-
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,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - All of them have roles in
the coding of diagnoses and procedures from medical records, which will be … The code
numbers are detailed to accurately describe the diagnoses (the conditions the patient is seen … • Document the outcomes of “rule out,” “consider,” and “possible” diagnoses. … diagnoses equally meet the definition of principal diagnosis … The coder should never assume
a diagnosis of respiratory failure
without a documented diagnosis
by
-
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
-
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
-
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/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/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/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/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
February 02, 2012 - ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ADHD in Children and … Adolescents
ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment … A Process of Care for Diagnosis
and Treatment
This guideline and process-of-care al
gorithm (see … ● Role of patient preferences: Although
there is some stigma associated with
mental disorder diagnoses … and to
strongly consider substance use, de
pression, and anxiety as alternative or
co-occurring diagnoses
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-aug2025.pdf
September 01, 2025 - cross-agency working group that will propose a
strategy to enhance scientific research to improve diagnosis … .
3) Share resources and meeting announcements about content related to improving diagnosis. … of Foundational Terminology and Paradigms for
Improving Diagnosis
Four Pillars for Sustainable … • A study is underway to examine gaps in CKD testing that can impact
accurate and timely diagnoses … Development and Implementation of a Digital Quality
Measure of Emergency Cancer 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/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/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
-
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
-
www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
January 01, 2025 - Epner, MEd, MBA, Executive Vice President, Society to Improve Diagnosis in Medicine
• Mark L. … Graber, MD, President, Society to Improve Diagnosis in Medicine
• Hardeep Singh, MD, MPH, Baylor College … Graber, MD, President, Society to Improve Diagnosis in Medicine
• P. … The formation of the Coalition to Improve Diagnosis by the sponsoring Society to Improve
Diagnosis in … Abtracts of the 9th International Conference on Diagnostic Error in Medicine; Diagnosis.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections … Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Best Practices in the Diagnosis … Slide 5
UTI Diagnosis in Children and Adolescents
SAY:
Children at least 4 years of age are usually … Alternative diagnoses such as prostatitis, epididymitis, or sexually transmitted infections should also … pyuria is helpful to exclude the diagnosis of a UTI.
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiexh23.html
April 01, 2018 - ICD-9 codes
Chronic kidney dx
Utilization
Dx Codes
Diagnosis
ICD-9 codes
Chronic … lung dx
Utilization
Dx Codes
Diagnosis
ICD-9 codes
COPD_hx
Utilization/ Surgery
Dx … Codes
Diagnosis
ICD-9 codes
Diabetes
Utilization
Dx Codes
Diagnosis
ICD-9 codes … DVT
Utilization/ Surgery
Dx Codes
Diagnosis
Vascular studies
Hypocholest
Utilization … Dx Codes
Diagnosis
ICD-9 codes
MRSA
Utilization
Microbiology
person_patient.disease_alert_cd
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
June 02, 2025 - Event/Diagnosis Imaging studies of the head (CT or MRI; Table IMG1) for the
evaluation of simple febrile … indications for neuroimaging; CT or MRI
was obtained within 30 days of the simple febrile seizure
diagnosis … symptoms of increased intracranial pressure (Table IMG11)
between the date of simple febrile seizure diagnosis … Signs or symptoms of increased intracranial pressure
o Abnormal neurologic exam between the time of diagnosis … o Neurologic exam NOT documented between the time of diagnosis and the
time of imaging
Numerator
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/fielding-cancer-53.pdf
July 14, 2017 - The diagnoses in criterion (1) were associated with (i.e., on the same billing
line) any of the following … The diagnoses in criterion (1) were associated with (i.e., on the same billing
line) any of the following … The algorithm for inpatient facility billing data is limited to primary diagnoses of
Z51.11and Z51.12 … Malignant Neoplasm: Diagnosis Codes and Descriptions
ICD-10 CM
Diagnosis
Code Description
C00- … Antineoplastic Therapy: Diagnosis Codes and Descriptions
ICD-10 CM
Diagnosis
Code Description