Summary
Diagnostic errors are major contributors to patient harm. Strategies to identify and analyse these events are still emerging, but several show promise for use in operational settings. The Agency for Healthcare Research and Quality (QHRQ) has developed Measure Dx to help healthcare organisations identify diagnostic safety events and gain insights for improvement.
Measure Dx can be used by any healthcare organisation interested in promoting diagnostic excellence and reducing harm from diagnostic safety events. Potential users include clinicians, quality and safety professionals, risk management professionals, health system leaders, and clinical managers.
Content
The Measure Dx Guide is organised into four sections that outline a series of steps to begin and sustain measurement of diagnostic safety:
- Part I outlines ways to engage people in the organisation to ensure adequate resources to implement measurement and learning activities.
- Part II contains a self-assessment checklist to gauge readiness for implementation, as well as guidance for choosing a measurement strategy that fits with your organisation's resources.
- Part III describes four different strategies (systematic approaches to measurement) based on different types of data sources. Organisations are encouraged to use a strategy that fits with available data sources. Each strategy is outlined in step-by-step instructions for identifying potential diagnostic safety events. Case examples illustrate how organisations have used each strategy to learn about diagnostic safety in their facilities and practices.
- Part IV provides recommendations for systematically reviewing and analysing case data and translating findings into useful insights for learning and improvement. It also includes guidance for training reviewers and using structured case review tools.
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