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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
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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
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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.
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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
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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 .
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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.
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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
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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.
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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
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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.
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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.
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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.
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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
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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
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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.
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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.
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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?
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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.
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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
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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.