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psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological
October 23, 2019 - Review
Classic
Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data.
Citation Text:
Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of D…
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psnet.ahrq.gov/issue/optimizing-measurement-misdiagnosis-related-harms-using-symptom-disease-pair-analysis
July 21, 2021 - Commentary
Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity.
Citation Text:
Liberman AL, Wang Z, Zhu Y, et al. Optimizing measurement of misdiagnosis-related harms using symp…
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psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
April 08, 2018 - Study
Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample.
Citation Text:
Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-b…
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Review
Inpatient fall prevention programs as a patient safety strategy: a systematic review.
Citation Text:
Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.732…
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psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
March 06, 2019 - Study
Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study.
Citation Text:
van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…
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psnet.ahrq.gov/issue/burden-opioid-related-mortality-united-states
June 02, 2021 - Study
Classic
The burden of opioid-related mortality in the United States.
Citation Text:
Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217…
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psnet.ahrq.gov/issue/review-medication-error-sources-associated-inpatient-subcutaneous-insulin-recommendations
June 17, 2020 - Review
Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices.
Citation Text:
McKay C, Schenkat D, Murphy K, et al. Review of medication error sources associated with inpatient subcutaneous insul…
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psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
September 22, 2021 - Study
Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study.
Citation Text:
Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cr…
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psnet.ahrq.gov/issue/stakeholder-perspectives-contributors-delayed-and-inaccurate-diagnosis-cardiovascular-disease
August 18, 2021 - Study
Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study.
Citation Text:
Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contri…
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psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
April 14, 2011 - Review
Emerging Classic
Hierarchy and medical error: speaking up when witnessing an error.
Citation Text:
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…
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psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
April 12, 2014 - Study
Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.
Citation Text:
Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation
July 02, 2014 - Study
Does teamwork improve performance in the operating room? A multilevel evaluation.
Citation Text:
Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42.
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psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use
August 15, 2018 - Study
Opioid-prescribing patterns of emergency physicians and risk of long-term use.
Citation Text:
Barnett ML, Olenski AR, Jena AB. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-Term Use. N Engl J Med. 2017;376(7):663-673. doi:10.1056/NEJMsa1610524.
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psnet.ahrq.gov/issue/evaluating-prevalence-four-recommended-practices-suicide-prevention-following-hospital
June 07, 2023 - Study
Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge.
Citation Text:
Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Jt…
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - Study
Classic
A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.
Citation Text:
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - Study
Implementation of electronic triggers to identify diagnostic errors in emergency departments.
Citation Text:
Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…
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psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations
February 20, 2019 - Study
How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England.
Citation Text:
Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf…
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psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
October 27, 2021 - Study
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study.
Citation Text:
Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/allergy-safety-events-healthcare-development-and-application-classification-schema-based
December 09, 2020 - Study
Allergy safety events in healthcare: development and application of a classification schema based on retrospective review.
Citation Text:
Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application of a classification schema based on retro…
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psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons
January 04, 2010 - Study
The impact of the 80-hour resident workweek on surgical residents and attending surgeons.
Citation Text:
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…