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Newman-Toker DE, Peterson SM, Badihian S, et al. Diagnostic Errors in the Emergency Department: A Systematic Review [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2022 Dec. (Comparative Effectiveness Review, No. 258.)

Cover of Diagnostic Errors in the Emergency Department: A Systematic Review

Diagnostic Errors in the Emergency Department: A Systematic Review [Internet].

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Figure 16 is the National Academy of Medicine figure showing the steps in the diagnostic process where failures can occur. The steps are: (1) Patient experiences a health problem, (2) patient engages with health care system, (3) the diagnostic process, (4) communication of the diagnosis, (4) treatment and (5) outcome. The diagnostic process is represented as a circle and includes information integration and interpretation, working diagnosis, and information gathering.

Figure 16Diagnostic process steps where failures can occur that contribute to diagnostic errors

Source: Adapted from National Academies of Science Engineering and Medicine. Improving Diagnosis in Health Care. Washington, DC: The National Academies Press; 2015. https://www.nap.edu/catalog/21794/improving-diagnosis-in-health-care#rights. Used with permission.

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