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  1. 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,
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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?
  9. 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
  10. 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.
  11. 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
  12. 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.
  13. 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
  14. 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
  15. 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
  16. 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.
  17. 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.
  18. 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
  19. 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
  20. 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

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