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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.
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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
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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
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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
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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
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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
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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
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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.
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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?
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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
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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.
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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
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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 .
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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
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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 diagnostic … Diagnostic 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
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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?
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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
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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
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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.
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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.
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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.
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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
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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.