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381. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
     psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
     January 29, 2021 - SPOTLIGHT CASE A Missed Bowel Perforation - the Importance of Diagnostic Reasoning … A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. … A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. … All these factors can contribute to overwork and affect the diagnostic process. … Diagnostic errors and the bedside clinical examination.

382. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
     April 01, 2025 - approach diagnostic improvement. … As the field evolved to consider diagnostic errors as a subset of medical error, the term diagnostic … The term “diagnostic excellence” adds to the historical paradigms of diagnostic quality and safety. … Diagnostic excellence elevates the diagnostic terminology to a positive perspective and shifts the … a diagnostic test).

383. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=2
     September 01, 2023 - Error Diagnostic Safety Issue Brief #15 One of the best ways to collect information about diagnostic … Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic … Safety: State of the Science and Future Directions Diagnostic Safety Issue Brief #14 This issue … Safety Diagnostic Safety Issue Brief #13 This issue brief provides a framework for patients and … clinicians to successfully partner with safe and effective AI when making diagnostic decisions.

384. Re-engineering for Accurate, Timely, and Communicated Diagnosis of Cardiovascular Disease in Women (DREAM Lab) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/dream-lab-long-desc.html
     August 01, 2025 - The specific aims were to: Identify factors contributing to diagnostic errors and inappropriate clinical … Codesign and prioritize human-centered solutions to reduce diagnostic risk. … A scoping review of questions for patients to ask throughout the diagnostic process . … Using patient experience surveys to assess diagnostic safety in urgent care . … A scoping review of questions for patients to ask throughout the diagnostic process .

385. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls | PSNet
     psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
     February 17, 2021 - Approach to Improving Safety Diagnostic excellence is an emerging idea in the field of diagnostic quality … Diagnostic excellence, instead, includes using the best diagnostic resources and interventions in situations … Diagnostic Pitfalls Diagnostic pitfalls are common “traps” that clinicians and teams fall into during … diagnostic error Proactively discussing the diagnostic process (as well as potential wrong directions … Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic

386. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=3
     September 01, 2022 - Accuracy Through Probability-Based Diagnosis Diagnostic Safety Issue Brief #9: This issue brief … The framework lays out the information needed throughout the diagnostic process to help clinicians make … Safety in the Emergency Department Diagnostic Safety Issue Brief #8: This issue brief discusses … the nurse’s role in diagnostic safety, using the conceptual lens of distributed cognition. … reducing harm from diagnostic safety events.

387. Safeguarding Diagnostic Testing at the Point of Care | PSNet
     psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
     September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care Citation Text: Kost GJ, Ehrmeyer SS. … Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. … Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. … of high quality instruments with internal quality control mechanisms, and electronic data transfer, diagnostic … Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet].

388. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
     June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Errors Executive Summary Introduction Past Research on Patient Perceptions of Safety and Diagnostic … Throughout this brief, we refer to adverse diagnostic events as “diagnostic mishaps,” “diagnostic errors … ,” “diagnostic problems,” “diagnostic concerns,” and “diagnostic shortfalls.” … But patients and families do not describe adverse diagnostic events with such uniformity.

389. Impoving Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
     April 01, 2019 - Impoving Diagnosis Improving Diagnosis Diagnostic error is a significant and under-recognized threat … safety and to develop practical tools and resources to reduce diagnostic error. … More information on AHRQ’s studies on diagnostic error can be found at: www.ahrq.gov/topics/ diagnostic-safety-and-quality.html … Defining the Scope of Diagnostic Errors Recognizing that all Americans can be affected by diagnostic … /diagnostic-safety-and-quality.html https://www.ahrq.gov/topics/diagnostic-safety-and-quality.html https

390. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
     January 12, 2022 - Diagnostic harm, which can result from diagnostic error, is an emerging area of concern in healthcare … Slide 11 Diagnostic Error Is Common and Harmful and Affects Many Diagnostic error is common and … Slide 11 Diagnostic Teams: Diagnostic teams vary in composition. … What Is Diagnostic Error? Types of Diagnostic Error Where Do Diagnostic Errors Occur? … Communication and the Diagnostic Process Causes of Diagnostic Error Diagnostic Error Is Common and

391. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
     January 12, 2022 - Diagnostic harm, which can result from diagnostic error, is an emerging area of concern in healthcare … What Is Diagnostic Error? … Diagnostic Teams: Diagnostic teams vary in composition. … Diagnostic Journey of Mr. Kane. … What Is Diagnostic Error?

392. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
     June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Errors Executive Summary Introduction Past Research on Patient Perceptions of Safety and Diagnostic … of patient and family experience and reduce the harms that follow adverse diagnostic events. … What questions about learning from patients’ diagnostic experience remain in need of future research. … representative accounts of patients’ diagnostic experiences, it is important to ask questions about

393. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
     February 04, 2022 - Diagnostic value: the economics of high-quality diagnosis and a value-based perspective on diagnostic … patients experiences a diagnostic error firsthand.11 in 3 Diagnostic-related communication failures … about the diagnostic process and diagnostic errors to various stakeholders across the delivery system … is on our Diagnostic Team? … Module 2: Diagnostic Team Structure Who is on Our Diagnostic Team?

394. Boosting medical diagnostics by pooling independent judgments. | PSNet
     psnet.ahrq.gov/issue/boosting-medical-diagnostics-pooling-independent-judgments
     June 21, 2016 - Diagnostic error remains a significant source of preventable patient harm. … Because bias on the part of health care providers can contribute to diagnostic errors, improving the … However, if accuracy levels vary across providers, pooling independent judgment leads to worse diagnostic … The authors suggest that similar diagnostic accuracy should be a key condition when creating groups for … A previous WebM&M commentary discussed a case of diagnostic error.

395. Evaluating Practices and Developing Tools for Comparative Effectiveness Reviews of Diagnostic Test Accuracy: Methods for the Joint Meta-Analysis of Multiple Tests | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/diagnostic-tests-accuracy/research

396. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Table 11 and Figures 1 & 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-table11-figures1-2.pdf
     May 15, 2015 - /Diagnostic/SeizuresChild.pdf http://www.acr.org/Quality-Safety/Appropriateness-Criteria/Diagnostic/% … /Appropriateness-Criteria/Diagnostic/%7E/media/ACR/Documents/AppCriteria/Diagnostic/SeizuresChild.pdf … /Diagnostic/SeizuresChild.pdf http://www.acr.org/Quality-Safety/Appropriateness-Criteria/Diagnostic/% … /Appropriateness-Criteria/Diagnostic/%7E/media/ACR/Documents/AppCriteria/Diagnostic/SeizuresChild.pdf … /Diagnostic/SeizuresChild.pdf http://www.acr.org/Quality-Safety/Appropriateness-Criteria/Diagnostic/%

397. Improving diagnosis in health care—the next imperative for patient safety. | PSNet
     psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
     July 15, 2015 - Diagnostic error received relatively little attention until more recently and is now widely recognized … An Annual Perspective discussed advances in the field of diagnostic error. … May 25, 2022 Measures to improve diagnostic safety in clinical practice. … November 2, 2016 The global burden of diagnostic errors in primary care. … November 7, 2018 War games and diagnostic errors.

398. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Table 10 and Figures 1 & 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-table10-figures1-2.pdf
     July 16, 2015 - /Diagnostic/SeizuresChild.pdf http://www.acr.org/Quality-Safety/Appropriateness-Criteria/Diagnostic/% … /Appropriateness-Criteria/Diagnostic/%7E/media/ACR/Documents/AppCriteria/Diagnostic/SeizuresChild.pdf … /Diagnostic/SeizuresChild.pdf http://www.acr.org/Quality-Safety/Appropriateness-Criteria/Diagnostic/% … /Appropriateness-Criteria/Diagnostic/%7E/media/ACR/Documents/AppCriteria/Diagnostic/SeizuresChild.pdf … /Diagnostic/SeizuresChild.pdf http://www.acr.org/Quality-Safety/Appropriateness-Criteria/Diagnostic/%

399. Diagnostic inaccuracy of smartphone applications for melanoma detection. | PSNet
     psnet.ahrq.gov/issue/diagnostic-inaccuracy-smartphone-applications-melanoma-detection
     April 24, 2018 - Study Diagnostic inaccuracy of smartphone applications for melanoma detection. … Diagnostic inaccuracy of smartphone applications for melanoma detection. … Diagnostic inaccuracy of smartphone applications for melanoma detection. … October 19, 2022 Association of diagnostic stewardship for blood cultures in critically … June 21, 2018 Diagnostic accuracy of pediatric teledermatology using parent-submitted

400. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/838351
     July 01, 2024 - Diagnostic Safety Issue Briefs. … Assessing diagnostic performance to reduce diagnostic errors requires a shared understanding of the diagnostic … the diagnostic process. … Assessing diagnostic performance to reduce diagnostic errors requires a shared understanding of the diagnostic … the diagnostic process.