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Process of care failures in breast cancer diagnosis. | PSNet

psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis

January 06, 2017 - Study Process of care failures in breast cancer diagnosis. Citation Text: Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. Copy Citation Format: DOI Googl…

The role of feedback in emergency ambulance services: a qualitative interview study. | PSNet

psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study

April 06, 2022 - Study The role of feedback in emergency ambulance services: a qualitative interview study. Citation Text: Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…

A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet

psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings

November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care settings. Citation Text: Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. …

Why do doctors make mistakes? A study of the role of salient distracting clinical features. | PSNet

psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features

July 03, 2014 - Study Why do doctors make mistakes? A study of the role of salient distracting clinical features. Citation Text: Mamede S, Van Gog T, Van den Berge K, et al. Why do doctors make mistakes? A study of the role of salient distracting clinical features. Acad Med. 2014;89(1):114-20. doi:10.10…

Controlled trial to improve resident sign-out in a medical intensive care unit. | PSNet

psnet.ahrq.gov/issue/controlled-trial-improve-resident-sign-out-medical-intensive-care-unit

August 04, 2021 - Study Controlled trial to improve resident sign-out in a medical intensive care unit. Citation Text: Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. Co…

Physician spending and subsequent risk of malpractice claims: observational study. | PSNet

psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study

May 01, 2015 - Study Classic Physician spending and subsequent risk of malpractice claims: observational study. Citation Text: Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. …

Serious incidents after death: content analysis of incidents reported to a national database. | PSNet

psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database

October 03, 2018 - Study Serious incidents after death: content analysis of incidents reported to a national database. Citation Text: Yardley IE, Carson-Stevens A, Donaldson LJ. Serious incidents after death: content analysis of incidents reported to a national database. J R Soc Med. 2017;111(2):57-64. doi…

Hospital safety climate and safety behavior: a social exchange perspective. | PSNet

psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-behavior-social-exchange-perspective

February 15, 2023 - Study Hospital safety climate and safety behavior: a social exchange perspective. Citation Text: Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118.…

Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. | PSNet

psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older

April 11, 2011 - Study Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Citation Text: Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Jt Comm…

The nature of the response to airway management incident reports in high income countries: a scoping review. | PSNet

psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review

December 15, 2014 - Review The nature of the response to airway management incident reports in high income countries: a scoping review. Citation Text: Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive…

Improving nursing home safety through adoption of a practical resilient health care approach. | PSNet

psnet.ahrq.gov/issue/improving-nursing-home-safety-through-adoption-practical-resilient-health-care-approach

August 26, 2020 - Commentary Improving nursing home safety through adoption of a practical resilient health care approach. Citation Text: Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014…

High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. | PSNet

psnet.ahrq.gov/issue/high-fidelity-simulation-based-interdisciplinary-operating-room-team-training-point-care

September 16, 2009 - Study High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Surgery. 2009;145(2):138…

Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. | PSNet

psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional-prospective

June 21, 2016 - Study Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Citation Text: Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…

Confidential clinician-reported surveillance of adverse events among medical inpatients. | PSNet

psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients

June 29, 2011 - Study Classic Confidential clinician-reported surveillance of adverse events among medical inpatients. Citation Text: Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…

A 38-year-old woman with fetal loss and hysterectomy. | PSNet

psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy

January 12, 2011 - Commentary Classic A 38-year-old woman with fetal loss and hysterectomy. Citation Text: Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. Copy Citation Format: DOI Google Schola…

Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center

March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

Variations in surgical safety according to affiliation status with a top-ranked cancer hospital. | PSNet

psnet.ahrq.gov/issue/variations-surgical-safety-according-affiliation-status-top-ranked-cancer-hospital

April 24, 2019 - Study Variations in surgical safety according to affiliation status with a top-ranked cancer hospital. Citation Text: Resio BJ, Hoag JR, Chiu AS, et al. Variations in Surgical Safety According to Affiliation Status With a Top-Ranked Cancer Hospital. JAMA Oncol. 2019;5(9):1359-1362. doi:1…

The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety

December 16, 2009 - Study The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. Citation Text: Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety. Pediatr Crit Car…

Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery

July 19, 2023 - Study Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. Citation Text: Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…

Emergency hospitalizations for unsupervised prescription medication ingestions by young children. | PSNet

psnet.ahrq.gov/issue/emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children

April 22, 2020 - Study Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Citation Text: Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Pediatrics. 2014;134(4):e1009-1…

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