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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-guide.docx
September 01, 2022 - The Never Antibiotics Diagnoses: Influenza and RSV – Facilitator Guide
AHRQ Safety Program for Improving … Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Influenza and RSV
Ambulatory Care
Slide Title … and Commentary
Slide Number and Slide
The “Never Antibiotics” Diagnoses: Influenza and RSV
Ambulatory … SAY:
Welcome to this presentation titled, “The ‘Never Antibiotics’ Diagnoses: Influenza and Respiratory … Slide 8
Moment 1: Diagnosis
SAY:
The most common symptoms of influenza are fever, headache, sore
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
June 02, 2025 - University of Wisconsin-Madison
http://cqpi.engr.wisc.edu/
2
(Balogh et al., 2015 - Improving Diagnosis … People have physical, cognitive and
psychosocial needs
• Human-centered design
Accurate and timely
diagnosis … Work (sociotechnical) system of VTE
diagnosis
Role network analysis [info gathering, info
integration … & interpretation, working
diagnosis]
2. … Cues for VTE diagnosis
Table of cues
Comparative analysis of cues across 3 EDs
and roles
3.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections … – Slides
Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract … Clinician One-Page Document: Refer to the One-Page document for a concise summary of the diagnosis and … Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial … Diagnosis and management of urinary tract infections in the outpatient setting: a review.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-2-tech-specs.pdf
June 02, 2025 - Event/Diagnosis Diagnosis of asthma in the year prior to the measurement year (see
Table 1). … Table 1: Codes to Identify Diagnosis of Asthma
Condition Name ICD-9-CM Code(s)
Asthma 493
Extrinsic … Exclusions
Denominator
• Children with a diagnosis during the measurement year or the year prior … ,
tracheomalacia, or bronchomalacia (Table 2)
• Children who are 6 years old or older and have a diagnosis … ” (Table 2)
unless there is also a diagnosis for an asthma variant listed in Table 1
Table 2: Codes
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
May 01, 2024 - During diagnostic reasoning, most clinicians apply a variety of cognitive techniques to arrive at a diagnosis … Type 1 processing relies on intuition and patterns to formulate a rapid diagnosis. … The ability to come to the correct diagnosis, especially in the face of diagnostic uncertainty or an … The hospitalist diagnoses the patient with congestive heart failure. … This error results in a missed diagnosis and lack of treatment for pneumonia, which can progress to more
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact.html
July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety … Next Page
Table of Contents
Documenting Diagnosis: Exploring the Impact of Electronic Health … Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - # Hospital
Admits
Within:
Hospital
Discharge
Diagnosis
High-Risk Diagnoses Associated With … Active High-Risk Diagnoses. … Certain medical diagnoses are associated with preventable
hospital and ED visits. … • How many discharge diagnoses were “potentially preventable”? … diagnosis in 10 percent of ED visits, their rank
order would be the same.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Next Page
Table of Contents … Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts … Improved diagnostic accuracy through probability-based diagnosis.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Next Page … Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis … Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-slides.pptx
September 01, 2022 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses – Slides … Best Practices in the Diagnosis and
Treatment of Cellulitis and Skin and
Soft Tissue Abscesses
Ambulatory … Cellulitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
4
Moment 1: Diagnosis … Cellulitis Mimics
6
In a study of 145 patients3 hospitalized for cellulitis, 41 (28%)
had alternative diagnoses … Cellulitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
12
Moment 3: Diagnosis
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www.ahrq.gov/news/newsletters/e-newsletter/953.html
April 01, 2025 - Two New Issue Briefs Examine Diagnosis Improvement and Healthcare Excellence
Issue Number
953 … Today’s Headlines Two New Issue Briefs Examine Diagnosis Improvement and Healthcare Excellence . … issue briefs on improving diagnosis and healthcare delivery. … Exploration of Foundational Terminology and Paradigms for Improving Diagnosis examines varying terms … and perspectives that describe successful or failed diagnoses.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
January 17, 2024 - atypically, thus contributing to additional difficulties for clinicians to make timely and accurate
diagnoses … years 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 … Missed and
delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology6.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Clarification in Using … Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis … Introduction
Perspectives on Diagnostic Improvement
Definitions of Diagnosis
Types of Evidence … Used To Assess Diagnosis
Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence
Clarification … in Using Different Paradigms and Terms for Improvement Efforts
Foundational Terminology for Diagnosis
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www.ahrq.gov/patient-safety/resources/learning-lab/idea-ll-long-desc.html
August 01, 2025 - Improving Diagnosis in Emergency and Acute Care: A Learning Laboratory (IDEA-LL)
Principal Investigator … Development of a rubric for assessing delayed diagnosis of appendicitis, diabetic ketoacidosis and sepsis … Diagnosis (Berl) 2020 Jun 26;8(2):219-225. Singh SA, Bakshi N, Mahajan P, et al. … Co-Designing Interventions To Improve Diagnosis in the Emergency Department. … Diagnosis (Berl) 2020 Jun 26;8(2):219-225. James TG, Mangus CW, Parker SJ, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-6-table-5.pdf
June 02, 2025 - Percent
Agreement
Kappa
Statistic
Hospital #1 Time of fluid bolus
(within 60 minutes of
diagnosis … )
3 100% 1.00
Hospital #2 Time of fluid bolus
(within 60 minutes of
diagnosis)
3 67% 0.00 … Hospital #3 Time of fluid bolus
(within 60 minutes of
diagnosis)
4 75% 0.50
All Sites Time of … fluid bolus
(within 60 minutes of
diagnosis)
10 80% 0.38
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship6.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Diagnostic Stewardship … Page
Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis … practice model to assist with diagnostic test selection and interpretation to expedite accurate and timely diagnoses … Intraoperative pathology consultation helps ensure the adequacy of biopsy specimens, confirm the diagnosis … are available to support patients in understanding and making informed decisions relevant to their diagnosis
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology9.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Evolving Methods and … Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis … Introduction
Perspectives on Diagnostic Improvement
Definitions of Diagnosis
Types of Evidence … Used To Assess Diagnosis
Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence
Clarification … in Using Different Paradigms and Terms for Improvement Efforts
Foundational Terminology for Diagnosis
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-4.html
August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Role of the Patient … Table of Contents
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis … Telediagnosis for Diagnostic Quality and Safety
References
Coproducing an accurate and timely diagnosis
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-vi-a.pdf
March 01, 2011 - prior to ADHD diagnosis and one year post diagnosis. 16 months
total. … at the physician visit
Event/Diagnosis
Any patient age 4 through 18 with an ADHD diagnosis code … diagnosis.
2. … prior to ADHD diagnosis and one year post diagnosis. 16 months
total. … at the physician visit
Event/Diagnosis
Any patient age 4 through 18 with an ADHD diagnosis code
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - Discharge diagnoses from hospital (primary & secondary). … High-risk diagnoses.
Current clinical conditions contributing to transfer risk.
Polypharmacy. … ED discharge diagnosis.
Hospital visits within last 90 days.
Hospital discharge diagnosis. … Active high-risk diagnoses.
Clinical conditions that contribute to high risk.
Polypharmacy. … Potential preventable discharge diagnoses.