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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
January 01, 2004 - Abstract
Objectives: This study examined whether clinical evidence in medical records
confirms ICD-9-CM diagnoses … Records of inpatients admitted with APL as a secondary
diagnosis in 2000 were extracted from SPARCS … the principal diagnosis position. … specified in the PSI documentation appears to be too broad (a single
ICD-9-CM code from selected diagnoses … Does
clinical evidence support ICD-9-CM diagnosis coding
of complications?
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
July 29, 2021 - Liquid biopsy used in a diagnosis paradigm
3
4
Figure 1 C. … Cancer Diagnosis Using a Liquid
Biopsy: Challenges and Expectations. … Ossandon
Affiliation NIH/NCI/Division of Cancer Treatment and Diagnosis/Cancer Diagnosis Program
Key … Compared to the use of liquid biopsy in patients with established cancer diagnoses
outlined above, the … Also, this assessment should focus on the use of liquid biopsy in patients with established
cancer diagnoses
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www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
January 01, 2024 - Scope: We studied gaps in outpatient care related to diagnosis (delayed diagnosis of
chronic kidney … Quantitative analyses included 244,540 patients for delayed
diagnosis of CKD, 113,809 patients for … Qualitative analyses included 15 providers for delayed
diagnosis of CKD, 22 providers for medication … (delayed diagnosis of chronic kidney disease), treatment (potentially inappropriate
medication use … It adopted an electronic health
record in 2006 that contains information on diagnoses, procedures,
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/submission-form-mw.pdf
June 02, 2025 - Documentation Error
Exception on Review –
Allergy Documentation
List Error
Exception on Review –
Diagnosis … Documentation Error
No Diagnosis on Review –
Diagnosis
Documentation Error
Not Done Patient … Documentation ErrorRow1:
Exception on Review Allergy Documentation List ErrorRow1:
Exception on Review Diagnosis … Documentation ErrorRow1:
No Diagnosis on Review Diagnosis Documentation ErrorRow1:
Not Done Patient
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-2-tech-specs.pdf
June 02, 2025 - Table 10-A: Codes to Identify Ambulatory or Preventive Care Visits
Description CPT HCPCS ICD-9-CM
Diagnosis … Ages Younger than eighteen years of age during measurement year
Event/Diagnosis Diagnosed with Sickle … Medical records for cases with ICD-9 code 282.49 should not
be reviewed unless a diagnosis of Hb beta … • Children with diagnosis in the sampled medical record indicating one of the sickle cell disease … Table 10-C: Excluded Sickle Cell Disease Diagnosis Codes
Condition Name Hemoglobin Screening Result
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
January 10, 2022 - Module 6: Mutual Support
Module 6
Mutual Support To Improve Diagnosis
TeamSTEPPS® for Diagnosis Improvement … Welcome to the TeamSTEPPS for Diagnosis Improvement Course. … diagnostic decision making in the future, by encouraging reflection and consideration of a variety of diagnoses … Has anyone ever raised a concern about diagnosis-related issues TO you? … If the patient or providers are uncomfortable with the progress being made, or with the diagnoses being
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership.html
July 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
Next Page
Table of Contents
Leadership … To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership … Leadership To Improve Diagnosis: A Call to Action.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-6-tables-5-7.pdf
June 02, 2025 - Percent
Agreement
Kappa Statistic
Hospital #1
Time of Antibiotics
(within 60 minutes of
diagnosis … )
2
100%
1.00
Hospital #2
Time of Antibiotics
(within 60 minutes of
diagnosis) … 3
33%
-0.50
Hospital #3
Time of Antibiotics
(within 60 minutes of
diagnosis) … 4
100%
1.00
All Sites
Time of Antibiotics
(within 60 minutes of
diagnosis)
9
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-6a-tables-4-5.pdf
June 02, 2025 - Percent
Agreement
Kappa
Statistic
Hospital
#1
Time of blood culture
(within 4 hours of
diagnosis … )
7 71% 0.30
Hospital
#2
Time of blood culture
(within 4 hours of
diagnosis)
4 100% 1.00 … Hospital
#3
Time of blood culture
(within 4 hours of
diagnosis)
4 75% 0.00
All
Sites
Time … of blood culture
(within 4 hours of
diagnosis)
15 80% 0.29
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact6.html
July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Conclusion … Previous Page Next Page
Table of Contents
Documenting Diagnosis: Exploring the Impact … open notes initiatives, and enhanced teamwork among care teams, are poised to reshape the future of diagnosis … Through continued innovation and collaboration, the future of diagnosis documentation in EHRs will reflect
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections … No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment of Cellulitis … Infections
Acute Care
Slide Title and Commentary Slide Number and Slide
Best Practices in the Diagnosis … Soft
Tissue Infections
Acute Care
SAY:
This presentation will address best practices in the
diagnosis … And finally, Moment 4 asks: What duration of therapy is
needed for my patient’s diagnosis?
