pdf
June 30, 2011 - Errors in cancer diagnosis: current understanding and
future directions. … Errors in cancer diagnosis: current understanding and future directions. … https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-directions
Missed … Five domains were identified that contribute to
preventable delays in diagnosis, ranging from system … https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-directions
https
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - Diagnoses are often made under time
pressure with incomplete information and almost always involve some … the "word-finding difficulties" should (and apparently did) prompt clinicians to consider
alternate diagnoses … infectious encephalitis, although about 5% of biopsies lead to unanticipated stroke or inflammatory
diagnoses … Providers could track their own certainty in relation to actual patients' diagnoses to improve
calibration … Challenge yourself to apply and maintain a certainty rating when recording your patient's diagnoses.
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psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care
July 13, 2016 - Diagnostic errors in surgical pathology can affect patient care, particularly in cancer diagnoses … Major diagnostic disagreements were found 0.6% of the time, and the changed diagnosis affected both treatment … March 21, 2012
View More
Related Resources
Missed diagnosis of … 2016
A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis … September 28, 2010
Quality in cancer diagnosis.
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - Expert opinion suggests that misdiagnosis may occur in 10–15% of all diagnoses, but
literature reviews … research on the extent of misdiagnosis may not reflect real-world conditions.6 The conditions under which
diagnoses … Also, the use of a diagnostic time out, an intentional pause to consider alternate
diagnoses, was tested … Diagnosis
(Berl). 2022;10.1515/dx-2022-0104. doi:10.1515/dx-2022-0104
2. … Improving diagnosis in healthcare. National Academies Press; 2015.
3.
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psnet.ahrq.gov/node/44608/psn-pdf
October 28, 2015 - Navigating risks in breast cancer diagnosis and
treatment. … https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
Patients diagnosed … and treatment,
highlighting delays in diagnosis and treatment issues as primary concerns. … https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
https://psnet.ahrq.gov … /issue/process-care-failures-breast-cancer-diagnosis
https://psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
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psnet.ahrq.gov/node/860719/psn-pdf
January 17, 2024 - increasingly interested in using chatbots like ChatGPT to learn more about
their care, particularly for diagnoses … This study asked ChatGPT to provide a differential diagnosis list and
final diagnosis for 100 pediatric … Among incorrect
diagnoses, many were clinically related to the final diagnosis, but too broad to be
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psnet.ahrq.gov/node/39618/psn-pdf
August 03, 2010 - Characteristics and predictors of missed opportunities in
lung cancer diagnosis: an electronic health … Characteristics and predictors of missed opportunities in lung cancer
diagnosis: an electronic health … https://psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims … https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
May 01, 2005 - errors
Describe the impact of considering the clinical spectrum of disease presentations or alternative diagnoses … consider the spectrum of clinical presentations
Failure to consider the consequences of competing diagnoses … Without gold standard, all diagnoses probabilistic and certainty impossible
Variation in clinical … of competing diagnoses
“Most critical error in the case” was misinterpretation of the CXR, which revealed … Retrieve&db=pubmed&dopt=Abstract&list_uids=12008187
Failure to Consider Consequences of Competing Diagnoses
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - and failed to explore alternative diagnoses, particularly in
the setting of recent Achilles tendon … • Anchoring on the diagnosis of asthma led to a delay in the diagnosis of
PE and alternative diagnoses … Improving Safety (3)
• Clinicians should be alert to anchoring bias when making initial
admission diagnoses … be aware of, and take action
to address, their cognitive biases such as considering alternative
diagnoses … It is important to maintain a broad
differential diagnosis in order to avoid anchoring on other
diagnoses
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - different factors, including chaos of the health care environment, the overwhelming number of potential
diagnoses … However, heuristics also play a role
in clinicians getting diagnoses right. … primary oncologist—and thus overemphasized the oncologic emergency at
hand—rather than considering other diagnoses … to highlight potentially contradictory information and question
whether there could be additional diagnoses … Diagnosis (Berl). 2018;5:11-14.