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Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2023.
Rockville, MD: Agency for Healthcare Quality and Research; August 22, 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.
Agency for Healthcare Research and Quality, Rockville, MD. 2023.
Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.