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pbrn.ahrq.gov/research/findings/factsheets/errors-safety/index.html
January 01, 2023 - 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 … reviewed January 2023
Page originally created February 2013
Internet Citation: Medical Errors … https://www.ahrq.gov/research/findings/factsheets/errors-safety/index.html
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pbrn.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - 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 … Measure Dx – is an essential addition to the inventory of resources that can help prevent diagnostic errors
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pbrn.ahrq.gov/diagnostic-safety/research/index.html
March 01, 2024 - AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent … Pediatricians self-report an appreciable number of diagnostic errors . … AHRQ has awarded 4 grants that will more precisely define the scope of diagnostic errors. … Understanding what contributes to these errors. … Learning more about the link between diagnostic errors and outcomes, including adverse events.
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pbrn.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
November 01, 2018 - 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 … national experts
Reduce the likelihood of harm to children by identifying and decreasing diagnostic errors
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pbrn.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
January 01, 2021 - year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors … In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors … University of California, San Francisco
Project Aims:
To determine the incidence of diagnostic errors … , and to use risk estimates to calculate incidence and impact of factors contributing to those errors … To explore machine learning techniques that yield robust, accurate models to predict diagnostic errors
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pbrn.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
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pbrn.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.
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pbrn.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors … In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors … University of California, San Francisco
Project Aims:
To determine the incidence of diagnostic errors … , and to use risk estimates to calculate incidence and impact of factors contributing to those errors … To explore machine learning techniques that yield robust, accurate models to predict diagnostic errors
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pbrn.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. … The estimated cost of diagnostic errors is more $100 billion a year, but the human cost is incalculable … 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.
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pbrn.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 … as improving diagnosis in pediatric care, how to best learn from patient experiences, how diagnostic errors … They underscore the imperative to mitigate diagnostic errors and harm.
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pbrn.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
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pbrn.ahrq.gov/news/newsroom/case-studies/201509.html
January 01, 2018 - 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
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pbrn.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
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pbrn.ahrq.gov/diagnostic-safety/research/grants-2022.html
March 01, 2024 - 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
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pbrn.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.
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pbrn.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
August 01, 2018 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors … https://www.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
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pbrn.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.
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pbrn.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
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pbrn.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
July 01, 2022 - Toolkit for Engaging Patients To Improve Diagnostic Safety
Diagnostic errors … communication breakdowns during the patient-provider encounter are a leading contributor to 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
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pbrn.ahrq.gov/funding/process/study-section/resfoci.html
October 01, 2020 - Healthcare Safety and Quality Improvement Research (HSQR)
Identify Risks/Hazards that Lead to Medical Errors … and Find Ways to Prevent Medical Errors – Improve Patient Safety
Research on Scopes / Impacts of Medical … Errors on Costs/Qualities & Efficiencies/Effectiveness of Cares
Examine/Improve Medical Liability … Quality Improvement Research
Dissemination/Translation Research Findings and Methods to Reduce Medical Errors