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  1. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet

    psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos
    November 13, 2024 - Study Application of a digital quality measure for cancer diagnosis in Epic Cosmos. Citation Text: Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253. C…

  2. Longitudinal analysis of culture of patient safety survey results in surgical departments. | PSNet

    psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments
    October 12, 2022 - Study Longitudinal analysis of culture of patient safety survey results in surgical departments. Citation Text: Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…

  3. Improving patient safety in intensive care units in Michigan. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
    February 17, 2011 - Study Classic Improving patient safety in intensive care units in Michigan. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…

  4. Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
    July 25, 2018 - Review Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. Citation Text: Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and Characteristics. A Systematic Review. World J Surg. 2019;4…

  5. A systematic review of patient-report safety climate measures in health care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-patient-report-safety-climate-measures-health-care
    September 15, 2021 - Review A systematic review of patient-report safety climate measures in health care. Citation Text: Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705. Cop…

  6. Medical Office Survey: 2020 User Database Report. | PSNet

    psnet.ahrq.gov/issue/medical-office-survey-2020-user-database-report
    April 06, 2022 - Book/Report Medical Office Survey: 2020 User Database Report. Citation Text: Medical Office Survey: 2020 User Database Report. Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville, MD: Agency for Healthcare Research and Quality; March 2020. …

  7. Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture-2015-user-comparative-database-report
    November 30, 2016 - Book/Report Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. Citation Text: Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Resea…

  8. Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet

    psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
    January 18, 2013 - Study Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? Citation Text: Rosen AK, Itani KMF, Cevasco M, et al. Validating the Patient Safety Indicators in the Veterans Health Administration. Med Care. 2011;50(…

  9. A national profile of patient safety in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals
    April 11, 2011 - Study Classic A national profile of patient safety in U.S. hospitals. Citation Text: Romano PS, Geppert JJ, Davies SM, et al. A national profile of patient safety in U.S. hospitals. Health Aff (Millwood). 2003;22(2):154-66. Copy Citation Format: …

  10. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care
    December 02, 2020 - Review A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Citation Text: Giebel C, Silva‐Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Ge…

  11. National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. | PSNet

    psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event
    December 15, 2021 - Organizational Policy/Guidelines National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. Citation Text: Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event…

  12. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. | PSNet

    psnet.ahrq.gov/issue/patient-reasoning-patients-and-care-partners-perceptions-diagnostic-accuracy-emergency-care
    October 23, 2024 - Study Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Citation Text: Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Med Decis Making. 2…

  13. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? | PSNet

    psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions
    May 28, 2014 - Study Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? Citation Text: Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 20…

  14. Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/understanding-roles-three-academic-communities-prospective-learning-health-ecosystem
    October 19, 2022 - Study Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. Citation Text: Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a prospective learning health ecosystem for di…

  15. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers. | PSNet

    psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
    August 04, 2021 - Study Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers. Citation Text: Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural pr…

  16. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome. | PSNet

    psnet.ahrq.gov/issue/effect-program-shorten-decision-delivery-interval-emergent-cesarean-section-maternal-and
    April 12, 2019 - Study The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome. Citation Text: Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean sectio…

  17. What and when to debrief: a scoping review examining interprofessional clinical debriefing. | PSNet

    psnet.ahrq.gov/issue/what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing
    September 09, 2015 - Review What and when to debrief: a scoping review examining interprofessional clinical debriefing. Citation Text: Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1…

  18. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. | PSNet

    psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
    November 16, 2022 - Study Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Citation Text: McAbee GN, Donn SM, Mendelson RA, et al. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Pediatrics. 2008;122(6):e1282-e1…

  19. Sources of medication omissions among hospitalized older adults with polypharmacy. | PSNet

    psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
    January 18, 2023 - Study Sources of medication omissions among hospitalized older adults with polypharmacy. Citation Text: Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…

  20. "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. | PSNet

    psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk
    January 07, 2022 - Study "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. Citation Text: McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341…
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