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  1. Using computerized virtual cases to explore diagnostic error in practicing physicians. | PSNet

    psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians
    August 20, 2018 - Study Using computerized virtual cases to explore diagnostic error in practicing physicians. Citation Text: Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515…

  2. Blink or think: can further reflection improve initial diagnostic impressions? | PSNet

    psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
    November 28, 2012 - Study Blink or think: can further reflection improve initial diagnostic impressions? Citation Text: Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. Copy…

  3. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0095_04-10-2009.pdf
    January 01, 2009 - Effective Health Care Topic Number: 0142 Document Completion Date: 7-15-09 1 Results of Topic Selection Process & Next Steps  Noninvasive diagnosis of coronary artery disease in women will be developed as a systematic review by the Effective Health Care (EHC) Program.  When key questi…

  4. Perceived patient safety culture in a critical care transport program. | PSNet

    psnet.ahrq.gov/issue/perceived-patient-safety-culture-critical-care-transport-program
    July 03, 2014 - Study Perceived patient safety culture in a critical care transport program. Citation Text: Erler C, Edwards NE, Ritchey S, et al. Perceived patient safety culture in a critical care transport program. Air Med J. 2013;32(4):208-215. doi:10.1016/j.amj.2012.11.002. Copy Citation For…

  5. Diagnostic errors and temporal stability in bipolar disorder. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-temporal-stability-bipolar-disorder
    March 09, 2022 - Study Diagnostic errors and temporal stability in bipolar disorder. Citation Text: López J, Baca E, Botillo C, et al. [Diagnostic errors and temporal stability in bipolar disorder]. Actas Esp Psiquiatr. 2008;36(4):205-9. Copy Citation Format: Google Scholar PubMed BibTeX …

  6. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet

    psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
    August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…

  7. Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. | PSNet

    psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
    September 30, 2020 - Book/Report Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Citation Text: Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…

  8. Slide 1 (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/OverviewAHRQSupportedAddingClinicalDataPilots09.pdf
    November 18, 2009 - Slide 1 Agency for Healthcare Research and Quality Advancing Excellence in Health Care • www.ahrq.gov Adding Clinical Data to Administrative Datasets: Overview of AHRQ Pilots Roxanne Andrews Anne Elixhauser 13th Annual Healthcare Cost and Utilization Project (HCUP) Partners Meeting November 18, 2009 Advan…

  9. The role of error in organizing behaviour. | PSNet

    psnet.ahrq.gov/issue/role-error-organizing-behaviour
    April 21, 2011 - Study Classic The role of error in organizing behaviour. Citation Text: Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377. Copy Citation Format: DOI Google Scholar BibTeX End…

  10. The effectiveness of root cause analysis: what does the literature tell us? | PSNet

    psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
    February 11, 2013 - Review The effectiveness of root cause analysis: what does the literature tell us? Citation Text: Percarpio KB, Watts V, Weeks WB. The effectiveness of root cause analysis: what does the literature tell us? Jt Comm J Qual Patient Saf. 2008;34(7):391-8. Copy Citation Format: …

  11. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. | PSNet

    psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
    May 08, 2017 - Commentary Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Citation Text: Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a…

  12. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. | PSNet

    psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
    January 26, 2022 - Commentary To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. Citation Text: Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…

  13. The family's contribution to patient safety. | PSNet

    psnet.ahrq.gov/issue/familys-contribution-patient-safety
    October 13, 2018 - Study The family's contribution to patient safety. Citation Text: Correia T, Martins MM, Barroso F, et al. The family's contribution to patient safety. Nurs Rep. 2023;13(2):634-643. doi:10.3390/nursrep13020056. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

  14. An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. | PSNet

    psnet.ahrq.gov/issue/overview-research-priorities-surgical-simulation-what-literature-shows-has-been-achieved
    June 17, 2015 - Review An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. Citation Text: Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what the literature …

  15. Using incident reporting to improve patient safety: a conceptual model. | PSNet

    psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
    June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …

  16. Patterns of unexpected in-hospital deaths: a root cause analysis. | PSNet

    psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
    March 13, 2019 - Review Patterns of unexpected in-hospital deaths: a root cause analysis. Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOI Google Scholar P…

  17. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature
    November 29, 2023 - Review Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Citation Text: Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. …

  18. Automated identification of diagnostic labelling errors in medicine. | PSNet

    psnet.ahrq.gov/issue/automated-identification-diagnostic-labelling-errors-medicine
    September 23, 2020 - Study Automated identification of diagnostic labelling errors in medicine. Citation Text: Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. Copy Citation Format: …

  19. Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/surgeons-leadership-style-and-team-behavior-hybrid-operating-room-prospective-cohort-study
    August 31, 2022 - Study Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Citation Text: Soenens G, Marchand B, Doyen B, et al. Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Ann Surg. 2023;278(1):e5-e…

  20. Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. | PSNet

    psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
    September 30, 2020 - Book/Report Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Citation Text: Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Office of the Inspector General. Washington, DC: Departme…
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