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psnet.ahrq.gov/node/41869/psn-pdf
November 28, 2012 - Tracking intraoperative complications.
November 28, 2012
Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23.
doi:10.1016/j.jamcollsurg.2012.06.001.
https://psnet.ahrq.gov/issue/tracking-intraoperative-complications
This cohort study found that a prospective, real-time metho…
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psnet.ahrq.gov/node/50807/psn-pdf
January 15, 2020 - Artificial intelligence is rushing into patient care - and
could raise risks.
January 15, 2020
Szabo L. Scientific American and Kaiser Health News. December 24, 2019.
https://psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
Artificial intelligence (AI) has the potential to im…
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psnet.ahrq.gov/node/60717/psn-pdf
July 22, 2020 - The U.S. is repeating its deadliest pandemic mistake.
July 22, 2020
KHAZAN OLGA. The U.S. is repeating its deadliest pandemic mistake. The Atlantic. 2020;July 6.
https://psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake
Residential care facilities have been particularly challenged by COVID-19. This a…
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psnet.ahrq.gov/node/48025/psn-pdf
June 19, 2019 - Accuracy of a popular online symptom checker for
ophthalmic diagnoses.
June 19, 2019
Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic
Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571.
https://psnet.ahrq.gov/issue/accuracy-popular-on…
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - Over-the-Counter Oversight
Citation Text:
Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
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psnet.ahrq.gov/node/38800/psn-pdf
July 22, 2009 - Medication error reporting and the work environment in a
military setting.
July 22, 2009
Patrician PA; Brosch LR.
https://psnet.ahrq.gov/issue/medication-error-reporting-and-work-environment-military-setting
This study describes nurses' reasons for medication errors and the barriers to reporting them and then
sha…
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psnet.ahrq.gov/issue/electronic-health-record-based-surveillance-diagnostic-errors-primary-care
April 09, 2013 - Study
Electronic health record-based surveillance of diagnostic errors in primary care.
Citation Text:
Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-0003…
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psnet.ahrq.gov/node/72485/psn-pdf
November 18, 2020 - 4 skin conditions doctors often misdiagnose.
November 18, 2020
Oglethorpe A. Women's Health. November 4, 2020.
https://psnet.ahrq.gov/issue/4-skin-conditions-doctors-often-misdiagnose
Skin condition diagnosis is a visual activity that is vulnerable to error. This article highlights how conditions
such as psor…
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psnet.ahrq.gov/node/48156/psn-pdf
January 01, 2020 - Study of a multisite prospective adverse event
surveillance system.
July 31, 2019
Forster AJ, Huang A, Lee TC, et al. Study of a multisite prospective adverse event surveillance system.
BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2018-008664.
https://psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-s…
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psnet.ahrq.gov/node/42770/psn-pdf
November 27, 2013 - Increasing demands for quality measurement.
November 27, 2013
Panzer RJ, Gitomer RS, Greene WH, et al. Increasing demands for quality measurement. JAMA.
2013;310(18):1971-80. doi:10.1001/jama.2013.282047.
https://psnet.ahrq.gov/issue/increasing-demands-quality-measurement
This commentary relates challenges to mean…
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psnet.ahrq.gov/node/867643/psn-pdf
February 26, 2025 - Psychology insights on apologizing to patients.
February 26, 2025
Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30.
doi:10.1002/jhm.13585.
https://psnet.ahrq.gov/issue/psychology-insights-apologizing-patients
Apologizing to the patient and family after a harmful …
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psnet.ahrq.gov/node/854259/psn-pdf
January 01, 2024 - The power of written word: reflection reduces errors of
omission.
October 4, 2023
Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission.
Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630.
https://psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-…
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psnet.ahrq.gov/node/837847/psn-pdf
August 17, 2022 - Defining and studying errors in surgical care: a
systematic review.
August 17, 2022
Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic
review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351.
https://psnet.ahrq.gov/issue/defining-and-studying-err…
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psnet.ahrq.gov/node/73344/psn-pdf
June 02, 2021 - Assessing patient safety culture in hospital settings.
June 2, 2021
Azyabi A. Assessing patient safety culture in hospital settings. Int J Environ Res Public Health.
2021;18(5):2466. doi:10.3390/ijerph18052466.
https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospital-settings
Accurate measurement of …
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psnet.ahrq.gov/node/74694/psn-pdf
January 26, 2022 - Medical adverse events in the US 2018 mortality data.
January 26, 2022
Oura P. Medical adverse events in the US 2018 mortality data. Prev Med Rep. 2021;24:101574.
doi:10.1016/j.pmedr.2021.101574.
https://psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
Accurate measurement of adverse event rates …
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psnet.ahrq.gov/node/866105/psn-pdf
June 12, 2024 - Collective intelligence increases diagnostic accuracy in a
general practice setting.
June 12, 2024
Blanchard MD, Herzog SM, Kämmer JE, et al. Collective intelligence increases diagnostic accuracy in a
general practice setting. Med Decis Making. 2024;44(4):451-462. doi:10.1177/0272989x241241001.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/42956/psn-pdf
February 19, 2014 - Patient safety: it takes a team.
February 19, 2014
Rosemont, IL: American Academy of Orthopaedic Surgeons.
https://psnet.ahrq.gov/issue/patient-safety-it-takes-team
Patient engagement is a promising strategy for error reduction and has become a priority of influential
regulatory and governmental organizations. Thi…
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psnet.ahrq.gov/node/42137/psn-pdf
May 10, 2013 - Correlates of diagnostic accuracy in patients with
nonspecific complaints.
May 10, 2013
Hertwig R, Meier N, Nickel C, et al. Correlates of diagnostic accuracy in patients with nonspecific
complaints. Med Decis Making. 2013;33(4):533-43. doi:10.1177/0272989X12470975.
https://psnet.ahrq.gov/issue/correlates-diagnost…
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psnet.ahrq.gov/node/35694/psn-pdf
July 13, 2010 - Measurement of adverse events using "incidence
flagged" diagnosis codes.
July 13, 2010
Jackson T, Duckett S, Shepheard J, et al. Measurement of adverse events using "incidence flagged"
diagnosis codes. J Health Serv Res Policy. 2006;11(1):21-6.
https://psnet.ahrq.gov/issue/measurement-adverse-events-using-incidenc…
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psnet.ahrq.gov/node/843053/psn-pdf
January 25, 2023 - The safety of inpatient health care.
January 25, 2023
Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med.
2023;388(2):142-153. doi:10.1056/nejmsa2206117.
https://psnet.ahrq.gov/issue/safety-inpatient-health-care
An accurate understanding of the frequency, severity, and pre…