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  1. www.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting … Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care … Update   Posted Special Emphasis Notice: Health Services Research Priorities for Improving Diagnostic … The rule will help improve diagnostic accuracy and diagnostic processes through better and more complete … the need for policies that will reduce cognitive overload for clinicians, which can degrade the diagnostic
  2. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-2.html
    September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … The Potential of Psychological Safety and Organizational Safety Culture To Improve Diagnostic Safety … 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
  3. www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
    December 29, 2022 - Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda … Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research … In medicine, this is also known as a “diagnostic time-out.” … Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic … Checklists to reduce diagnostic errors. Acad Med 2011;86(3):307–313. 26.
  4. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/adelman-summit2016.pdf
    January 01, 2016 - Diagnostic Error Measures: For Quality Improvement & Patient Safety Research Diagnostic Error Measures … Diagnostic Error Measures Types of Patient Safety & Quality Measures xxVoluntary Reporting Chart … Wrong Patient Errors Leading to Diagnostic Errors: 1) Order tests on wrong-patient 2) Read results of … Wrong Patient Errors Leading to Diagnostic Errors xxVoluntary Reporting Chart Reviews Trigger … Diagnostic Error Measures:�For Quality Improvement & �Patient Safety Research Slide Number 2 Slide
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact.html
    July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety … 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 … Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety .
  6. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load.html
    August 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy 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 … Cognitive Load Theory and its Impact on Diagnostic Accuracy.
  7. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-4.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Factors That Influence … Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic … References Several factors seem to be associated with the effectiveness of checklists for diagnostic … Most studies that have examined the effect of checklists on diagnostic accuracy were conducted in experimental … used inconsistently. 19 Thus, past study designs may have overestimated the effects of checklists on diagnostic
  8. www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024.html
    September 01, 2024 - posts from AHRQ leaders On World Patient Safety Day, AHRQ Highlights the Urgent Need to Address Diagnostic … The need to reduce diagnostic errors is urgent. … Twenty-two  diagnostic safety issue briefs summarize the state of science or identify calls to action … Ten  Diagnostic Safety Centers of Excellence are working to develop systems, measures, and technology … solutions to improve diagnostic safety. 
  9. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
    September 28, 2016 - Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety Breakout Session: Use … of Data and Measurement in Improving Diagnostic Safety Jeffrey Brady, MD, MPH Director, Center for … Quality Improvement and Patient Safety AHRQ Research Summit on Diagnostic Safety September 28, 2016 … Develop and deploy approaches to identify, learn from, and reduce diagnostic errors and near misses … aggregate number of diagnostic errors ► Identify specific conditions suggestive of diagnostic errors
  10. www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
    August 01, 2022 - to help prevent and catch diagnostic errors. … Thus, it is no wonder that diagnostic errors occur. … Addressing the problem of diagnostic error by understanding and optimizing the diagnostic process in … Diagnostic decision-making in the emergency department. … Diagnostic Errors in the Emergency Department: A Sys- tematic Review.
  11. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - to help prevent and catch diagnostic errors. … Thus, it is no wonder that diagnostic errors occur. … Addressing the problem of diagnostic error by understanding and optimizing the diagnostic process in … Diagnostic decision-making in the emergency department. … Diagnostic Errors in the Emergency Department: A Sys- tematic Review.
  12. www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
    January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency … Workgroup: Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate … o Completed pilot testing for Diagnostic Safety Measurement for Learning and Improvement: A Resource … To Identify, Analyze, and Learn From Diagnostic Safety Events; expected to post around May. … o Pilot testing Calibrate Dx: A Resource To Improve Diagnostic Decisions.
  13. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
    November 19, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare … Federal Interagency Workgroup on Improving Diagnostic … Safety Measurement for Learning and Improvement: A Resource To Identify, Analyze, and Learn From Diagnostic … • The Evidence-based Practice Center Program is developing a systematic review on Diagnostic Errors … • Diagnostic Safety Supplemental Item Set for Medical Office Survey on Patient Safety Culture has
  14. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety.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 … Cosby, M.D., FACEP, CPPS Program Director, The Diagnostic Excellence Initiative The Gordon and Betty
  15. www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize … Trends in Diagnostic CT Among Fee-For-Service Enrollees, 2000-2011. … Optimizing Diagnostic Imaging in the Emergency Department. … How much diagnostic safety can we afford, and how should we decide? … Emergency department diagnostic imaging: The journey to quality.
  16. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
    June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. … Kane Slide 1 TeamSTEPPS® for Diagnosis Improvement The Diagnostic Journey of Mr. … Kane Narrator: This story is about the diagnostic journey of Mr. Kane. … Ben is struggling to put together all the pieces of how his dad’s diagnostic journey could have gone … Individual learners should review The Diagnostic Journey of Mr.
  17. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/mcdonald-summit2016-breakout.pdf
    June 02, 2025 - Organizations and Diagnostic Performance: How to End Up with ‘Fewer Misses & More Hits’ that Mean Something … to Patients and Their Families Organizations and Diagnostic Performance: How to End Up with ‘Fewer … Many sources What We Know: Changes Tried What We Don’t Know: Exact Targets for Action  What diagnostic … Don’t Know Worthwhile Types of Action  What are the best practices for organizations to improve diagnostic …  H8: Diagnostic safety culture? On the radar at all levels of organization?
  18. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety.html
    August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Next Page Table … of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction … Challenges in Approaching Diagnostic Safety Unique to Children Pediatric Diagnostic Safety Research … and Initiatives Across the Care Continuum Diagnostic Safety Research Priorities and Opportunities … Pediatric Diagnostic Safety: State of the Science and Future Directions.
  19. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Clinical-Leaders-Guide.pdf
    September 01, 2022 - Guide for Clinical Leaders: Calibrate Dx: A Resource To Improve Diagnostic Decisions Guide for Clinical … Leaders Calibrate Dx: A Resource To Improve Diagnostic Decisions To achieve diagnostic excellence, … clinicians need feedback on their diagnostic performance. … clinicians find and analyze cases in a structured way to gain insights on how they can improve their diagnostic … � Facilitate action on organizational changes needed to improve diagnostic safety that clinicians may
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking.html
    September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Next Page Table of Contents … Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts … for Understanding Probability Probability and the Diagnostic Pathway Future Vision for Probabilistic … Diagnostic Decisions References Prepared for: Agency for Healthcare Research and … Improved diagnostic accuracy through probability-based diagnosis.

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