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Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. | PSNet

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June 09, 2021 - Study Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. Citation Text: Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in t…

Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. | PSNet

psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about

December 16, 2020 - Study Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. Citation Text: Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the ef…

Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. | PSNet

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August 21, 2024 - Study Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. Citation Text: White AA, King AM, D’Addario AE, et al. Video-based communicat…

Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. | PSNet

psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary

July 22, 2015 - Review Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. Citation Text: Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scop…

Automating detection of diagnostic error of infectious diseases using machine learning. | PSNet

psnet.ahrq.gov/issue/automating-detection-diagnostic-error-infectious-diseases-using-machine-learning

October 09, 2024 - Study Automating detection of diagnostic error of infectious diseases using machine learning. Citation Text: Peterson KS, Chapman AB, Widanagamaachchi W, et al. Automating detection of diagnostic error of infectious diseases using machine learning. PLOS Digit Health. 2024;3(6):e0000528. …

How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods

November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Citation Text: de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Health Policy (New York). 202…

The $17.1 billion problem: the annual cost of measurable medical errors. | PSNet

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May 26, 2021 - Study Classic The $17.1 billion problem: the annual cost of measurable medical errors. Citation Text: Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…

ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis. | PSNet

psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis

August 19, 2020 - Review ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis. Citation Text: Tarnutzer AA, Lee S-H, Robinson K, et al. ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: A meta-analysis. Neurology. 2017;88(15):1468-1477. do…

Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet

psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre

March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…

Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions. | PSNet

psnet.ahrq.gov/issue/developing-surgical-and-anesthesia-resident-patient-safety-competencies-through-systems-based

August 03, 2017 - Study Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions. Citation Text: Bagian JP, Paull DE, DeRosier JM. Developing surgical and anesthesia resi…

Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. | PSNet

psnet.ahrq.gov/issue/role-regulator-enabling-just-culture-qualitative-study-mental-health-and-hospital-care

October 06, 2021 - Study Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. Citation Text: Weenink J-W, Wallenburg I, Hartman L, et al. Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. BMJ Open. …

Ten principles for more conservative, care-full diagnosis. | PSNet

psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis

August 04, 2021 - Commentary Emerging Classic Ten principles for more conservative, care-full diagnosis. Citation Text: Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468. …

Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis. | PSNet

psnet.ahrq.gov/issue/impact-who-surgical-safety-checklist-relative-its-design-and-intended-use-systematic-review

March 17, 2021 - Review Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis. Citation Text: Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review…

Principles of conservative prescribing. | PSNet

psnet.ahrq.gov/issue/principles-conservative-prescribing

April 22, 2017 - Review Classic Principles of conservative prescribing. Citation Text: Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256. Copy Citation Format: …

"It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. | PSNet

psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study

March 24, 2019 - Study "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. …

Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. | PSNet

psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done

August 31, 2022 - Study Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. Citation Text: Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability m…

Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. | PSNet

psnet.ahrq.gov/issue/early-experience-peer-advocate-program-using-quality-improvement-optimize-behavioral-and

September 23, 2020 - Study Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. Citation Text: Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality improvement to optimize be…

Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic

January 31, 2024 - Study Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. Citation Text: Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…

Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/electronic-trigger-based-intervention-reduce-delays-diagnostic-evaluation-cancer-cluster

April 09, 2013 - Study Classic Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial. Citation Text: Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnosti…

Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. | PSNet

psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools

May 26, 2021 - Review Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. Citation Text: Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systemati…

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