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The ´óÏóAPP (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings.
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Diagnostic Safety Issue Brief #15
One of the best ways to collect information about diagnostic errors is through self-reporting by patients and clinicians. Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic failure depend on two workplace characteristics: psychological safety and organizational safety culture. Both concepts are explored in this issue brief.
Publication Date: Publication Number: 23-0040-6-EF
Pediatric Diagnostic Safety: State of the Science and Future Directions
Diagnostic Safety Issue Brief #14
This issue brief explores the unique challenges of studying and improving diagnostic safety for children with respect to their overall health, access to care, and unique aspects of diagnostic testing limitations for many pediatric conditions.
Publication Date: Publication Number: 23-0040-5-EF
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic 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.
Publication Date: Publication Number: 23-0040-4-EF
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives
Diagnostic Safety Issue Brief #12
This brief, the second of two volumes, considers how to most effectively elicit representative, in-depth narrative accounts of diagnosis-related events and how patient feedback can most effectively be used to learn from patient and family experience.
Publication Date: Publication Number: 23-0040-3-EF
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter
Diagnostic Safety Issue Brief #12, Volume 1
This brief, the first of two volumes on learning from patient experiences, explores how patient-reported experiences can augment other methods of identifying diagnostic failures, and how patient feedback can enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse diagnostic events.
Publication Date: Publication Number: 23-0040-2-EF
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Diagnostic Safety Issue Brief #11
This issue brief examines the existing evidence base on how to improve diagnostic safety at intrahospital care transitions, from using data analysis tools to using structured communication frameworks.
Publication Date: Publication Number: 23-0040-1-EF
Pocket Guide: TeamSTEPPS
TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD) and the ´óÏóAPP (AHRQ) to improve institutional collaboration and communication relating to patient safety.
Publication Date: Publication Number: 23-0043
Calibrate Dx: A Resource To Improve Diagnostic Decisions
This resource has three tools: a quick start guide, a resource with exercises and tools, and a clinical leaders guide.
Publication Date: Publication Number: 22(23)-0047-2-EF
Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records
The project findings demonstrated that structured EHR data can be used by healthcare providers to identify frail patients using validated EHR frailty indexes; however, claims data can identify additional frailty cases compared to EHR data.
Publication Date: Publication Number: 22-0058
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Diagnostic Safety Issue Brief #10:
This issue brief describes pragmatic approaches for nurse educators and leaders to convey the urgent need to improve diagnosis among their nurses and care teams and to guide nurses to embrace their leadership roles in the diagnostic process.
Publication Date: Publication Number: 22-0026-4-EF
