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Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023.
Desjardins L. PBS NewsHour. August 29, 2023.
Addressing diagnostic errors to improve outcomes and patient safety has long been a problem in the US healthcare system.1 Many methods of reducing diagnostic error focus on individual factors and single cases, instead of focusing on the contribution of system factors or looking at diagnostic errors across a disease or clinical condition. Instead of addressing individual cases, KP sought to improve the disease diagnosis process and systems. The goal was to address the systemic root cause issues in systems that lead to diagnostic errors.
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
Burton S. New York Times and Serial Productions. June 30-July 27, 2023.
Board on Health Care Services, National Academies of Science, Engineering, and Medicine. Irvine, CA: Arnold and Mabel Beckman Center: 2021-2023.
Grossman D, Joffe C, Kaller S, et al. Advancing New Standards in Reproductive Health, University of California, San Francisco; 2023.
Stafford K. AP News. May 23, 2023.
Bryant A. UpToDate. May 18, 2023.
Boswell B. KCET: April 2023.
D'Ambrosio A. MedPage Today. March 31, 2023.
Oregon Patient Safety Commission: 2023.
Minoritized patients continue to experience disproportionately high rates of maternal morbidity and mortality. This hospital developed a health-equity checklist to identify if bias and/or social determinants of health played a role in preventable adverse events.
Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Economic Research; 2022. NBER Working Paper No. 30693.