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61. Appendix A. Database Search Strategy | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-apa.html
    July 01, 2024 - Reactions” or “Incidental Findings” diagnos* adj2 (test* or procedur* or imag* or lab* or delay* or error … procedur* or diagnos* NEAR/2 imag* OR diagnos* NEAR/2 lab* OR diagnos* NEAR/2 delay* OR diagnos* NEAR/2 error … /exp OR ‘incidental findings’ OR (diagnos* NEXT/2 (test* OR procedur* OR imag* OR lab* OR delay* OR error … diagnos* N2 procedur* OR diagnos* N2 imag* OR diagnos* N2 lab* OR diagnos* N2 delay* OR diagnos* N2 error

62. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-1.html
    March 01, 2022 - Conclusion References The burden of suffering, cost, and waste related to diagnostic error … problem, 3 , 4 an increasingly robust understanding has developed of the factors that lead to diagnostic error … While individual, professional, contextual, patient, and health system factors make diagnostic error

63. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
    September 01, 2021 - Mortality During and Immediately After Childbirth: State of the Science The Contribution of Diagnostic Error … Immediately After Childbirth: State of the Science Introduction The Contribution of Diagnostic Error … adaptation of the multidisciplinary Safer Dx framework for measuring, monitoring, and improving diagnostic error … Measurement and learning from diagnostic error (and circumstances without diagnostic error) must include … Using the Safer Dx Framework 16 as a Model for Improvement of Diagnostic Error and Contributions to

64. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
    March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process … Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process … reactive error management. … Reducing prescribing error: Competence, control and culture. … Chemotherapy error reduction: A multidisciplinary approach to create templated order sets.

65. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
    January 01, 2024 - , but 42 percent would explicitly state that an error occurred. … mentioned the error compared with 32 percent who received the less-apparent error. … In addition to his empiric work in error disclosure, Dr. … Physicians’ and Nurses’ Perspectives on Error Reporting in Hospitals. … Content of medical error disclosures. Virtual Mentor. March 2004.

66. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
    August 01, 2022 - many Americans have experienced the health-related consequences and anxieties that follow a diagnostic error … One in 20 adults annually experiences a diagnostic error in outpatient settings. … These centers will develop expertise in at least one of four areas: error detection and prevention, resilience

67. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
    January 01, 2024 - Keywords: medical error disclosure, doctor-patient communication, patient safety, quality. … Once a medical error case was selected, we designed a letter simulating disclosing of the error to the … In these four instances, there was no disclosure about the error. … Significance All medical error disclosures are not the same. … and by identifying impact of the error from the PATIENT perspective.

68. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
    January 01, 2025 - and diagnostic error. … Error detection measures: Error frequencies, error proportions, and error rates. … Error and error reduction in pathology. Arch Pathol Lab Med 2005;129:1228-1233. … Pathology error taxonomy. … Anatomic pathology error.

69. Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Next Page … Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction … Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction.

70. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
    September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … It is reasonable, however, to think that the principles that enable error reporting and guide process

71. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/brock.html
    August 01, 2017 - and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary Error … Interventions to improve skills around error disclosure constitute a good test of the OCS; successful … Training involved a mix of didactic and error disclosure simulation. … Error disclosure: A new domain for safety culture assessment. … Implementing an error disclosure coaching model: a multicenter case study.

72. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error | Agency for Healthcare Research and Quality
    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 … Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error.

73. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Nursing personnel directly involved in a medical error were interviewed within 2 weeks of the error. … and at times when no error occurred. … and on the error shift differed from times when no error occurred, suggesting that transient working … error was made. … minutes prior to the error.

74. Grants to Enable Diagnostic Excellence | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
    January 01, 2021 - machine learning models that can be used to retrospectively identify patients in whom a diagnostic error

75. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence-references.html
    April 01, 2025 - Payment innovations to improve diagnostic accuracy and reduce diagnostic error. Health Aff . … Report Highlights Public Health Impact of Serious Harms From Diagnostic Error in U.S. … Committee on Diagnostic Error in Health Care, Board on Health Care Services, Institute of Medicine. … Defining diagnostic error: a scoping review to assess the impact of the National Academies’ report Improving

76. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality.html
    September 01, 2021 - Immediately After Childbirth: State of the Science Introduction The Contribution of Diagnostic Error … References Issue Brief 6 Contents Introduction The Contribution of Diagnostic Error

77. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
    July 17, 2008 - The purpose of voluntary medication error reporting is to identify these sources of error. … Medication Error Report Data The MEDMARX program assigns a unique record number to each error report … 28.4 22.6 6.0 B Error occurred but it did not reach the patient 14.9 23.9 40.9 C Error occurred … a The number of error types exceeds the number of reports for severity Categories B – I because error … Type of Error Omission and improper dose/quantity were the two most frequently reported error types,

78. Diagnostic Stewardship Interventions To Reduce Diagnostic Error | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship5.html
    August 01, 2024 - Improve the Quality and Safety of Diagnosis Diagnostic Stewardship Interventions To Reduce Diagnostic Error … as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error … in the Testing Process Diagnostic Stewardship Interventions To Reduce Diagnostic Error Diagnostic … with tracking, followup, and interpretation of completed test result reports contribute to diagnostic error

79. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
    March 21, 2008 - or no error, and categorized the error according to the International Taxonomy of Errors in Primary … ” and “error.” … error occurred. … Frequency of error by type of medication management and type of error Type of medication management … If detected, an error might require additional effort (mitigation transactions) to resolve the error

80. HSOPS | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5a.html
    January 01, 2013 - statistically significant improvement was found in two dimensions: "feedback and communication about error … statistically significant improvement was found for two dimensions: "feedback and communication about error … The number of units classified as "needing improvement" within the "feedback and communication about error … Nonpunitive Response to Errors 60.6% 59.1% 0.015 0.167 0.114 Feedback and Communication About Error