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161. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
     August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction … Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic … The inherent uncertainty of the diagnostic process makes it highly susceptible to errors. 4 The National … Academies of Sciences, Engineering, and Medicine (NASEM) defines diagnostic error as “the failure to … error occurring in 5 percent of ED visits translates to about 7 million cases of ED-based diagnostic

162. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
     January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. … errors, and the harms caused by diagnostic errors. … • Features associated with diagnostic errors: The most prevalent diagnostic process faults in our … triggers for a "diagnostic time-out" to re-evaluate the diagnostic process, establishing a diagnostic … Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study.

163. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-6.html
     March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Conclusion Previous Page Next Page … Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations … Conclusion References Improving diagnosis education is fundamental to improving diagnostic … Curricular innovations are being piloted and implemented, and our understanding of assessment of diagnostic … scale, ensuring that tomorrow's healthcare professionals are equipped to be effective members of the diagnostic

164. Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdf
     January 01, 2025 - error and improving diagnostic accuracy. … The pursuit of better diagnostic performance: a human factors perspective. … How much diagnostic safety can we afford, and how should we decide? … Advancing the research agenda for diagnostic error reduction. … How much diagnostic safety can we afford, and how should we decide?

165. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
     October 01, 2024 - harm is both widespread and costly and that diagnostic excellence is rare. … Organizations and providers need resources to mitigate diagnostic harm and few tools are available to … , and provide assessment and training tools to support local efforts to reduce diagnostic harm. … Module 2: Diagnostic Team Structure (PPTX, 3 MB); Module 2 Facilitator's Notes  (PDF, 1 MB). … Supplementary Materials: The Diagnostic Journey of Mr.

166. Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
     January 01, 2025 - process and reduce harm to patients due to diagnostic error. … Key Words: diagnostic error, diagnostic safety, diagnostic excellence, patient engagement, patient safety … process and reduce harm to patients due to diagnostic error. … “diagnostic safety” in publication titles. … Diagnostic error in internal medicine.

167. Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
     January 01, 2025 - Key Words: Diagnostic error, machine learning 2. … the burden of preventable diagnostic harm. … cases of ED-based diagnostic errors.2,9,10,11 About half of all diagnostic errors have potential for … Relating faults in diagnostic reasoning with diagnostic errors and patient harm. … Diagnosing diagnostic mistakes.

168. TeamSTEPPS® Diagnosis Improvement: Module 2 Diagnostic Team Structure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module2-presenters-notes.pdf
     January 12, 2022 - • Empower all diagnostic team members to be active participants in the patient's diagnostic journey … • Empower all diagnostic team members to be active participants in the patient's diagnostic journey … Slide 5 Navigating the Diagnostic Process Together The role of the diagnostic team is to promote … diagnostic journey … diagnostic journey

169. TeamSTEPPS® Diagnosis Improvement: Module 2 Diagnostic Team Structure
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module2-team-structure.pptx
     January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 2 Diagnostic Team Structure Module 2 Diagnostic Team Structure … Empower all diagnostic team members to be active participants in the patient's diagnostic journey. … Empower all diagnostic team members to be active participants in the patient's diagnostic journey. … Who Is on Our Diagnostic Team? Mr. Kane: Reflection on Team Structure The Diagnostic Journey of Mr. … The Diagnostic Team All members of the diagnostic team play a critical role in the patient’s journey

170. In the Spirit of Patient Safety Awareness Week, AHRQ Sharpens Its Focus on Diagnostic Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
     March 01, 2023 - posts from AHRQ leaders In the Spirit of Patient Safety Awareness Week, AHRQ Sharpens Its Focus on Diagnostic … Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors … Researchers are encouraged to investigate the incidence of diagnostic errors and their causes, and findings … In tandem with that initiative, AHRQ issued Improving Diagnostic Safety in Ambulatory Care: Strategies … of Funding Opportunity, AHRQ invites proposals focused on research demonstrating and disseminating diagnostic

171. Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists.html
     September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Next Page … Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction … Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction.

172. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
     March 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders When It Comes to High-Quality Healthcare, Diagnostic Safety … Most people will experience at least one diagnostic error in their lifetime, sometimes with devastating … AHRQ’s expanded suite of diagnostic safety issue briefs addresses diverse topics such as improving … to maternal morbidity and mortality, and reinforcing the role of nurses in diagnostic safety. … They underscore the imperative to mitigate diagnostic errors and harm.

173. Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-4.html
     September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … of Contents Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic … Error Learning From Diagnostic Errors The Potential of Psychological Safety and Organizational Safety … Culture To Improve Diagnostic Safety Specific Barriers and Challenges to Reporting and Learning From … Diagnostic Errors Strategies To Promote Psychological Safety and Organizational Safety Culture Related

174. References (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/14-diagnostic-safety-toolkit-references.pdf
     November 24, 2020 - Types and origins of diagnostic errors in primary care settings. … Operational Measurement of Diagnostic Safety: State of the Science. … Types and origins of diagnostic errors in primary care settings. … Types and origins of diagnostic errors in primary care settings. … The incidence of diagnostic error in medicine.

175. Co-producing a Diagnosis
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
     November 24, 2020 - experience a diagnostic error in their lifetime. … accuracy.3-5 2 How can we improve diagnostic safety? … needed to reduce the risk of diagnostic errors.  3 Toolkit Strategies 60 Seconds To Improve Diagnostic … Types and origins of diagnostic errors in primary care settings. … The incidence of diagnostic error in medicine.

176. Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
     April 01, 2025 - As the field evolved to consider diagnostic errors as a subset of medical error, the term diagnostic … Diagnostic Excellence Paradigm The phrase diagnostic excellence 6, 27,28 describes a hybrid model that … The term “diagnostic excellence” adds to the historical paradigms of diagnostic quality and safety. … Diagnostic excellence elevates the diagnostic terminology to a positive perspective and shifts the focus … Unlike some error-focused terms, such as “diagnostic error,” that emphasize shortcomings, diagnostic

177. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
     January 01, 2025 - Diagnostic delays were common for all diseases studied. … diagnostic delays, potential risk factors for delay, and the harms attributable to diagnostic delays … for the assumptions pertaining to diagnostic delays. … First, not all symptoms during the diagnostic opportunity window prior to diagnosis represent diagnostic … delay, it occurs early in the diagnostic process.

178. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
     September 01, 2024 - Diagnostic process. … • Establish a work system and culture that supports the diagnostic process and improvements in diagnostic … process • Provide dedicated funding for research on the diagnostic process and diagnostic errors Source … Limited attention to the patient’s role in diagnostic safety is perpetuated in how we identify diagnostic … Perhaps counterintuitively, those who have experienced diagnostic limbo, had long or difficult diagnostic

179. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
     February 01, 2024 - of patients (i.e., inside or outside their hospital rooms) when risk for diagnostic error (DE) or diagnostic … Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study . … Analyzing diagnostic errors in the acute setting: a process-driven approach . … design and development of a diagnostic time-out to address diagnostic errors in acute care . … Analyzing diagnostic errors in the acute setting: a process-driven approach.

180. A Path to Rural Diagnostic Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare1.html
     October 01, 2024 - Diagnostic Excellence in U.S. … Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Previous Page Next … Page Table of Contents Diagnostic Excellence in U.S. … Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Improving Diagnosis in the … of Rurality Three Areas To Immediately Advance Diagnosis In Rural Healthcare A Call To Action: Diagnostic