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psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
June 01, 1989 - Study
Classic
Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes.
Citation Text:
Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…
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psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically
March 01, 2017 - Book/Report
Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization.
Citation Text:
Technical Evaluation, Testing, and Validation of the Usability …
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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - evidence of negative impacts of
sleep deprivation and extended work hours in other industries and other aspects
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psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
April 01, 2020 - Study
Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide.
Citation Text:
Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans He…
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psnet.ahrq.gov/issue/association-inpatient-hospital-experience-patient-safety-indicators-cross-sectional-canadian
February 17, 2017 - Study
Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study.
Citation Text:
Kemp KA, Santana MJ, Southern DA, et al. Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. BM…
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - This case highlights two aspects that complicate the situation.
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - designing the system, integrating reliable technology, and providing training to staff are other key aspects … That’s an example of error tolerance, and you need all three of these safety aspects.
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
October 26, 2010 - Study
Classic
Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.
Citation Text:
Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. An…
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - Several other aspects of this case merit discussion.
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - Clinical and epidemiological aspects of invasive Streptococcus pyogenes infections in Denmark during … November 13, 2024
Determinants of burnout and other aspects of psychological well-being
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Error
Curated Library
Incidence of Diagnostic Errors
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the
National Practitioner Data Bank.
Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - evidence of negative impacts of sleep deprivation and extended work hours in other industries and other aspects
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - In particular, aspects of safety culture like teamwork: Do you feel comfortable speaking up? … which units specifically are struggling with teamwork—and within those units that are struggling, what aspects
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - We're also moving toward more digital quality measures that allow you to look at all different aspects … Whole-person care and health equity are important aspects of quality improvement.
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - We're also moving toward more digital quality measures that allow you to look at all different aspects … Whole-person care and health equity are important aspects of quality improvement.
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psnet.ahrq.gov/issue/speaking-about-traditional-and-professionalism-related-patient-safety-threats-national-survey
November 20, 2015 - Study
Classic
Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents.
Citation Text:
Martinez W, Lehmann LS, Thomas EJ, et al. Speaking up about traditional and professionalism-related patient…
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
April 17, 2025 - This systematic review examined which aspects of new safety practice implementations led to actual improvement
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psnet.ahrq.gov/curated-library/diagnostic-error
April 17, 2025 - Breadcrumb
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Created By: Karen Cosby, AHRQ
Date Created: May 8, …
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Organizations can use the following strategies to incorporate health literacy into to all aspects of
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - The common practice of "deferring" aspects of the physical examination viewed as non-essential was unfortunately