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8 A Research Agenda for the Diagnostic Process and Diagnostic Error
Pages 343-354

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From page 343...
... Absent this quantification, other issues in health care quality and safety have overshadowed diagnostic errors. And while the issue of diagnostic error has been gaining momentum in patient safety and quality improvement efforts, the relative lack of attention has resulted in substantial gaps in what is known about the diagnostic process and diagnostic error in health care today.
From page 344...
... A FEDERAL RESEARCH AGENDA The diagnostic process and the challenge of diagnostic errors have been neglected within the national health care research agenda (Berenson et al., 2014; Wachter, 2010; Zwaan et al., 2013)
From page 345...
... An example of cross-governmental collaboration is the joint effort by AHRQ and the National Science Foundation to evaluate how industrial and systems engineering contribute to better health care delivery. Following a workshop that outlined a research agenda, these agencies released a joint grant solicitation to fill the gaps identified during the course of the workshop (Valdez, 2010)
From page 346...
... industries, health care organizations, and professional liability insurers to support research on the diagnostic process and diagnostic errors. The scientific literature includes descriptions of various types of collaborative models that have been employed to share information, resources, and capabilities (Altshuler et al., 2010; Portilla and Alving, 2010)
From page 347...
... •  atient-centered priorities in reducing diagnostic errors. P • dentification of multiple perspectives to better understand and mitigate I diagnostic error (including the patient, family, primary care clinicians, spe cialists, other health care professionals, organizational leaders, risk man agement perspectives, and others)
From page 348...
... The committee concluded that it was not feasible to prioritize specific research areas in diagnosis and diagnostic error; such prioritization will require additional time and effort beyond the scope of the study. Because this has been an underemphasized area in research and health care delivery, there are many promising avenues for research.
From page 349...
... •  esearch exploring the generalizability of findings on teamwork, culture, R leadership, and education from other disciplines and from broader health care quality and patient safety settings to the diagnostic process. • dentification of cultural and other organizational characteristics of health I care organizations that improve diagnosis and reduce diagnostic errors.
From page 350...
... In Chapter 6, the committee calls on health care organizations to begin monitoring the diagnostic process and to identify, learn from, and reduce diagnostic errors in clinical practice. Because there has been limited collection of this information in clinical practice, health care organizations will need to experiment and assess which approaches are effective for monitoring the diagnostic process and identifying, analyzing, and reducing diagnostic errors.
From page 351...
... Recommendation 8b:  The federal government should pursue and encourage opportunities for public–private partnerships among a broad range of stakeholders, such as the Patient-Centered Out comes Research Institute, foundations, the diagnostic testing and health information technology industries, health care organiza tions, and professional liability insurers to support research on the diagnostic process and diagnostic errors.
From page 352...
... 2015. Health care payment learning and action network.
From page 353...
... 2010. Industrial and systems engineering and health care: Critical areas of research -- Final report.


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