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  1. www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
    July 01, 2023 - Who Should Report Their Diagnostic Experiences? … .25 If we now parse out cases involving perceived diagnostic failures, it becomes clear that diagnostic … If this assumption is valid for diagnostic mishaps, the immediate impact reported for diagnostic problems … emergence of a perceived diagnostic problem. 3. … Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations.
  2. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-2.html
    July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety … of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic … Intelligence Dyad The Patient-Clinician-Artificial Intelligence Triad Core Principles for the PCA Diagnostic … all aspects of a patient’s history or to consider all potential data points to develop high-quality diagnostic … for some patients but also reduces opportunities to incorporate physical examination findings into diagnostic
  3. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
    June 01, 2023 - and to Diagnostic Errors and Uncertainty EDs are among the most common settings in which diagnostic … However, common phenomena such as diagnostic momentum and anchoring bias could instead yield diagnostic … can again perpetuate diagnostic error.22,25,26 Receiving Hospital Contributors to Diagnostic Error … anchoring, more appropriate and targeted diagnostic testing, and potentially fewer diagnostic delays … pauses, and measuring postdischarge diagnostic outcomes can mitigate diagnostic error at this transition
  4. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions3.html
    June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call … to Action ICU-to-Ward Transitions Previous Page Next Page Table of Contents Diagnostic … ICU-Specific Contributors to Diagnostic Errors and Uncertainty Due to the high complexity and acuity … of diagnostic uncertainty when clinicians communicate about a patient transitioning from the ICU to … pauses, and measuring post discharge diagnostic outcomes can mitigate diagnostic error at this transition
  5. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
    June 02, 2025 - Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective 1 Health IT and … Diagnostic Safety: A Human Factors and Systems Engineering Perspective Pascale Carayon, Ph.D. … Safety  Diagnostic process = embedded in work system (Carayon et al., 2006, 2014; Balogh et al., …  Who are the members of the diagnostic team?  What is their work and work system? … Safety Health IT and Diagnostic Safety�Research Questions Acrobat Accessibility
  6. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Unique Challenges … in Approaching Diagnostic Safety in Older Adults Previous Page Next Page Table of Contents … procedures or follow through with diagnostic testing. … Clinical judgment may be replaced by quick-to-use algorithm-based diagnostic tools. … This scenario places older adults with MCCs at higher risk for diagnostic errors.
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
    October 20, 2021 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Yount Diagnostic Safety Supplemental … Items for the SOPS Medical Office Survey Naomi Yount, PhD Westat 39 Diagnostic Safety Supplemental … Three composite measures, or groups of items assessing specific areas of diagnostic safety: ► Time … Users of the AHRQ Diagnostic Safety Supplemental Items I. … What areas of diagnostic safety are assessed?
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-jul2023.pdf
    November 03, 2023 - Federal Interagency Workgroup on Improving Diagnostic Safety: July Meeting Summary Federal Interagency … Some of these will be on diagnostic error. … • Diagnostic Safety Grants o We will fund new diagnostic safety and quality grants by the end … : A Health Equity Issue that Enhances Diagnostic Excellence. … • Potential Diagnostic Technologies o Two new scientific highlights on new potential diagnostic
  9. www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
    January 01, 2024 - and reducing diagnostic errors. … Results The Patient-Centered Recommendations for Reducing Diagnostic Error and Improving Diagnostic … improving diagnostic quality. … Diagnostic Quality. … The MN Diagnostic Error Collaborative.
  10. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
    September 01, 2021 - Measurement and learning from diagnostic error (and circumstances without diagnostic error) must include … Followup and Tracking of Diagnostic Information e. … Diagnostic Test Performance & Interpretation c. … assessment Followup and tracking of diagnostic information Diagnostic test performance and … Factors Contributing to Diagnostic Error There is limited understanding of contribution of diagnostic
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.html
    September 01, 2022 - Diagnostic Safety and Quality . Accessed September 2, 2022. … Pharmacy education needs to address diagnostic safety. … The critical need for nursing education to address the diagnostic process. … Improving Education—A Key to Better Diagnostic Outcomes . … Diagnostic error: safe and effective communication to prevent diagnostic errors .
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
    January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental … for Medical Offices 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic … SOPS Diagnostic Safety Composite Measures ........................................................... … SOPS Diagnostic Safety Item Results - Average Percent Positive Response – 2022 Updated Results ..... … SOPS Diagnostic Safety Composite Measures Diagnostic Safety Composite Measures Definition: The extent
  13. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
    August 01, 2024 - Notably, no diagnostic code exists for “I don’t know.” … A review of clinical documentation evaluated two signs of diagnostic uncertainty, identifying diagnostic … Expanding the diagnostic team will bring both challenges and opportunities for improving diagnosticDiagnostic documentation is crucial for diagnostic safety as it ensures accurate and comprehensive recording … and Opportunities for Improvement in Diagnostic Documentation The Future of Diagnostic Documentation
  14. www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
    February 01, 2024 - Acute Care Learning Laboratory—Reducing Threats to Diagnostic Fidelity in Critical Illness Principal … 09/30/18-11/30/22 Description: The overall goal of this learning lab was to reduce the rate of diagnostic … A similar percentage (20%) could have benefited from earlier engagement of a specialist in diagnostic … Time to diagnostic certainty for saddle pulmonary embolism in hospitalized patients . … What contributes to diagnostic error or delay?
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Childbirth: State of the Science The Contribution of Diagnostic Error to Maternal Mortality and Severe … Maternal Morbidity Previous Page Next Page Table of Contents The Contribution of Diagnostic … Figure 1 shows the key gaps in the diagnostic process and opportunities for improvement. … Measurement and learning from diagnostic error (and circumstances without diagnostic error) must include
  16. www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
    September 01, 2023 - Publication No. 23-0040-6-EF. 1 e Learning From Diagnostic Errors Diagnostic errors are both frequent … Despite growing awareness of diagnostic error, most healthcare systems do not track or record diagnostic … Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic … of diagnostic performance. … prevent serious diagnostic errors.
  17. www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
    March 11, 2022 - What makes a good diagnostic team? … process, ensure diagnostic safety, and avoid diagnostic and management errors. … Diagnostic error in internal medicine. … The new diagnostic team. … Reducing diagnostic errors worldwide through diagnostic management teams.
  18. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
    November 06, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting … The diagnostic technology part is called Imaging and RADx Tech. … • Recently Published Diagnostic Safety Relevant Papers: o Reducing the Risk of Diagnostic Error in … o Paper on anxiety diagnosis and mislabeling relevant to mental health diagnostic priorities. … o Assessment of HIT–related outpatient diagnostic delays in Veterans Health Administration.
  19. www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
    July 14, 2023 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency … Workgroup: Improving Diagnostic Safety and Quality in Healthcare March Meeting Summary Workgroup … Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01) and AHRQ Improving … Diagnostic Safety in Ambulatory Care: Strategies and Interventions (R18) … CDC • Division of Laboratory Systems o Health Equity and Diagnostic Errors: DLS envisioned and is
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
    September 01, 2022 - Improved diagnostic accuracy through probability-based diagnosis. … Most patients will experience diagnostic errors in their lifetime.1 Many diagnostic errors result from … ■ Step 3: Selection of diagnostic tests. … Finally, the clinician must decide when diagnostic closure is achieved to complete the diagnostic phase … Diagnostic error in internal medicine.

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