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121. Appendix B. External Experts for Qualitative Interviews | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apb.html
     January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy Appendix B. … Diagnostic error researcher in pediatrics Kelly Smith, Ph.D. … Diagnostic error educator Andrew Auerbach, M.D. … Two decades of diagnostic error experience Mark Graber, M.D. … Two decades of diagnostic error experience

122. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions1.html
     June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call … to Action Introduction Previous Page Next Page Table of Contents Diagnostic Safety … Moreover, transitions of care are high-risk times that often involve medical complexity and diagnostic … To improve diagnostic safety at transitions of care, this issue brief examines the existing evidence … base on how to improve diagnostic safety at intrahospital care transitions, from using data analysis

123. Why Checklists for Diagnosis Are Not Performing as Expected | Agency for Healthcare Research and Quality
     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 … Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic … Conversely, checklists used for diagnostic safety seem to focus on errors of planning. … A frequently used item on checklists in the diagnostic process is “What else can it be?” … Even the current content-specific checklists for diagnostic safety may not be specific enough.

124. Did You Know, Safety Infographic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/03-diagnostic-safety-infographic.pdf
     August 01, 2021 - Did You Know, Safety Infographic Did you know... 57% of all diagnostic failures happen in ambulatory … care.1 1 in 20 patients who attend a primary care appointment this year will experience a diagnostic … error.2 79% of diagnostic errors are related to the patient-clinician encounter.3 up to 56% of … Strategies, 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. … Types and origins of diagnostic errors in primary care settings.

125. Research Agenda | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
     September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … of contribution of diagnostic error to diagnosis or escalation of care. … of risk factors is important to increase diagnostic accuracy. … diagnosis. 19 System errors are major contributing factors to diagnostic error. … Evaluate best way to disclose diagnostic safety events to patients and families.

126. Content-Specific Versus Process-Focused Checklists | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
     September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Content-Specific Versus … Content-specific checklists provide clinicians with relevant knowledge during the diagnostic process … For example, these may list specific diagnostic steps or suggestions of possible diagnoses that should … Sibbald and colleagues found in several studies that the use of this checklist reduced diagnostic error … and taking a “diagnostic time out.”

127. Appendix A. SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
     September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders … Process Recognizing and Supporting Nurses in Diagnostic Safety Using Patient Cases for Learning … Team-Based Competency: Partner effectively as part of an interprofessional diagnostic team. … How would you communicate the patient’s problem and your findings to the diagnostic team? … and discussion of excellent diagnostic performance, near-misses, and errors. 

128. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-1.html
     March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Introduction Previous Page Next Page … Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations … Research studies over the past two decades have shown how diagnostic errors can be prevented or mitigated … While individual, professional, contextual, patient, and health system factors make diagnostic error … Substantial progress is being made in recognizing the need for diagnostic excellence, 13 and improving

129. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role-references.html
     September 01, 2024 - Transforming diagnostic research by leveraging a diagnostic process map to Engage Patients in Learning … Burden of serious harms from diagnostic error in the USA. … Human centered design workshops as a meta-solution to diagnostic disparities.  … Types and origins of diagnostic errors in primary care settings. … Toolkit for Engaging Patients To Improve Diagnostic Safety.

130. Initial Approach | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-approach.html
     August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case … Initial Approach Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic … To help prioritize the diagnostic safety-related actions to undertake first, the team conducted a survey-based … We wanted to understand physician perceptions regarding safety culture related to the diagnostic process … The needs assessment included a modified survey adapted from the SOPS Medical Office Survey Diagnostic

131. OR-to-ICU Transitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
     June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call … to Action OR-to-ICU Transitions Previous Page Next Page Table of Contents Diagnostic … Steps and a Call to Action References OR-to-ICU Handoff-Specific Contributors to Diagnostic … This transition is prone to technical and diagnostic error due to not only the high patient acuity and … It is challenging to explicitly evaluate diagnostic error as an outcome in the postoperative period:

132. Introduction on Diagnostic Documentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact2.html
     July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Introduction … on Diagnostic Documentation Previous Page Next Page Table of Contents Documenting … Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Introduction on Diagnostic … Documentation The Future of Diagnostic Documentation Conclusion References The … process and essential variables related to the patient’s diagnostic journey.

133. Conclusions and Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html
     September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Although, many factors that contribute to diagnostic error in maternal health are unknown, there are … feasible solutions, including simulation to both determine the causes of and reduce diagnostic error … Awareness and foundational knowledge of diagnostic safety frameworks are required to support this shift … More research is needed to identify related factors that contribute to diagnostic error and to determine

134. Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixA.pdf
     June 02, 2025 - Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix A 1 Appendix A … Diagnostic Calibration Debrief Tool (1 of 2) This tool can help you plan and summarize your efforts … to calibrate your diagnostic performance and includes space for your self-assessment, peer feedback, … • How did you manage uncertainty in the diagnostic process? • What went well? … Diagnostic Calibration Debrief Tool Appendix B. Revised Safer Dx Instrument Appendix C.

135. The Future of Diagnostic Documentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact5.html
     July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety The Future … of Diagnostic Documentation Previous Page Next Page Table of Contents Documenting … Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Introduction on Diagnostic … However, ambient AI scribes also introduce new risks that may lead to diagnostic error. … Expanding the diagnostic team will bring both challenges and opportunities for improving diagnostic documentation

136. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
     July 01, 2024 - Diagnostic Excellence in U.S. … e Issue Brief 24 Diagnostic Excellence in U.S. … Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. … accuracy or measure diagnostic errors. … Payment innovations to improve diagnostic accuracy and reduce diagnostic error.

137. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses5.html
     August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Conclusion … Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic … Thus, it is no wonder that diagnostic errors occur. … Addressing the problem of diagnostic error by understanding and optimizing the diagnostic process in … Emphasizing the role of nurses in diagnostic safety through the lens of distributed cognition would be

138. 3. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
     January 01, 2024 - Performance Effect of Bias Improving Diagnostic Performance Related to Diagnostic Inequity and … Graber, et al. 8 Diagnostic Error Any mistake or failure in the diagnostic process leading to … Reporting Diagnostic Error Reporting tools aid in capturing the details of diagnostic safety events … factor for diagnostic error. … to address diagnostic error.

139. The History of Patient Roles | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role2.html
     September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design The … of Patient Roles Previous Page Next Page Table of Contents The Patient’s Role in Diagnostic … things with  and ultimately by a patient, enabling diagnostic excellence. … information they want and the diagnostic information they get. … patient’s unique diagnostic journey.

140. Future Directions and Research Priorities | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-6.html
     February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments … Previous Page Next Page Table of Contents Health Information Technology for Engaging Patients in Diagnostic … Diagnostic processes that are specifically ready for intervention include timely communication of test … results, communication regarding diagnostic uncertainty, and shared decision making with patients and … In conclusion, health IT offers several promising opportunities for engaging patients in the diagnostic