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101. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
     August 01, 2022 - in the Emergency Department Introduction The Theory of Distributed Cognition Nurses' Role in Diagnosis … The decision making needed to make a diagnosis for a patient who presents to the ED occurs in a time- … In this view, diagnosis is not the result of solitary thinking but rather a process that occurs through … These individuals have unique, valuable knowledge that should be considered when making diagnoses in … Departing from the traditional view of diagnosis as an individual effort, diagnosis should be viewed

102. TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
     January 13, 2022 - findings, to consider additional tests and procedures that may be appropriate, and to review potential diagnoses … , and to delineate possible alternative diagnoses. … the referring provider to ask for input on reasoning, what may have been missed, or what working diagnoses … including setting expectations, explaining the diagnostic process, discussing relevant differential diagnoses … or alternative diagnoses, and providing reassurance.                                                                  

103. Errors of diagnosis in pediatric practice: a multisite survey. | PSNet
     psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey
     November 13, 2024 - Study Errors of diagnosis in pediatric practice: a multisite survey. … Errors of diagnosis in pediatric practice: a multisite survey. … Our knowledge of underlying causes of missed diagnoses, and the types of diagnoses that are often missed … are largely based on autopsy studies and data from malpractice claims , which may over-represent diagnoses … Errors of diagnosis in pediatric practice: a multisite survey.

104. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
     May 26, 2021 - She was told that this finding confirmed her diagnosis of IBS-D.  … The second gynecologist also contributed to the delayed diagnosis. … appendicitis did she receive the correct diagnosis – and ironically, the diagnosis was made without … costly than laparoscopy. 20 A more recent Cochrane meta-analysis review points out that non-surgical diagnoses … Invasive and noninvasive methods for the diagnosis of endometriosis.

105. Missed diagnosis of critical congenital heart disease. | PSNet
     psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
     September 09, 2020 - Study Missed diagnosis of critical congenital heart disease. … Missed diagnosis of critical congenital heart disease. … population-based study revealed that approximately 30 infants per year in California die due to missed diagnoses … Missed diagnosis of critical congenital heart disease. … April 16, 2018 Missed ischemic stroke diagnosis in the emergency department by emergency

106. Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation of CrowdMed. | PSNet
     psnet.ahrq.gov/issue/crowdsourcing-diagnosis-patients-undiagnosed-illnesses-evaluation-crowdmed
     November 13, 2024 - Study Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation … Crowdsourcing Diagnosis for Patients With Undiagnosed Illnesses: An Evaluation of CrowdMed. … The frequency of missed and delayed diagnoses is stimulating interest in innovative ways of improving … This study reports on the initial experience of a crowdsourcing approach to diagnosis. … February 23, 2022 Patient's Toolkit for Diagnosis.

107. Management reasoning: beyond the diagnosis. | PSNet
     psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
     June 26, 2019 - Commentary Management reasoning: beyond the diagnosis. … Management Reasoning: Beyond the Diagnosis. … Management Reasoning: Beyond the Diagnosis.

108. Improving Diagnosis in the Context of Rurality | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare2.html
     October 01, 2024 - Rural Healthcare: A Call to Action Improving Diagnosis in the Context of Rurality Previous … Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Improving Diagnosis in the … Context of Rurality Three Areas To Immediately Advance Diagnosis In Rural Healthcare A Call To Action … These errors result in delayed, incorrect, or missed diagnoses, often causing irreversible harm and increased … specialty care, lower health literacy), 14 which exacerbate challenges in accessing timely and accurate diagnoses

109. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
     January 01, 2025 - A recent review of 53 autopsy studies found an average rate of 23.5% for major missed diagnoses (range … In addition, emergency medicine (where critical diagnoses often initially need to be made) offered a … own missed diagnoses), or patients (who frequently have stories to share about incorrect diagnoses), … These are diagnoses that are critical but often difficult to make—critical because timely diagnosis … Many “don’t’ miss” diagnoses are rare. It would be an error to pursue each one for every patient.

