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Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. | PSNet

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April 12, 2023 - Study Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. Citation Text: Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute car…

How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet

psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general

December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. | PSNet

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December 29, 2014 - Study Classic Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Citation Text: Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patie…

Identifying risk in the use of tumor markers to improve patient safety. | PSNet

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March 09, 2022 - Study Identifying risk in the use of tumor markers to improve patient safety. Citation Text: Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015…

The costs associated with adverse drug events among older adults in the ambulatory setting. | PSNet

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May 20, 2020 - Study The costs associated with adverse drug events among older adults in the ambulatory setting. Citation Text: Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176. Copy…

Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet

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May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. Citation Text: Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…

Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. | PSNet

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May 15, 2024 - Study Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. Citation Text: Schulson L, Bandini J, Bialas A, et al. Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. BMJ Open Qual. 2024…

Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet

psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective

November 12, 2014 - Study Classic Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. Citation Text: Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association wit…

Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. | PSNet

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December 16, 2020 - Study Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. Citation Text: Carson-Stevens A, Campbell S, Bell BG, et al. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Fam Pract. 2019…

Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. | PSNet

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December 04, 2016 - Study Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. Citation Text: Camp M, Chang DC, Zhang Y, et al. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after…

The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized

March 04, 2015 - Study Classic The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actiona…

"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. | PSNet

psnet.ahrq.gov/issue/its-two-worlds-apart-analysis-vulnerable-patient-handover-practices-discharge-hospital

January 15, 2025 - Study "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. Citation Text: Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qu…

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…

Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-computer-based-clinical-decision-support-systems-physician-performance-and-patient

November 16, 2022 - Study Classic Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. Citation Text: Hunt DL, Haynes RB, Hanna SE, et al. Effects of Computer-Based Clinical Decision Support Systems on Phy…

Developing and evaluating an automated all-cause harm trigger system. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system

July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…

Impact of automated alerts on discharge opioid overprescribing after general surgery. | PSNet

psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery

September 29, 2017 - Study Impact of automated alerts on discharge opioid overprescribing after general surgery. Citation Text: Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajh…

Patient-clinician diagnostic concordance upon hospital admission. | PSNet

psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission

October 16, 2024 - Study Patient-clinician diagnostic concordance upon hospital admission. Citation Text: Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. Copy Citation Format: …

Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. | PSNet

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July 31, 2024 - Study Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. Citation Text: Gangopadhyaya A. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patien…

Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. | PSNet

psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital

January 27, 2016 - Study Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. Citation Text: Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531…

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. | PSNet

psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative

December 08, 2021 - Review Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. Citation Text: Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associate…

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