The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.

Kisha J Ali; Christine A Goeschel; Derek M DeLia; Leah M Blackall; Hardeep Singh

Commentary

The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.

November 1, 2023

Ali KJ, Goeschel CA, DeLia DM, et al. Diagnosis (Berl). 2024;11(1):17-24.

View more articles from the same authors.

To improve patient safety, payers such as the Centers for Medicare & Medicaid have implemented policies that limit reimbursement for certain healthcare-associated harms. This commentary introduces the “Payer Relationships for Improving Diagnoses (PRIDx)” framework describing how payers may implement similar policies to reduce diagnostic errors.

PubMed citation

Free full text

Related Resources From the Same Author(s)

The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation.

February 7, 2024

Operational measurement of diagnostic safety: state of the science.

October 7, 2020

Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events.

June 7, 2017

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.

June 28, 2023

Application of electronic trigger tools to identify targets for improving diagnostic safety.

October 17, 2018

An analysis of electronic health record–related patient safety concerns.

July 2, 2014

Improving patient safety in intensive care units in Michigan.

June 25, 2008

Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.

November 3, 2010

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

November 16, 2011

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study.

March 10, 2010

Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center.

April 4, 2012

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

August 25, 2010

An intervention to decrease catheter-related bloodstream infections in the ICU.

January 3, 2007

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

March 9, 2011

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Implementing standardized operating room briefings and debriefings at a large regional medical center.

August 5, 2009

Establishing a global learning community for incident-reporting systems.

November 10, 2010

ReCASTing the RCA: an improved model for performing root cause analyses.

May 26, 2010

Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations.

June 30, 2010

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data.

October 8, 2014

Exploring the sociotechnical intersection of patient safety and electronic health record implementation.

October 16, 2013

Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study.

September 11, 2013

Toward improving patient safety through voluntary peer-to-peer assessment.

January 25, 2012

Eliminating central line-associated bloodstream infections: a national patient safety imperative.

January 15, 2014

Assessing and improving safety climate in a large cohort of intensive care units.

February 23, 2011

Creating high reliability in health care organizations.

December 20, 2006

Electronic health record-based triggers to detect potential delays in cancer diagnosis.

August 28, 2013

Using the opportunity estimator tool to improve engagement in a quality and safety intervention.

January 18, 2012

Reducing health care hazards: lessons from the Commercial Aviation Safety Team.

April 15, 2009

Changes in practice among physicians with malpractice claims.

April 3, 2019

Simulation in the executive suite: lessons learned for building patient safety leadership.

January 6, 2016

Framework for patient safety research and improvement.

February 4, 2009

The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs.

September 7, 2011

Integrating CUSP and TRIP to improve patient safety.

November 24, 2010

Board quality scorecards: measuring improvement.

August 10, 2011

Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis.

July 13, 2016

Using a logic model to design and evaluate quality and patient safety improvement programs.

July 25, 2012

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

December 16, 2020

Needlestick injuries among surgeons in training.

July 4, 2007

Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.

June 14, 2023

The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.

October 8, 2008

Adherence to recommended electronic health record safety practices across eight health care organizations.

May 16, 2018

Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network.

May 10, 2023

February 1, 2012

National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event.

January 27, 2021

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps.

May 12, 2021

Exploring situational awareness in diagnostic errors in primary care.

September 21, 2011

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care.

March 9, 2016

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?

March 17, 2010

Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?

October 7, 2009

Primary care pediatricians' interest in diagnostic error reduction.

July 20, 2016

Electronic health record-based surveillance of diagnostic errors in primary care.

November 2, 2011

Diagnostic errors in primary care pediatrics: Project RedDE.

November 29, 2017

Analysis of human performance deficiencies associated with surgical adverse events.

August 14, 2019

Factors associated with potentially missed diagnosis of appendicitis in the emergency department.

April 8, 2020

Identifying diagnostic errors in primary care using an electronic screening algorithm.

February 21, 2007

Medical errors involving trainees: a study of closed malpractice claims from 5 insurers.

