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141. Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
     April 01, 2025 - Diagnostic Error The 2015 National Academy report sought a consensus definition for diagnostic error … Some refer to diagnostic process failures and diagnostic label failures, again emphasizing diagnosis … a diagnostic test).  … Diagnostic Discrepancies or Diagnostic Discordance Disagreements in classification of disease, commonly … Efficient  Optimizing diagnostic processes and procedures.

142. Appendix A. Database Search Strategy | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-apa.html
     July 01, 2024 - Included Studies Search blocks for diagnostic test results Database Structured Search … Headings Free Text Search Terms Medline Medline “Diagnostic Tests, Routine” or “Delayed Diagnosis” or … “Diagnostic Errors” or “False Negative Reactions” or “False Positive Reactions” or “Incidental Findings … tests, routine’/exp OR ‘diagnostic tests, routine’ OR ‘delayed diagnosis’/exp OR ‘delayed diagnosis’ … OR ‘diagnostic errors’/exp OR ‘diagnostic errors’ OR ‘false negative reactions’/exp OR ‘false negative

143. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
     January 01, 2025 - — Controversies and Consensus in Describing Diagnostic Errors • Shifting Sands: Diagnosis, Diagnostic … Errors • The Impact of High Value Care on Diagnostic Error: The Educator Perspective • Diagnostic Error … Evolution, Survival Skills and Diagnostic Reasoning • Oral Abstracts • Implementing Diagnostic Decision … Testing: A Source of Diagnostic Error • Diagnostic Errors: Causes of Heartburn Among Health Care Risk … : Practical Approaches to Diagnostic Errors o Cognitive Psychology of Diagnostic Error Day 1 Sessions

144. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-4.html
     June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Conclusion Previous Page … Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science … Introduction Special Considerations for Measurement of Diagnostic Safety Getting Ready for Measurement … additional data gathering, HCOs have a variety of options to begin measurement to reduce preventable diagnostic … HCOs in any setting to assess how they could begin their journey to measure and reduce preventable diagnostic

145. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking5.html
     September 01, 2022 - Vision for Probabilistic Diagnostic Decisions References Committee on Diagnostic … Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-9. … Information provided by diagnostic and screening tests: improving probabilities. … Understanding and communicating uncertainty in achieving diagnostic excellence. … Using Bayes’ rule in diagnostic testing: a graphical explanation.

146. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
     September 01, 2023 - Malpractice claims related to diagnostic errors in the hospital. … prevent serious diagnostic errors. … Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. … Calibrate Dx: A Resource To Improve Diagnostic Decisions. … Using patient experience surveys to assess diagnostic safety in urgent care.

147. Nurses' Role in Diagnosis, Through the Lens of Distributed Cognition | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses3.html
     August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Nurses … Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic … error. 29 In one study, about 10 percent of diagnostic errors were attributable to breakdowns in history … It has been said that nurses make up a key part of “the diagnostic safety net,” 12 because they often … Yet many nurses do not view themselves as key players in the diagnostic process or believe they should

148. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
     January 01, 2025 - advance the science of diagnostic error reduction. … The impact of diagnostic error on patients, however, is clear. … Types and origins of diagnostic errors in primary care settings. … Diagnostic Error • Short Course: A Workshop on Reducing Diagnostic Error in Clinical Settings 1R13HS024883 … Diagnostic Potentials with Visual Arts o Ambulatory Morbidity and Mortality Conferences: Teaching Diagnostic

149. Measures of Cognitive Load | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
     May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Measures of Cognitive Load Previous … Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy … Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay … Between Cognitive Load and Diagnostic Accuracy Measures of Cognitive Load A Future Vision for Better … Diagnostic Outcomes References To best understand cognitive load’s impact on diagnostic

150. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
     September 01, 2023 - Further study of these impacts on pediatric diagnostic reasoning holds promise for improving diagnostic … Can we improve diagnostic safety by facilitating shared decision making in the diagnostic process, … The Future of Pediatric Diagnostic Safety Research Research To Understand the Diagnostic Process and … Relating faults in diagnostic rea- soning with diagnostic errors and patient harm. Acad Med. … Diagnostic Errors and Diagnostic Calibration. JAMA. Sep 12 2017;318(10):905-906.

151. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
     July 22, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality 1 Federal Interagency Workgroup … on Improving Diagnostic Safety and Quality in Health Care Workgroup Goal: Established by Senate Report … • EPC Program systematic review on Diagnostic Errors in the Emergency Department draft report is … o ECHO (Extension for Community Healthcare Outcomes) Project: A Model for Diagnostic Excellence 2020 … • Division of Healthcare Quality Promotion: CDC guidance on COVID-19 diagnostic assays is available

152. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology-references.html
     April 01, 2025 - Aligning incentives for improving diagnostic excellence. … Diagnostic excellence in primary care. J Gen Fam Med 2023 Mar 20;24(3):143-145. … CDC’s Core Elements to promote diagnostic excellence. Diagnosis (Berl) 2024 Nov 28. … Use of e-triggers to identify diagnostic errors in the paediatric ED. … Detection and classification of diagnostic discrepancies (errors) in surgical pathology.

153. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
     January 17, 2025 - Rural Healthcare: A Call to Action • Diagnostic Safety Grants o We awarded eight new diagnostic safety … /diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship.html https://www.ahrq.gov/diagnostic-safety … /diagnostic-safety/resources/issue-briefs/dxsafety-patient-role.html https://www.ahrq.gov/diagnostic-safety … Safety will look at identifying diagnostic errors using natural language processing … AI and diagnostic safety and quality could be part of that.

154. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
     January 01, 2024 - Diagnostic Safety and Quality. https://www.ahrq.gov/topics/diagnostic-safety-and-quality.html . … Diagnostic Safety Event Reporting. … Racial disparities in access to diagnostic laparoscopy for endometriosis: diagnostic delay, ED visits … Reducing diagnostic errors worldwide through diagnostic management teams. … Payment innovations to improve diagnostic accuracy and reduce diagnostic error.

155. Diagnostic Terminology: Challenges and Opportunities | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology10.html
     April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Diagnostic Terminology … Improvement Diagnostic Terminology: Challenges and Opportunities References Two … Humans as Problems or Assets  The concept of diagnostic error and Safety-I imply that humans are the … This dichotomy influences approaches to diagnostic improvements.  … Integrate patient and caregiver perspectives into diagnostic processes to learn from them.

156. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
     January 01, 2024 - error diagnostic safety/error + reporting diagnostic error diagnostic safety/error + cognitive process … diagnostic safety/error + cognitive biases diagnostic safety/error + cognitive burden diagnostic safety … safety/error + disparities diagnostic performance diagnostic safety/error + effect of bias diagnostic … diagnostic safety/error + testing diagnostic safety/error + test order diagnostic safety/error + test … diagnostic safety/error + implementation diagnostic safety/error + organizational approaches diagnostic

157. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-apr2025.pdf
     August 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025 … create a learning network of our diagnostic safety grantees. … The first day of the meeting was in-person for Diagnostic https://www.ahrq.gov/diagnostic-safety/resources … diagnostic process at a health system or geographic level. … Diagnostic Stewardship Initiatives AHRQ on Diagnostic Stewardship as a Model To Improve Quality and

158. Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
     June 02, 2025 - Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix B 1 1 2 3 4 5 6 7 … The documented history was suggestive of an alternate diagnosis, which was not considered in the diagnostic … The diagnostic process was affected by incomplete or incorrect clinical information given to the care … diagnostic evaluation through tests or consults. … Diagnostic Calibration Debrief Tool Appendix B. Revised Safer Dx Instrument Appendix C.

159. 2. Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state2.html
     January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 2. … Methods Previous Page Next Page Table of Contents Current State of Diagnostic Safety … Findings and recommendations are informed by a rapid narrative review and interviews with nine diagnostic … Operational framework to understand the state of the science of diagnostic safety 2.2. … Qualitative Methods Qualitative interviews with nine experts in the field of diagnostic safety helped

160. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
     August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case … Study Introduction Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic … The analysis led health system leaders to identify the diagnostic process as a critical issue that needs … a new Diagnostic Excellence Program with the endorsement of the institution's leadership. … of physician perspectives on the culture of diagnostic safety at our institution.