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Contents

Diagnostic Safety as a Challenge for Healthcare Leadership 
Why Are Leaders Essential to Diagnostic Safety?
How Can Leaders Drive Improvements in Diagnostic Safety?
What Can Leaders Achieve by Prioritizing Diagnostic Safety?
A Path Forward for Diagnostic Safety Improvement Leadership
References

Prepared for:

´óÏóÊÓƵ
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov

Contract Number HHSP233201500022I/75P00119F37006

Prepared by:

Michael Rosen, M.A., Ph.D.
Associate Professor, Anesthesia and Critical Care Medicine
Johns Hopkins School of Medicine
Armstrong Institute for Patient Safety and Quality

Kisha J. Ali, M.S., Ph.D. Candidate
Research Scientist
MedStar Institute for Quality and Safety (MIQS)

Bryan O. Buckley, Dr.P.H., M.P.H.
Research Fellow
MedStar Institute for Quality and Safety (MIQS)

Christine Goeschel, M.P.A., Sc.D., RN
Professor of Medicine, Georgetown University
Assistant Vice President
MedStar Institute for Quality and Safety (MIQS)

Institute for Quality and Safety from the ´óÏóÊÓƵ (AHRQ), U.S. Department of Health and Human Services (HHS). The authors are solely responsible for this document’s contents, findings, and conclusions, which do not necessarily represent the views of AHRQ. Readers should not interpret any statement in this product as an official position of ´óÏóÊÓƵor of HHS. None of the authors has any affiliation or financial involvement that conflicts with the material presented in this product.

Public Availability Notice. This product is made publicly available by ´óÏóÊÓƵand may be used and reprinted without permission in the United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document. No one may reproduce copyrighted materials without the permission of the copyright holders. Users outside the United States must get permission from ´óÏóÊÓƵto reprint or translate this product. Anyone wanting to reproduce this product for sale must contact ´óÏóÊÓƵfor permission.

Citation of the source is appreciated.

Suggested citation: Rosen M, Ali KJ, Buckley BO, Goeschel C. Leadership To Improve Diagnosis: A Call to Action. Rockville, MD: ´óÏóÊÓƵ; June 2021. ´óÏóÊÓƵPublication No. 20(21)-0040-5-EF.