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1. Medical Errors and Patient Safety | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/research/findings/factsheets/errors-safety/index.html
   January 01, 2023 - Home Research Research Findings & Reports Fact Sheets Medical Errors … Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors … Making Healthcare Safer Reports AHRQ Research Studies Medical Errors … and Patient Safety Medical errors and patient safety fact sheets Health Care Simulation … https://www.ahrq.gov/research/findings/factsheets/errors-safety/index.html  

2. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
   August 01, 2022 - News Blog AHRQ Views AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors … AHRQ Views: Blog posts from AHRQ leaders AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors … However, reliable estimates indicate that diagnostic errors nevertheless remain far too common. … An estimated 250,000 diagnostic errors occur annually in U.S. hospitals. … Regardless of the setting, diagnostic errors can derail proper care and may lead to severe injury or

3. Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
   November 01, 2018 - Patient Safety Resources by Setting Ambulatory Care Reducing Diagnostic Errors … News and Events Education & Training Resources Reducing Diagnostic Errors … in Primary Care Pediatrics Toolkit The Reducing Diagnostic Errors in Primary Care Pediatrics … Toolkit aims to assist primary care practice teams with a systematic approach to reduce diagnostic errors … through the measurement, screening, recognition, diagnosis, follow-up, and reduction of diagnostic errors

4. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
   ahrqpubs.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
   January 01, 2024 - errors (42%). … Communication errors (39.6%) and medication errors (39.6%) were frequently reported. … for one in five errors. … , communication errors, and errors involving clinicians and nonclinicians. … errors in which the provider of record is a direct participant; errors of judgment and knowledge; errors

5. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
   October 01, 2023 - Extensions (NCEs) Contracts Grantee Profile Preventing Medication Errors … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Medication errors that occur outside the hospital can be lethal for children with chronic conditions, … Children with cancer are at particularly high risk for errors due to weight-based dosing calculations … With a continued focus on reducing medication errors in children with chronic conditions, Dr.

6. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
   January 01, 2024 - Training Resources AHRQ Papers on Diagnostic Safety Topics Diagnostic errors … Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Improving Education—A Key to Better Diagnostic Outcomes ( PDF , 2 MB) The Contribution of Diagnostic Errors … Journal Articles The PRIDx framework to engage payers in reducing diagnostic errors in health care  

7. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
   October 01, 2021 - DM: Do diagnostic errors happen often? JB: They’re more prevalent than one might think. … DM: Are all wrong diagnoses considered diagnostic errors? JB: No. … DM: Why do diagnostic errors occur in the first place? … Errors related to the way we think are called cognitive errors. … They will make it possible to avoid the high costs and human toll that diagnostic errors exact. 

8. Issues With Electronic Health Records Contribute to Diagnostic Errors | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/863.html
   May 01, 2023 - Events Issues With Electronic Health Records Contribute to Diagnostic Errors … Today's Headlines: Issues With Electronic Health Records Contribute to Diagnostic Errors . … Issues With Electronic Health Records Contribute to Diagnostic Errors A majority of diagnostic errors … Of 199 diagnosis-related claims, EHRs were considered a potential contributor to diagnostic errors in … 2023 Internet Citation: Issues With Electronic Health Records Contribute to Diagnostic Errors

9. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/news/newsroom/case-studies/201509.html
   January 01, 2018 - Impact Case Studies AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors … Newsletter Events AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors … May 2015 AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors … The Institute of Medicine has identified medication errors as the most common type of error in health … 2015 Internet Citation: AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors

10. AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/831.html
    September 01, 2022 - Newsletter AHRQ News Now AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors … Now Events AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors … Population, 2019 ) Today's Headlines: AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors … AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors Despite the frequency of diagnostic … errors, clinicians and healthcare organizations seldom learn from diagnostic events due to the complexity

11. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
    July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare Mini Review Kisha … Blackall and Hardeep Singh The PRIDx framework to engage payers in reducing diagnostic errors in healthcare … Despite growing interest in the measurement and prevention of diagnostic errors, direct engagement of … Advancing the science ofmeasurement of diagnostic errors in healthcare: the Safer Dx framework. … Diagnostic error inmedicine: analysis of 583 physician-reported errors.

12. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
    March 01, 2024 - Among those patients, about 18 percent of errors caused temporary harm, permanent harm, or death. … The urgent need to reduce these errors—which include diagnoses that are either inaccurate, delayed, or … Safety Centers of Excellence are working to better characterize, understand, and measure diagnostic errors … and training; health information technology; identification, analysis, and reduction of diagnostic errors … They underscore the imperative to mitigate diagnostic errors and harm.

13. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/diagnostic-safety/tools/index.html
    March 01, 2024 - Healthcare Tools To Improve Diagnostic Safety AHRQ tools to reduce diagnostic errors … Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit aims to assist primary care practice teams … with a systematic approach to reduce diagnostic errors among children in three important areas: elevated … through the measurement, screening, recognition, diagnosis, follow-up, and reduction of diagnostic errors

14. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Patient Focus Five studies explored patient reports of diagnostic errors. … Types and origins of diagnostic errors in primary care settings. … Diagnostic error in medicine: analysis of 583 physician-reported errors. … Malpractice claims related to diagnostic errors in the hospital. … Diagnostic errors in medicine: a case of neglect.

15. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
    February 01, 2024 - Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study . … Providers' and Patients' Perspectives on Diagnostic Errors in the Acute Care Setting . … Analyzing diagnostic errors in the acute setting: a process-driven approach . … design and development of a diagnostic time-out to address diagnostic errors in acute care . … Analyzing diagnostic errors in the acute setting: a process-driven approach.

16. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
    June 01, 2023 - 01 Project Aims: Develop a multidisciplinary diagnostic excellence center to address diagnostic errors … , accelerate its implementation in a large healthcare system, and evaluate its impact on diagnostic errors … Propose, prioritize, and codesign patient-centered solutions to mitigate diagnostic errors. … Carry out a comprehensive program evaluation, including analysis of rates of diagnostic errors and process … and outpatient) to improve patient/family and clinician communication and experience and to reduce errors

17. Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/895.html
    January 01, 2024 - Home News Newsletter AHRQ News Now Diagnostic Errors … Newsroom Blog Newsletter AHRQ News Now Events Diagnostic Errors … Today's Headlines: Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults . … Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults A random sample of patients from … The researchers concluded that three-quarters of these diagnostic errors contributed to temporary or

18. Toolkit for Engaging Patients To Improve Diagnostic Safety  | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
    July 01, 2022 - Toolkit for Engaging Patients To Improve Diagnostic Safety  Diagnostic errors … Research suggests that 79 percent of diagnostic errors are related to the patient-clinician encounter … and up to 56 percent of these errors are related to miscommunication during the encounter. … , uninterrupted, and in a way that gives clinicians the information they need can reduce diagnostic errors … Organization Toolkit Infographic  (PDF, 743 KB) provides statistics about incidents of diagnostic errors

19. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
    ahrqpubs.ahrq.gov/downloads/pub/advances/vol4/Miranda.pdf
    July 01, 2004 - Others specified particular actions that patients could take to avoid errors, such as maintaining a … refers to “medical errors.” … Agency for Healthcare Research and Quality: 20 tips to help prevent medical errors. … Preventing medical errors: communicating a role for Medicare beneficiaries. … Prescription errors tied to lack of advice: pharmacists skirting law, Mass. study finds.

20. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
    April 02, 2020 - Types and origins of diagnostic errors in primary care settings. … Measuring errors and adverse events in health care. … Finding diagnostic errors in children admitted to the PICU. … The global burden of diagnostic errors in primary care. … Malpractice claims related to diagnostic errors in the hospital.