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41. Webinar: Advancing Patient Safety Through Diagnostic Excellence | Agency for Healthcare Research and Quality
    www.ahrq.gov/action-alliance/webinars/advancing-patient-safety.html
    October 01, 2024 - Webinar: Advancing Patient Safety Through Diagnostic Excellence Summary In this webinar, experts … Toronto, Baylor College of Medicine, and RAND shared recently developed tools and strategies for reducing diagnostic … of Medicine, introduced the Measure Dx toolkit , designed to help healthcare organizations identify diagnostic … She will detail what participation will involve and how organizations can advance diagnostic safety practices … Slides Advancing Patient Safety Through Diagnostic Excellence (PDF, 5.5 MB)

42. Special Considerations for Measurement of Diagnostic Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement … of Diagnostic Safety Previous Page Next Page Table of Contents Operational Measurement … of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of … References Defining Diagnostic Errors and Diagnostic Performance Measurement begins … Followup and tracking of diagnostic information over time.

43. Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
    September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … Improve Diagnostic Safety Specific Barriers and Challenges to Reporting and Learning From Diagnostic … Despite growing awareness of diagnostic error, most healthcare systems do not track or record diagnostic … quality, and many diagnostic safety events are not recognized. … Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic

44. How Can Leaders Drive Improvements in Diagnostic Safety? | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-3.html
    June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action How Can Leaders Drive Improvements in Diagnostic … 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? … To that end, leaders must create a sense of collective accountability for diagnostic safety.

45. Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
    September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors Previous … Culture To Improve Diagnostic Safety Specific Barriers and Challenges to Reporting and Learning From … The reaction to questions about diagnostic safety events may range from denial to shame. … of diagnostic performance.

46. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
    June 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 … the biases caused by uneven recall of more distant diagnostic mishaps. … of a perceived diagnostic problem.

47. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
    June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … odysseys to evaluate their experiences with the diagnostic process. … Excerpts from elicited patient narratives related to diagnostic communication and coordination Diagnostic … Types and prevalence of patient/family-reported diagnostic errors Type of Diagnostic Error … it harder to make sense of their diagnostic experiences.

48. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement … of Diagnostic Safety (continued) Previous Page Next Page Table of Contents Operational … , feedback, and improvement. 42 Similarly, autopsy reports, 43 diagnostic discrepancies at admission … However, no standardized mechanisms exist to report diagnostic errors. … Still, voluntary reporting alone cannot address the multitude of complex diagnostic safety concerns,

49. Challenges in Approaching Diagnostic Safety Unique to Children | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
    August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Challenges in Approaching Diagnostic … Safety Unique to Children Previous Page Next Page Table of Contents Pediatric Diagnostic … Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic … Diagnostic Safety Research Priorities and Opportunities The Future of Pediatric Diagnostic Safety … Further study of these impacts on pediatric diagnostic reasoning holds promise for improving diagnostic

50. A Future Vision for Better Diagnostic Outcomes | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load5.html
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy A Future Vision for Better Diagnostic Outcomes … Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load … limitations will be useful in helping clinicians engage in more accurate diagnostic reasoning and in … avoiding harmful diagnostic errors. … strategies to support clinicians as they optimize their diagnostic accuracy.

51. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
    June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action What Can Leaders Achieve by Prioritizing Diagnostic … How Can Leaders Drive Improvements in Diagnostic Safety? … What Can Leaders Achieve by Prioritizing Diagnostic Safety? … A Path Forward for Diagnostic Safety Improvement Leadership References Diagnostic safety … Ethical case: One in three patients has firsthand experience with a diagnostic error.

52. Nurses’ Roles in the Diagnostic Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety2.html
    September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders … and Educators Nurses’ Roles in the Diagnostic Process Previous Page Next Page Table … of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations … for Nurse Leaders and Educators Introduction Nurses’ Roles in the Diagnostic Process Recognizing … errors and achieve diagnostic excellence.

53. Core Principles for the PCA Diagnostic Team | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
    July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety … Core Principles for the PCA Diagnostic Team Previous Page Next Page Table of Contents … proposed to include AI as a member of the diagnostic team. … testing, monitoring, reporting status changes, etc.) to aid the diagnostic process.   … Therefore, consistent with the diagnostic process, health systems and clinicians should learn from diagnostic

54. A Path Forward for Diagnostic Safety Improvement Leadership | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-5.html
    June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action A Path Forward for Diagnostic Safety Improvement … 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? … A Path Forward for Diagnostic Safety Improvement Leadership References Despite the

55. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and … Diagnostic reasoning is a critical aspect of clinical performance. … Categorization of diagnostic error Historically, diagnostic error was seen at an individual level as … Diagnostic Failure: A Cognitive Approach 245 calibration. … Physician and medical student bias in evaluating diagnostic information.

56. Evolving Methods and the Future of Diagnostic Improvement | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology9.html
    April 01, 2025 - Foundational Terminology and Paradigms for Improving Diagnosis Evolving Methods and the Future of Diagnostic … of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Diagnostic … Improvement Diagnostic Terminology: Challenges and Opportunities References In the … to create opportunities to detect errors as they evolve in real time, providing time to reconsider diagnostic … The taxonomy for diagnostic improvement will need to parallel these advancements.

57. Final Progress Report: Diagnostic Error in Dystonia (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia 5R01HS018413-02 REVISED Tanner CM I FINAL PROGRESS … Two major types of diagnostic errors can be made, incorrect diagnoses and diagnostic delays, and the … Except when specified below, results are from the diagnostic error survey given to cases. … (c) Excess health costs due to diagnostic error (utilization-based). … Diagnostic error in primary torsion dystonia.

58. Interplay Between Cognitive Load and Diagnostic Accuracy | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Interplay Between Cognitive Load and Diagnostic … Previous Page 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 During diagnostic reasoning, most clinicians

59. A Call To Action: Diagnostic Excellence In Rural Healthcare | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare4.html
    October 01, 2024 - Diagnostic Excellence in U.S. … Rural Healthcare: A Call to Action A Call To Action: Diagnostic Excellence In Rural Healthcare … Previous Page Next Page Table of Contents Diagnostic Excellence in U.S. … accuracy or measure diagnostic errors. … and hybrid care models that enhance diagnostic accuracy and reduce delays.

60. Learning From Narratives About Diagnostic Experience | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-4.html
    June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Learning From Narratives About Diagnostic Experience Previous Page Next Page Table of … Errors Executive Summary Introduction Eliciting Patients’ Diagnostic Experiences Using Rigorous … Methods Learning From Narratives About Diagnostic Experience Conclusion References … Understanding implications of diagnostic mishaps for subsequent treatment.