3.8 Article

Operational measurement of diagnostic safety: state of the science

期刊

DIAGNOSIS
卷 8, 期 1, 页码 51-65

出版社

WALTER DE GRUYTER GMBH
DOI: 10.1515/dx-2020-0045

关键词

diagnostic errors; diagnostic harm; diagnostic safety; learning health system; measurement; patient safety; quality and safety

资金

  1. Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services [HHSP233201500022I/75P00119F37006]
  2. Houston Veterans Administration (VA) Health Services Research and Development (HSR&D) Center for Innovations in Quality, Effectiveness, and Safety [CIN13-413]
  3. VA HSRD Service [CRE17-127]
  4. VA HSR&D Service (Presidential Early CareerAward for Scientists and Engineers) [USA 14-274]
  5. VA National Center for Patient Safety
  6. Agency for Healthcare Research and Quality [R01HS27363]
  7. Gordon and Betty Moore Foundation

向作者/读者索取更多资源

Reducing diagnostic errors is increasingly important, but obstacles to measuring diagnostic safety have slowed progress. Recent research provides practical guidance for healthcare organizations to start using measurement to enhance safety. The paper issues a call to action for organizations to begin measurement efforts using current data sources.
Reducing the incidence of diagnostic errors is increasingly a priority for government, professional, and philanthropic organizations. Several obstacles to measurement of diagnostic safety have hampered progress toward this goal. Although a coordinated national strategy to measure diagnostic safety remains an aspirational goal, recent research has yielded practical guidance for healthcare organizations to start using measurement to enhance diagnostic safety. This paper, concurrently published as an Issue Brief by the Agency for Healthcare Research and Quality, issues a call to action for healthcare organizations to begin measurement efforts using data sources currently available to them. Our aims are to outline the state of the science and provide practical recommendations for organizations to start identifying and learning from diagnostic errors. Whether by strategically leveraging current resources or building additional capacity for data gathering, nearly all organizations can begin their journeys to measure and reduce preventable diagnostic harm.

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