October 24, 2007

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures.

February 13, 2019

E-prescribing and medication safety in community settings: a rapid scoping review.

January 24, 2024

Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections.

December 8, 2010

Hospital board checklist to improve culture and reduce central line–associated bloodstream infections.

November 3, 2010

Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies.

December 18, 2013

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care.

May 25, 2022

Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study.

August 14, 2019

An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study.

November 26, 2014

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.

April 23, 2014

Cardiac surgery errors: results from the UK National Reporting and Learning System.

February 16, 2011

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

January 9, 2013

Viewing health care delivery as science: challenges, benefits, and policy implications.

October 13, 2010

The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems.

June 9, 2010

Reality check for checklists.

August 19, 2009

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

July 21, 2010

Explaining Michigan: developing an ex post theory of a quality improvement program.

August 3, 2011

Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience.

September 18, 2013

Measurement of quality and assurance of safety in the critically ill.

April 8, 2009

Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research.

May 28, 2008

The wisdom and justice of not paying for "preventable complications."

May 14, 2008

Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.

June 8, 2022

Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist.

February 13, 2008

Quality improvement initiative to reduce serious safety events and improve patient safety culture.

August 1, 2012

Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study.

March 23, 2022

How context affects electronic health record–based test result follow-up: a mixed-methods evaluation.

December 3, 2014

Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing.

June 3, 2020

Developing electronic clinical quality measures to assess the cancer diagnostic process.

June 21, 2023

Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial.

September 9, 2015

Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings.

May 27, 2015

The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations.

April 30, 2014

Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease.

March 6, 2019

Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis.

November 18, 2009

Errors of diagnosis in pediatric practice: a multisite survey.

July 7, 2010

The global burden of diagnostic errors in primary care.

August 24, 2016

Information overload and missed test results in electronic health record–based settings.

March 13, 2013

Types and origins of diagnostic errors in primary care settings.

March 6, 2013

Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients.

August 21, 2013

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

October 26, 2011

Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis.

May 23, 2018

Related Resources

Pay-for-performance and patient safety in acute care: a systematic review.

April 24, 2024

Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.

April 22, 2024

The limits of clinician vigilance as an AI safety bulwark.

March 27, 2024

Systemic failures in health care oversight.

March 20, 2024

To do no harm - and the most good - with AI in health care.

March 13, 2024

Legacy: a Black Physician Reckons with Racism in Medicine.

March 6, 2024

Prioritizing Patient Safety Through Quality Measurement.

February 28, 2024

Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients.

February 28, 2024

Assessing diagnostic performance.

February 14, 2024

Systemic failures in nursing home care--a scoping study.

February 14, 2024

FDA urged to move faster to fix pulse oximeters for darker-skinned patients.

February 14, 2024

Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units.

February 14, 2024

Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics.

January 17, 2024

Best Practices for Administering SOPS Surveys.

January 24, 2024 - January 24, 2024

Diagnostic Quality Improvement Repository.

January 10, 2024

Error codes at autopsy to study potential biases in diagnostic error.

January 10, 2024

National Healthcare Quality and Disparities Reports.

January 9, 2024

Challenge Competition: Impact of Patient Safety Tools.

December 12, 2023

Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023.

October 4, 2023

Adverse Health Events in Minnesota: Annual Reports.

September 30, 2023

Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error.

September 27, 2023

Fragmented: A Doctor's Quest to Piece Together American Health Care.

September 27, 2023

Global Knowledge Sharing Platform for Patient Safety.

September 20, 2023

A Transformational Effort on Patient Safety.

September 13, 2023

Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study.

September 13, 2023

Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors.

September 13, 2023

Value assessment of deprescribing interventions: suggestions for improvement.

August 16, 2023

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.

August 9, 2023

Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence.

August 9, 2023

Experimental evidence for structured information-sharing networks reducing medical errors.

August 9, 2023

See More About The Topic

Clinical Misdiagnosis

The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site