Publications by authors named "A Offner"

Background: Several strategies have been developed to detect diagnostic errors for organizational learning and improvement. However, few health care organizations (HCOs) have integrated these strategies into routine operations. To address this gap, the Agency for Healthcare Research and Quality released "Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events" in 2022.

View Article and Find Full Text PDF

Purpose: Missed and delayed cancer diagnoses are common, harmful, and often preventable. Automated measures of quality of cancer diagnosis are lacking but could identify gaps and guide interventions. We developed and implemented a digital quality measure (dQM) of cancer emergency presentation (EP) using electronic health record databases of two health systems and characterized the measure's association with missed opportunities for diagnosis (MODs) and mortality.

View Article and Find Full Text PDF

Objective: Measures of diagnostic performance in cancer are underdeveloped. Electronic clinical quality measures (eCQMs) to assess quality of cancer diagnosis could help quantify and improve diagnostic performance.

Materials And Methods: We developed 2 eCQMs to assess diagnostic evaluation of red-flag clinical findings for colorectal (CRC; based on abnormal stool-based cancer screening tests or labs suggestive of iron deficiency anemia) and lung (abnormal chest imaging) cancer.

View Article and Find Full Text PDF

Background: Participation from clinician stakeholders can improve the design and implementation of health care interventions. Participatory design methods, especially co-design methods, comprise stakeholder-led design activities that are time-consuming. Competing work demands and increasing workloads make clinicians' commitments to typical participatory methods even harder.

View Article and Find Full Text PDF

Oscillating flows can generate nonzero, time-averaged fluxes despite the velocity averaging zero over an oscillation cycle. Here, we report such a flux, a nonlinear resultant of the interaction between oscillating velocity and concentration fields. Specifically, we study a gas mixture sustaining a standing acoustic wave, where an adsorbent coats the solid boundary in contact with the gas mixture.

View Article and Find Full Text PDF