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1. Root cause analysis of cases involving diagnosis. | PSNet
   psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
   August 28, 2019 - Commentary Root cause analysis of cases involving diagnosis. … Root cause analysis of cases involving diagnosis. … While the five overarching steps of RCA for cases involving diagnostic error are similar to standard … Root cause analysis of cases involving diagnosis. … October 4, 2023 WebM&M Cases A Missed Bowel Perforation

2. Using Safety Cases in Industry and Healthcare. | PSNet
   psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare
   November 30, 2016 - Book/Report Using Safety Cases in Industry and Healthcare. … Citation Text: Using Safety Cases in Industry and Healthcare. … This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor … Copy URL Cite Citation Citation Text: Using Safety Cases … July 15, 2019 Exploring the Potential Use of Safety Cases in Health Care.

3. Safety cases for digital health innovations: can they work? | PSNet
   psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work
   April 13, 2022 - Commentary Safety cases for digital health innovations: can they work? … Safety cases for digital health innovations: can they work? … This commentary discusses the use of “safety cases” to communicate the safety of a product, system or … Safety cases for digital health innovations: can they work?

4. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
   psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
   August 14, 2024 - SPOTLIGHT CASE Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical … Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.. … Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.. … These two cases demonstrate disparate outcomes in cases of postoperative cervical hematoma. … Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma..

5. Association of overlapping surgery with patient outcomes in a large series of neurosurgical cases. | PSNet
   psnet.ahrq.gov/issue/association-overlapping-surgery-patient-outcomes-large-series-neurosurgical-cases
   November 16, 2022 - Association of overlapping surgery with patient outcomes in a large series of neurosurgical cases … Association of Overlapping Surgery With Patient Outcomes in a Large Series of Neurosurgical Cases. … This single-center retrospective study of 2275 neurosurgery cases at an academic medical center compared … overlapping, and rates of morbidity and mortality did not differ between overlapping and nonoverlapping cases … Association of Overlapping Surgery With Patient Outcomes in a Large Series of Neurosurgical Cases.

6. Submit Case | PSNet
   psnet.ahrq.gov/submit-case-landing
   March 25, 2025 - Studies WebM&M Case Submission PSNet is looking for interesting, provocative cases … Cases from outpatient, ambulatory surgery, home health, long-term care, and rehabilitation settings are … Submitters of selected cases will receive a $300 honorarium. … Note that you can choose to submit cases either as a guest or while logged in to a PSNet account. … The editorial team review submitted cases regularly and judges cases using the following criteria:

7. Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. | PSNet
   psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-nursing-homes
   August 12, 2020 - Study Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida … Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. … Findings suggest that the likelihood of COVID-19 cases in nursing homes is related to ownership status … Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. … the Same Author(s) Is there a link between nursing home reported quality and COVID-19 cases

8. Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. | PSNet
   psnet.ahrq.gov/issue/there-link-between-nursing-home-reported-quality-and-covid-19-cases-evidence-california
   June 30, 2021 - Study Is there a link between nursing home reported quality and COVID-19 cases? … Is There a link between nursing home reported quality and COVID-19 cases? … with state-level data to examine the association between nursing home-reported quality and COVID-19 cases … Is There a link between nursing home reported quality and COVID-19 cases? … April 20, 2022 Role of nursing home quality on COVID-19 cases and deaths: evidence from

9. Exploring the Potential Use of Safety Cases in Health Care. | PSNet
   psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care
   May 21, 2016 - Book/Report Exploring the Potential Use of Safety Cases in Health Care. … Citation Text: Exploring the Potential Use of Safety Cases in Health Care. … Safety Cases Working Group. London, UK: Health Foundation; 2015. … The results explain how to utilize cases to introduce changes, improve services, and enhance safety … Safety Cases Working Group. London, UK: Health Foundation; 2015.

10. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. | PSNet
    psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico
    April 16, 2019 - Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases … Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases … This study used medico-legal cases and complaints to characterize surgical diagnostic errors. … December 14, 2022 WebM&M Cases Open wider: Failure to … October 27, 2022 WebM&M Cases Delayed Diagnosis

11. The business case for quality: case studies and an analysis. | PSNet
    psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
    February 23, 2019 - The cases include management of high-cost pharmaceuticals, diabetes management, smoking cessation, and

12. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? | PSNet
    psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
    May 08, 2019 - Study How common are cognitive errors in cases presented at emergency medicine resident … How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality … This retrospective review of cases presented at one hospital's emergency medicine morbidity and mortality … How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality … September 12, 2011 WebM&M Cases Multiple Missed Opportunities

13. Impact of miscommunication in medical dispute cases in Japan. | PSNet
    psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan
    September 25, 2019 - Study Impact of miscommunication in medical dispute cases in Japan. … Impact of miscommunication in medical dispute cases in Japan. … Impact of miscommunication in medical dispute cases in Japan. … September 25, 2019 WebM&M Cases Wrong-side Bedside Paravertebral … June 12, 2013 Cognitive error as the most frequent contributory factor in cases of medical

14. Changing the patient safety mindset: can safety cases help? | PSNet
    psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help
    July 14, 2021 - Commentary Changing the patient safety mindset: can safety cases help? … Changing the patient safety mindset: can safety cases help? … Changing the patient safety mindset: can safety cases help? … Download Citation Related Resources From the Same Author(s) Safety cases

15. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial. | PSNet
    psnet.ahrq.gov/issue/impact-digitally-acquired-peer-diagnostic-input-diagnostic-confidence-outpatient-cases
    June 15, 2022 - Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases … Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic … This intervention study evaluated the effect of peer input on diagnostic confidence on cases with diagnostic … In cases with high diagnostic uncertainly, peer input increased provider confidence. … Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic

16. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. | PSNet
    psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000
    February 22, 2019 - percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases … percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases … This retrospective cohort study including over 87,000 surgical cases found that overlapping surgeries … increased in-hospital mortality, adverse events, or readmission rates when compared to nonoverlapping cases … percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases

17. Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. | PSNet
    psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision
    December 09, 2020 - Book/Report Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs … Citation Text: Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. … This document reports the preliminary findings of a study examining 50 cases submitted where clinicians … Cite Citation Citation Text: Care Post-Roe: Documenting Cases … Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases

18. Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. | PSNet
    psnet.ahrq.gov/issue/prospective-error-recording-surgery-analysis-1108-elective-neurosurgical-cases
    January 22, 2016 - Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases … Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. … This analysis of cases performed by a single neurosurgeon found that errors occurred frequently, most … Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. … September 21, 2009 Wrong-site craniotomy: analysis of 35 cases and systems for prevention

19. "ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis. | PSNet
    psnet.ahrq.gov/issue/chatgpt-can-you-help-me-save-my-childs-life-diagnostic-accuracy-and-supportive-capabilities
    February 01, 2023 - capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases … capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases … ChatGPT correctly recommended contacting medical professionals in all cases but only advised calling … The correct diagnosis was made in 94% of cases, consistent with other research into ChatGPT. … capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases

20. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. | PSNet
    psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
    August 04, 2021 - Study Malpractice cases in breast surgery: an assessment of litigation involving … Malpractice cases in breast surgery: an assessment of litigation involving surgeons. … While prior research has described malpractice cases related to breast cancer diagnosis and treatment … Malpractice cases in breast surgery: an assessment of litigation involving surgeons. … March 24, 2021 View More Related Resources WebM&M Cases