-
www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
November 01, 2019 - Assessment
State your initial thinking about the working diagnosis. … "My initial thinking is that your symptoms are consistent with XXX [name the diagnosis]." … Share any uncertainty about the diagnosis. … "What is most concerning for you about the initial diagnosis?" … How will doing this next step impact the diagnosis?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-slides.pptx
November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia … Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia
AHRQ Safety Program for … What duration of antibiotic therapy is needed for my patient's diagnosis? … is identified, stop HAP-targeted therapy
If HAP is the likely diagnosis, use sputum culture results … What duration of antibiotic therapy is needed for my patient's diagnosis?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-slides.pptx
November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia … Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia
Acute Care
AHRQ Safety … What duration of antibiotic therapy is needed for my patient's diagnosis? … is identified, stop VAP-targeted therapy
13
If VAP is the likely diagnosis, use respiratory culture … What duration of antibiotic therapy is needed for my patient's diagnosis?
-
www.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
June 01, 2023 - reflective practice (KAICS mnemonic above) can foster awareness of all the information relevant to accurate diagnosis … , review the clinical diagnosis case of Mr. … TeamSTEPPS for Diagnosis Improvement: The Case of Mr. … Kane (PDF, 2 KB)
Diagnosis is frequently challenging and a common cause of avoidable harms. … applying the full set of TeamSTEPPS tools to foster diagnostic accuracy is contained in TeamSTEPPS for Diagnosis
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.pdf
June 02, 2025 - This is also called your “primary discharge diagnosis.” … Using your
own words, can you explain to me what your main problem or diagnosis is? … If no, use this opportunity to provide patient education about the discharge diagnosis. … CALLER: Do you have any questions for me about your main problem [diagnosis]? … Health Status Diagnosis
B. Medicines
C. Clarification of Appointments
D.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections … No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment of
Asymptomatic … Moment 4: What duration of antibiotic therapy is
needed for my patient’s diagnosis? … However, it is important to re-examine the diagnosis of
cystitis daily and if an alternative diagnosis … In the
absence of these risk factors, UTI is a rare diagnosis in
males, and this diagnosis should be
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-5.html
September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Why Checklists for Diagnosis … Process-Focused Checklists
Factors That Influence Effectiveness of Checklists
Why Checklists for Diagnosis
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
August 01, 2022 - in the Emergency Department
Introduction
The Theory of Distributed Cognition
Nurses' Role in Diagnosis … In the current model of diagnosis (left side of the model), horizontal arrows represent individual workflows … The current approach is in contrast with our proposed physician-nurse dyad model of diagnosis (right … Application of Distributed Cognition to Model of Diagnosis
Research studies will need to evaluate … Recommendations To Improve Interprofessional Diagnosis in the ED
Distributed Cognition Concept
-
www.ahrq.gov/patient-safety/reports/issue-briefs/dxchecklists-table1.html
September 01, 2020 - Process-Focused Checklists
Factors That Influence Effectiveness of Checklists
Why Checklists for Diagnosis … Ely and Graber,
2015 11
Differential diagnosis checklist
Primary care physicians
Clinical … Checklist
Participants
Setting
Outcome
Shimizu, et al.,
2013 16
Differential diagnosis … specific) compared with a general debiasing checklist (process focused) and a control group (intuitive diagnosis … Experimental
Significant effect for the use of the content-specific checklist compared with intuitive diagnosis