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What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. | PSNet

psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care

March 16, 2022 - Study What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. Citation Text: Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…

Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. | PSNet

psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record

April 13, 2022 - Study Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. Citation Text: Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. J Gen Intern Med. 2025;…

Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve

March 01, 2011 - Study Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. Citation Text: Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…

Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. | PSNet

psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-requested-corrections-medical-record-through-use

October 02, 2024 - Study Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. Citation Text: Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested correc…

Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. | PSNet

psnet.ahrq.gov/issue/speaking-about-safety-concerns-multi-setting-qualitative-study-patients-views-and-experiences

May 18, 2016 - Study Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Citation Text: Entwistle VA, McCaughan D, Watt I, et al. Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Qual Saf Health C…

Evaluation and mitigation of the limitations of large language models in clinical decision-making. | PSNet

psnet.ahrq.gov/issue/evaluation-and-mitigation-limitations-large-language-models-clinical-decision-making

March 09, 2022 - Commentary Evaluation and mitigation of the limitations of large language models in clinical decision-making. Citation Text: Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language models in clinical decision-making. Nat Med. 2024;30(9):2613-…

Medication errors in the outpatient setting: classification and root cause analysis. | PSNet

psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis

December 16, 2020 - Study Medication errors in the outpatient setting: classification and root cause analysis. Citation Text: Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. Cop…

The value of autopsies in the era of high-tech medicine: discrepant findings persist. | PSNet

psnet.ahrq.gov/issue/value-autopsies-era-high-tech-medicine-discrepant-findings-persist

October 18, 2023 - Study The value of autopsies in the era of high-tech medicine: discrepant findings persist. Citation Text: Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136…

Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. | PSNet

psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and

November 16, 2022 - Commentary Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. Citation Text: Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Pu…

Safety climate and its association with office type and team involvement in primary care. | PSNet

psnet.ahrq.gov/issue/safety-climate-and-its-association-office-type-and-team-involvement-primary-care

August 08, 2012 - Study Safety climate and its association with office type and team involvement in primary care. Citation Text: Gehring K, Schwappach DLB, Battaglia M, et al. Safety climate and its association with office type and team involvement in primary care. Int J Qual Health Care. 2013;25(4):394-4…

Analyzing diagnostic errors in the acute setting: a process-driven approach. | PSNet

psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach

December 07, 2022 - Study Analyzing diagnostic errors in the acute setting: a process-driven approach. Citation Text: Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. Copy Citatio…

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. | PSNet

psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled

June 27, 2018 - Study Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. Citation Text: Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…

How safe is prehospital care? A systematic review. | PSNet

psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review

February 24, 2021 - Review How safe is prehospital care? A systematic review. Citation Text: O’Connor P, O’malley R, Lambe KA, et al. How safe is prehospital care? A systematic review. Int J Qual Health Care. 2021;33(4):mzab138. doi:10.1093/intqhc/mzab138. Copy Citation Format: DOI Google Scho…

Validation of hospital administrative dataset for adverse event screening. | PSNet

psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening

May 21, 2009 - Study Validation of hospital administrative dataset for adverse event screening. Citation Text: Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306. …

The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-simulation-based-training

June 08, 2022 - Review The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. Citation Text: Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based t…

Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. | PSNet

psnet.ahrq.gov/issue/nurses-achilles-heel-using-big-data-determine-workload-factors-impact-near-misses

July 28, 2021 - Study Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. Citation Text: Campbell AA, Harlan T, Campbell M, et al. Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. J Nurs Scholarsh. 2021;53(3):333-342. d…

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. | PSNet

psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study

December 21, 2014 - Study Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Citation Text: Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…

Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. | PSNet

psnet.ahrq.gov/issue/impact-2011-acgme-resident-duty-hour-reform-hospital-patient-experience-and-processes-care

September 07, 2016 - Study Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. Citation Text: Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. BMJ Qual Saf. 2016;…

Relationship between operating room teamwork, contextual factors, and safety checklist performance. | PSNet

psnet.ahrq.gov/issue/relationship-between-operating-room-teamwork-contextual-factors-and-safety-checklist

September 24, 2017 - Study Relationship between operating room teamwork, contextual factors, and safety checklist performance. Citation Text: Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-5…

Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. | PSNet

psnet.ahrq.gov/issue/delivery-inadequate-level-maternal-care-associated-severe-maternal-morbidity

September 29, 2021 - Study Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. Citation Text: Osei-Poku GK, Prentice JC, Easter SR, et al. Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. Am J Obstet Gynecol. 2024;231(5)…

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