110. Research Summit: Improving Diagnosis in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-plenary.pdf
     September 28, 2016 - Research Summit: Improving Diagnosis in Health Care {PLENARY SESSION} Research Summit: Improving … Diagnosis in Health Care Jeffrey Brady, MD, MPH Director, Center for Quality Improvement and Patient … improvement, but some harm persists • AHRQ Research and Implementation Programs ► Applicability to Improving Diagnosis … • Improving Diagnosis in Medicine Research Summit ► Plan for the Day National Hospital-Acquired … can choose among these surveys and tools to select the ones that apply to their office Improving Diagnosis

111. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. | PSNet
     psnet.ahrq.gov/issue/clinical-features-and-preventability-delayed-diagnosis-pediatric-appendicitis
     September 13, 2023 - Study Clinical features and preventability of delayed diagnosis of pediatric appendicitis … Clinical features and preventability of delayed diagnosis of pediatric appendicitis. … Diagnostic errors , including delayed diagnoses, continue to be a patient safety concern. … Clinical features and preventability of delayed diagnosis of pediatric appendicitis. … August 26, 2020 Complexity and challenges of the clinical diagnosis and management of

112. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
     September 01, 2022 - Understanding probability and managing related uncertainty are vital for making accurate, timely diagnoses … When diagnoses are expressed as possible and uncertainty is recognized, the chance of misdiagnosis and … It shows the centrality of probabilistic understanding to making diagnoses at each of the following … The chosen tests may relate to the most likely diagnosis or the most concerning diagnosis, depending … for trainees occur in the context of generating differential diagnoses.23 These discussions do not

113. Why Is Improving Diagnosis Important? Physician and Patient Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/schiff-summit2016.pdf
     January 01, 2013 - Preliminary diagnosis Working diagnosis Differential diagnosis Syndrome diagnosis Etiologic diagnosis … Possible diagnosis Problem on Problem List Self limited diagnosis Ruled-out diagnosis Computer diagnosis … (EKG read) Deferred diagnosis Multiple/dual diagnoses Preclinical diagnosis Incidental finding Over-diagnosis … Diagnosis complication Billing diagnosis Telephone diagnosis Postmortem diagnosis Prenatal diagnosis … Rare diagnosis Difficult/challenging diagnosis Undiagnosed disease Contested diagnosis Novel diagnosis

114. Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
     August 03, 2020 - Will it improve MY diagnosis? … Communication of Diagnoses • Communication may be enhanced if family members participate and facilitate … Improving Diagnosis in Health Care. … How accurate are first visit diagnoses using synchronous video visits with physicians? … Diagnosis and decision-making in telemedicine.

115. Improving Diagnosis in Medicine Change Package. | PSNet
     psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
     May 06, 2015 - Toolkit Improving Diagnosis in Medicine Change Package. … Citation Text: Improving Diagnosis in Medicine Change Package. … This toolkit provides resources to help organizations seeking to improve diagnosis . … Copy URL Cite Citation Citation Text: Improving Diagnosis

116. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. | PSNet
     psnet.ahrq.gov/issue/diagnostic-time-out-improve-differential-diagnosis-pediatric-abdominal-pain
     February 10, 2021 - A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. … Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054. … Results showed marginal improvement in quality of differential diagnosis. … Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054. … December 15, 2021 Antecedent treat-and-release diagnoses prior to sepsis hospitalization

117. Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. | PSNet
     psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill-children
     January 12, 2022 - Study Discrepancies between clinical diagnoses and autopsy findings in critically … Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective … This autopsy study demonstrated significant discrepancies between clinical and postmortem diagnoses … Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective … January 23, 2017 Timing of the diagnosis of attention-deficit/hyperactivity disorder

118. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. | PSNet
     psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
     April 08, 2018 - Study Missed diagnoses of acute myocardial infarction in the emergency department … Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and … Although missed and delayed diagnoses are known to contribute to morbidity and mortality, measuring … Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and … July 21, 2021 Antecedent treat-and-release diagnoses prior to sepsis hospitalization

119. In Conversation With… Gordon Schiff, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
     February 26, 2025 - my interest in medication safety and realizing that as an internist I mainly did two things: I made diagnoses … vulnerability, which is threatening to our self-image about being mostly certain and right when we make diagnoses … like Isabel , I can enter the history in free text and the program begins to suggest differential diagnoses … If it lists hundreds of possible diagnoses that are not prioritized, then that will not be terribly helpful … ) or overdiagnosis (making too many unhelpful diagnoses).

120. Laney's story: the problem of delayed diagnosis of pediatric stroke. | PSNet
     psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
     April 24, 2018 - Commentary Laney's story: the problem of delayed diagnosis of pediatric stroke. … Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. … Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. … August 20, 2018 Evaluation and accurate diagnoses of pediatric diseases using artificial … September 1, 2016 Consensus statement on effective communication of urgent diagnoses