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121. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/research/index.html
     November 01, 2024 - in Health Care explored the state of the science of diagnosis in health care and discussed ways AHRQ … An article in the June 2017 issue of Diagnosis , authored by members of AHRQ's patient safety team, builds … prevent diagnostic error; and structures that optimize how organizations operate and enable better diagnoses … This study used data from three previous studies of errors in general primary care diagnosis, colorectal … cancer diagnosis, and lung cancer diagnosis.

122. Measure 1, Section 2, Attachment 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-3.pdf
     June 02, 2025 - Measure 1, Section 2, Attachment 2 SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section … date Cpt or visit or problem list or diagnosis history Usually in the registration of face page … 8 Evidence of an ADHD diagnostic clinical exam Note Usually on the problem list or list of diagnoses … 9 Evidence of the use of a validated tool for diagnosis OR Note or scanned into record Initial … or report of feedback from initial evaluation SNAC Submission Form Measure 1: Accurate ADHD Diagnosis

123. Exploration of Foundational Terminology and Paradigms for Improving Diagnosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology.html
     June 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Next Page … Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis … Introduction Perspectives on Diagnostic Improvement Definitions of Diagnosis Types of Evidence … in Using Different Paradigms and Terms for Improvement Efforts Foundational Terminology for Diagnosis … Exploration of Foundational Terminology and Paradigms for Improving Diagnosis.

124. Module 5: Situation Monitoring
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - Module 5: Situation Monitoring Module 5 Situation Monitoring To Improve Diagnosis TeamSTEPPS® for Diagnosis … Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. … Workbook includes the Team Assessment Tool for Improving Diagnosis. … Acting makes every facet of the diagnostic process safer and offers the potential for fewer missed diagnoses … , delayed diagnoses, and wrong diagnoses.  

125. Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role4.html
     September 01, 2024 - The NASEM report Improving Diagnosis in Health Care concluded that “improving the diagnostic process … back and forth between sender and receiver and a continual exchange of information to determine the diagnosis … The closed loop is coming full circle on the agreement of that diagnosis. … If all else fails, just listen to the patient; they are telling you the diagnosis. 10   Work remains

126. 30-Day Readmission Rates to U.S. Hospitals, 2010 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/readmission-rates.pdf
     June 02, 2025 - HOSPITALS *Readmissions were for all causes and did not necessarily include the same procedure or diagnosis … the most comprehensive national estimates of 30-day readmission rates for specific procedures and diagnoses … Heart valve procedures 19% Debridement of a wound, infection, or burn patients with these common diagnoses … 29% Kidney transplant 29% Ileostomy and other enterostomy patients with these less frequent diagnoses … : Congestive heart failure By Diagnosis Nearly one in fourNearly one in five Nearly one in threeNearly

127. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking5.html
     September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis References Previous Page … Improving Diagnosis in Health Care. Balogh EP, Miller BT, Ball JR, eds. … Diagnosis (Berl). 2021;9(2):166-75. https://pubmed.ncbi.nlm.nih.gov/34881533/ . … Diagnosis (Berl). 2019;6(4):335-41. https://pubmed.ncbi.nlm.nih.gov/31271549/ . … Bayes’ rule in diagnosis. J Clin Epidemiol. 2021;131:158-60.

128. Summary of Survey Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
     August 01, 2024 - , and the second related to whether the office was informed when a missed, wrong, or delayed diagnosis … and revealed a significant gap within the institution in routinely providing specific feedback when a diagnosis … Providers document differential diagnoses when they have not ruled out other diagnoses. 70.1% 60% 10. … When a provider thinks another provider in this office/system may have missed a diagnosis, they inform … When a missed, wrong, or delayed diagnosis happens in this office, we are informed about it.  52.3% 56%

129. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses6.html
     August 01, 2022 - Diagnosis. 2019 2019;0(0):325-334. doi: 10.1515/dx-2018-0104 . … Diagnosis (Berl). 2017;4(4):225-238. doi: 10.1515/dx-2017-0022 . … inform diagnosis and error. … Diagnosis (Berl). 2020;7(3):161-164. doi:10.1515/dx-2020-0080 . … Diagnosis. 2014;1(4):283-287. doi: 10.1515/dx-2014-0064

130. On-Time Preventable Hospital and ED Visits Functional Specs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
     August 01, 2017 - # Hospital Admits Within: Hospital Discharge Diagnosis High-Risk Diagnoses Associated With … IF multiple discharge diagnoses selected: • IF one discharge diagnosis selected, then display selection … Active High-Risk Diagnoses 4. Current Clinical Conditions Contributing to Risk 5. … diagnosis code … • IF multiple discharge diagnoses are provided: • IF more than one discharge diagnosis is available

131. Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
     January 01, 2025 - Purpose: To develop and test algorithms to detect ED records with evidence of missed opportunities of diagnoses … algorithms to detect, or "trigger," review of ED records with evidence of missed opportunities of diagnoses … room and subsequent hospital admission (tests and consults), visit times, and risk factors (past diagnoses … Examples of diagnostic errors included missed diagnoses of cholangitis, cholecystitis, and infectious … List of Publications and Products Presentations: Society to Improve Diagnoses in Medicine (SIDM) 2019

132. Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
     November 01, 2019 - Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections AHRQ Safety … No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Clostridioides … Acute Care Acute Slide Title and Commentary Slide Number and Slide Best Practices in the Diagnosis … difficile Infections Acute Care SAY: This presentation will address “Best Practices in the Diagnosis … Moment 4: What duration of antibiotic therapy is needed for my patient’s diagnosis?

133. Fundamental Concepts for Understanding Probability | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking2.html
     September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Fundamental Concepts for Understanding … Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis … by the National Academies of Sciences, Engineering, and Medicine, we further mapped the process of diagnosis … Symptom to Diagnosis: An Evidence-Based Guide, Third Edition. New York, NY: McGraw-Hill; 2015. … When diagnoses are expressed as possible and uncertainty is recognized, the chance of misdiagnosis and

134. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
     September 01, 2024 - or older. 10,11  Several studies have found increasing age to be a significant predictor of missed diagnoses … echocardiograms. 5 , 13 Several studies have also suggested a correlation between older age and missed diagnoses … anorexia, or functional impairment) were the most prevalent atypical presentation. 32 Differences in diagnoses … presentation. 35 Several individual case reports describe atypical presentations of patients, challenges in diagnoses … This response can result in a missed diagnosis.

135. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
     May 01, 2024 - Improving Diagnosis in Health Care , 1 published in 2015, continued the patient safety discussion with … diagnostic errors were found in 23 percent of cases. 4 While the cause of these delayed, missed, or wrong diagnoses … Then, the clinician generates a working diagnosis, creates a testing plan, formulates an accurate diagnosis … Hindsight bias is overestimation of one’s ability to predict a correct diagnosis had one been asked to … do so before knowing the diagnosis.

136. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
     March 11, 2022 - One of the most important next steps in diagnosis education is developing team-based diagnosis assessment … relevant to the nurse’s role in diagnosis100 Domain 2: Person Centered Care Contributing to or making diagnoses … nursing practice and critical to an informed plan of care and improving outcomes of care (p. 29)… Diagnoses … Let patients help with diagnosis. … TeamSTEPPS for Diagnosis Improvement.

137. Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
     January 01, 2025 - Scope: Over the years, the field of diagnosis has evolved in understanding and recognition of emerging … The rates in these studies vary, but it is estimated that misdiagnoses may occur in 10-15% of all diagnoses … Improving Diagnosis in Health Care. … Diagnosis (Berl). 2019 Aug 27;6(3):227-240. htps://doi.org/10.1515/dx-2019-0019. 6. … "SIDM2022 15th Annual International Conference" Diagnosis (Berl) 2023.

138. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
     September 01, 2017 - Discharge diagnoses from hospital (principal diagnosis and secondary diagnoses). … Discharge diagnoses from hospital (principal diagnosis and secondary diagnoses). … If multiple diagnoses are in the medical record, the diagnosis designated as “primary” will be displayed … If multiple diagnoses are in the medical record, the diagnosis designated as “primary” will be displayed … Active High-Risk Diagnoses.

139. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence-references.html
     April 01, 2025 - Improving Diagnosis in Health Care . Washington, DC: National Academies Press; 2024. … Improving Diagnosis in Medicine Change Package. … Improving Diagnosis in Health Care. Balogh EP, Miller BT, Ball JR, eds. … Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. … https://www.leapfroggroup.org/recognizing-excellence-diagnosis-recommended-practices-hospitals .

140. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=3
     September 01, 2022 - It describes the theory of distributed cognition, discusses the nurse’s role in diagnosis through that … Substantial progress is being made in recognizing the need for diagnostic excellence, and improving diagnosis … This brief highlights the current state of diagnosis education, including gaps; describe innovations … example due to its prevalence, high rate of preventability, and interprofessional effort needed for diagnosis … sometimes geographically dispersed diagnostic teams to provide accurate, timely, and fully communicated diagnoses