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181. 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/dx-safety-issue-brief-co-design-rev.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

182. Final Progress Report: Reducing Harm to Patients from Diagnostic Errors (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
     January 01, 2025 - Harm to Patients from Diagnostic Errors Eta S. … A second diagnostic errors conference, led by Dr. … Diagnostic error in medicine: introduction. … Thinking about diagnostic thinking: a 30-year perspective. … Dual processing and diagnostic errors.

183. Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
     August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case … of physician perspectives on the culture of diagnostic safety at our institution. … communication regarding diagnostic errors. … The new diagnostic team. Diagnosis (Berl). 2017;4(4):225-238. … Minimizing diagnostic error: the importance of follow-up and feedback.

184. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
     January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item … Set for Medical Offices 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic … SOPS Diagnostic Safety Composite Measures ........................................................... … SOPS Diagnostic Safety Composite Measure Results - Average Percent Positive Response ............... … SOPS Diagnostic Safety Composite Measures Diagnostic Safety Composite Measures Definition: The extent

185. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
     July 05, 2023 - One essential aspect of improving diagnostic safety is optimizing the diagnostic process itself. … on diagnostic safety. … What is Diagnostic Error?: Improvediagnosis.org. diagnostic-error/ [Accessed 26 Jul 2022]. 6. … Payment innovations to improve diagnostic accuracy and reduce diagnostic error. … Diagnostic value: the economics of high-quality diagnosis and a value-based perspective on diagnostic

186. Recommendations and Areas for Future Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
     August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Recommendations … Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic … NASEM developed a conceptual model to describe the diagnostic process, 5 which was further refined for … to help prevent and catch diagnostic errors. … Acknowledges the temporal nature of the diagnostic process.

187. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - fidelity— diagnostic error and diagnostic delay—to capture accuracy and timeliness. … “There is no diagnostic error work without it being patient cen- tered…the whole point of diagnostic … Initial diagnostic criteria: new diagnostic label within 24 h after rapid response team. … Diagnostic process failures are Toker10 problems in the diagnostic workup. … Preventable diagnostic error is the overlap between diagnostic process failures and diagnostic label

188. Challenges and Opportunities for Improvement in Diagnostic Documentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact4.html
     July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Challenges … and Opportunities for Improvement in Diagnostic Documentation Previous Page Next Page … and Opportunities for Improvement in Diagnostic Documentation The Future of Diagnostic Documentation … Notably, no diagnostic code exists for “I don’t know.” … A review of EHR documentation evaluated two signs of diagnostic uncertainty, identifying diagnostic uncertainty

189. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
     September 02, 2022 - errors and achieve diagnostic excellence. 2 Recognizing and Supporting Nurses in Diagnostic Safety … the diagnostic process, and identify barriers and opportunities for improving diagnostic safety. … Nurses’ awareness and knowledge of diagnostic safety can be rapidly enhanced by using existing diagnostic … Diagnostic Safety and Quality. https://www.ahrq.gov/ topics/ diagnostic-safety-and-quality.html. … Diagnostic error: safe and effective communication to prevent diagnostic errors.

190. History of EHR Documentation Legislation | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact3.html
     July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety History … Table of Contents Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic … Safety Introduction on Diagnostic Documentation History of EHR Documentation Legislation Challenges … and Opportunities for Improvement in Diagnostic Documentation The Future of Diagnostic Documentation … engagement, thereby potentially enhancing diagnostic safety.

191. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
     July 01, 2023 - Throughout this brief, we refer to adverse diagnostic events as “diagnostic mishaps,” “diagnostic errors … ,” “diagnostic problems,” “diagnostic concerns,” and “diagnostic shortfalls.” … it harder to make sense of their diagnostic experiences. … of diagnostic differences but can rarely identify causes. … Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations.

192. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
     July 01, 2022 - Building a Diagnostic Safety Program Baystate Health’s diagnostic safety program began as an effort … Figure 3 is an example of a diagnostic safety event (“diagnostic learning opportunity”) reporting form … Sample Diagnostic Learning Opportunity Report Diagnostic Learning Opportunity (DLO) Report Definition … Confirmed diagnostic errors were represented as a diagnostic error index, a composite of the number of … The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors

193. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
     July 01, 2022 - Building a Diagnostic Safety Program Baystate Health’s diagnostic safety program began as an effort … Figure 3 is an example of a diagnostic safety event (“diagnostic learning opportunity”) reporting form … Sample Diagnostic Learning Opportunity Report Diagnostic Learning Opportunity (DLO) Report Definition … Confirmed diagnostic errors were represented as a diagnostic error index, a composite of the number of … The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors

194. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
     September 04, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. … steps with the goal of increasing diagnostic accuracy). … and taking a “diagnostic time out.” … Checklists to reduce diagnostic errors. … Checklists improve experts’ diagnostic decisions.

195. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence-references.html
     April 01, 2025 - The Economics of Diagnostic Safety. Improving Diagnosis in Health Care . … Payment innovations to improve diagnostic accuracy and reduce diagnostic error. Health Aff . … Report Highlights Public Health Impact of Serious Harms From Diagnostic Error in U.S. … Achieving diagnostic excellence through prevention and teamwork (ADEPT) study protocol: a multicenter … , prospective quality and safety program to improve diagnostic processes in medical inpatients.

196. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
     January 01, 2025 - Keywords: diagnostic failure, diagnostic imaging, patient safety, delayed diagnosis 2 I. … to monitor diagnostic follow-up.8,9 Optimal diagnostic follow-up is critical in order to address the … A broad exploration of the incidence of and contributing factors to diagnostic failure across diagnostic … diagnostic delays in medicine. … diagnostic examination utilization, we noted significant decreases in diagnostic radiology utilization

197. Why Are Leaders Essential to Diagnostic Safety? | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-2.html
     June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action Why Are Leaders Essential to Diagnostic Safety? … Safety as a Challenge for Healthcare Leadership Why Are Leaders Essential to Diagnostic Safety? … How Can Leaders Drive Improvements in Diagnostic Safety? … What Can Leaders Achieve by Prioritizing Diagnostic Safety? … The science of diagnostic safety is maturing, and a more standard and pragmatic foundation for diagnostic

198. Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
     January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic … , clinicians, and other members of the diagnostic team. … Key Words: Communication, Diagnostic Process, Emergency Department C. … , clinicians, and other members of the diagnostic team. … The goals of communication are different as the diagnostic process unfolds.

199. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     January 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting Federal … Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare November Meeting Summary … Agency Update AHRQ, Center for Quality Improvement and Patient Safety • Diagnostic Safety … • Diagnostic Safety Grants o We funded seven new diagnostic safety-focused grants and have posted … Studies on Means To Implement Diagnostic Stewardship for CDI.”

200. 2024 SOPS Medical Office Diagnostic Safety Supplemental Item Set Infographic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-2024-infographic.pdf
     January 01, 2024 - 2024 SOPS Medical Office Diagnostic Safety Supplemental Item Set Infographic Findings from the 2024 … Surveys on Patient Safety Culture® (SOPS®) Medical Office Diagnostic Safety Supplemental Item Set … Safety Response Rate Highest Diagnostic Safety Composite Measure: Testing and Referrals 84 % of … Lowest Diagnostic Safety Composite Measure: Time Availability 60% of respondents agreed that there … Overall Diagnostic Safety Composite Measure Average 72% Positive Response Highest and Lowest Diagnostic