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1961. High-Hanging Fruit: Improving Transitions 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/vol3/Advances-Perry_49.pdf
      March 27, 2008 - Signovers provide more than information (e.g., name, blood pressure, diagnosis); they also support macrocognitive

1962. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - These patients are at increased risk for adverse events because of the complexity of their diagnosis

1963. Final Progress Report: Emergency Department Overcrowding and Quality of Acute Asthma Care for Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
      January 01, 2024 - Finally, our use of a discharge diagnosis-based definition of ILI rather than virologic confirmation … Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma.

1964. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
      January 01, 2024 - CDSS include systems to assist with diagnosis as well as therapy, although most of the recent … All nurses (100%) who were assigned a patient whose diagnosis was outside their practicing specialty

1965. Final Progress Report: What Is Patient Safety in the Medical Home? (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
      January 01, 2024 - generally categorized in four domains (Webster et al., 2009; AMA, 2010): • Missed, delayed, or incorrect diagnoses … activities that, according to a physician panel, represented patient safety overall and in four domains (diagnosis … observations: Safety Domain Top Themes – Perceived Causes of Safety Issues Missed, delayed, or incorrect diagnoses … systems Perceptions that electronic health record (EHR) “problem lists” included outdated/incorrect diagnoses … Domain Top Themes – Strategies to Improve Ambulatory Patient Safety Missed, delayed, or incorrect diagnoses

1966. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
      November 01, 2014 - Diagnosis and Discharge Cycle Time: Reducing the cycle time patients spend during diagnosis and disposition … Diagnosis and Discharge: Teams created to accelerate diagnoses and discharges were also sustained, as

1967. Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
      April 10, 2017 - the major operating room procedure; and those discharges in which pressure ulcer is the principal diagnosis … or secondary diagnosis of Stage III or IV pressure ulcer is present on admission). … They was also noted that the pressure ulcer diagnoses tended to occur at younger ages in African Americans

1968. Primary Care Practice Facilitation Curriculum Module 5: Special Considerations When Working With Safety Net Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
      September 01, 2015 - Thus the RN is not diagnosing, but is initiating treatment based on a diagnosis provided by the lab. … visits turn into co-visits with the patient’s provider coming at the end of the visit to confirm a diagnosis … transition from paper to electronic records, only a small amount of data was transferred to the EMR: diagnoses

1969. Guide for Safe Transitions to New Appointments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
      December 01, 2017 - This could include patients with a new diagnosis, patients who have multiple chronic conditions, or

1970. Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
      January 01, 2024 - Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians

1971. Case Example #1: Stanford Coordinated Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
      July 01, 2019 - point, the providers reported they would add a consulting psychiatrist “on quick dial” for help with diagnosis

1972. Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
      March 01, 2023 - EMR for each patient who has been referred, including: name of patient’s clinician; CR qualifying diagnosis

1973. Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
      December 01, 2024 - Example vignettes: A patient presents with early first trimester vaginal bleeding or has a new diagnosis

1974. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
      March 11, 2005 - Adverse event/error types among published cases* Delayed or missed diagnosis 15 (27%) Adverse

1975. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
      October 01, 2024 - Catheter-related thrombosis: risks, diagnosis, and management.

1976. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
      June 18, 2024 - Association (AHA) / American Organization for Nursing Leadership (AONL) • Ron Wyatt – Society to Improve Diagnosis

1977. Overuse of Imaging (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-section-2.pdf
      January 01, 2016 - insurance-plan enrollment during both the measurement year and the year prior to the measurement year Event/Diagnosis

1978. Case Example #4: Foresight Family Physicians | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-4.html
      July 01, 2019 - The CHW helps patients with substance abuse and mental illness or dual diagnosis, mostly in community

1979. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
      July 01, 2024 - (R3) I have concerns about a patient opening up their portal account and learning about a new diagnosis

1980. New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
      October 01, 2016 - point, the providers reported they would add a consulting psychiatrist “on quick dial” for help with diagnosis