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Found 93 results
  1. Content Article
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    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 s
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    The Leapfrog Group will add a section to its annual survey in 2024 asking US hospitals to report their progress on evidence-based practices designed to prevent and reduce patient injury and death from diagnostic error and delay. This Autumn, Leapfrog will pilot test survey questions about a range of diagnostic practices from holding leaders accountable for diagnostic safety to openly communicating diagnostic errors to patients and optimising electronic records to support accurate and timely diagnosis. Results of the Leapfrog Hospital Survey — completed voluntarily each year by more t
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    Five point action plan to develop a learning and exploration of diagnostic excellence (LEDE) organisation Implement a virtual hub to coordinate organisational activities for improving diagnosis Participate in novel scientific initiatives to generate and translate evidence Avoid the “tyranny of metrics”14 by focusing on measurement for improvement Engage clinicians in improving diagnosis activities and frame missed opportunities as learning opportunities Develop an accountable culture of engaging and learning from patients
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    The authors performed a narrative review of the literature on the current state of AUD treatment and patient safety, finding extensive evidence that patients with AUD usually go undiagnosed, unreferred and untreated. When they do receive AUD treatment, little evidence was found to indicate that a patient safety approach is incorporated into their care. Behavioural medicine is virgin territory for the patient safety movement. Medical care and behavioural medicine in the United States currently constitute two separate and unequal systems generally lacking in pathways of communication or care coo
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    For each recommended practice, the Leapfrog report includes descriptions and resources to help hospitals implement the practice. The report also offers guidance to employers, purchasers, and patient advocates to motivate hospital action. Featured practices in the report include: Making it easy for patients and family caregivers to report their diagnostic errors and concerns to the hospital. Implementing “closed-loop” communication to ensure that test results are reviewed by the ordering clinician and communicated to the patient on a timely basis. Convening a multidisciplina
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    Key conclusions include: The Belfast Trust should have intervened earlier, but failed to do so. Systems and processes in place to assure the public about patient safety prior to November 2016 failed. The effect of numerous failures ensured problems were missed for many years and opportunities to intervene were lost. Failures not confined to Belfast Trust - information was contained in silos with communications between different organisations and management levels poor and inadequate.
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    A hospital trust is investigating after a patient was incorrectly diagnosed and treated for Alzheimer's disease for seven years. Alex Preston, from Anstey, Leicestershire, was 54 at the time and said the diagnosis completely destroyed his life and made him feel suicidal. Mr Preston said he was having problems concentrating at work in 2014. "The doctor thought I had low mood and anxiety," he said. Mr Preston, now 62, was sent to the Bradgate Mental Health Unit where he underwent a series of tests and was diagnosed with Alzheimer's disease. "That's when my life was completely
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