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  1. psnet.ahrq.gov/issue/variation-surgical-time-out-and-site-marking-within-pediatric-otolaryngology
    October 27, 2010 - Study Variation in surgical time-out and site marking within pediatric otolaryngology. Citation Text: Shah RK, Arjmand E, Roberson DW, et al. Variation in surgical time-out and site marking within pediatric otolaryngology. Arch Otolaryngol Head Neck Surg. 2011;137(1):69-73. doi:10.1001/a…
  2. psnet.ahrq.gov/issue/clinician-factors-associated-delayed-diagnosis-appendicitis
    October 26, 2022 - Study Clinician factors associated with delayed diagnosis of appendicitis. Citation Text: Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119. Copy Citation…
  3. psnet.ahrq.gov/issue/costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis
    November 12, 2014 - Study Costs and consequences associated with misdiagnosed lower extremity cellulitis. Citation Text: Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower Extremity Cellulitis. JAMA Dermatol. 2016;153(2). doi:10.1001/jamadermatol.2016.3816. Copy C…
  4. psnet.ahrq.gov/issue/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
    December 06, 2023 - Commentary Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. Citation Text: Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bm…
  5. psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
    March 19, 2019 - Study How surgical trainees handle catastrophic errors: a qualitative study. Citation Text: Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003. Copy Citation Fo…
  6. psnet.ahrq.gov/issue/measurement-ambulatory-medication-errors-children-scoping-review
    February 07, 2024 - Review Measurement of ambulatory medication errors in children: a scoping review. Citation Text: Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281. Copy Citat…
  7. psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
    August 14, 2017 - Commentary Doing right by our patients when things go wrong in the ambulatory setting. Citation Text: Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96. Copy Citation Forma…
  8. psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
    July 13, 2010 - Study Management of the difficult airway: a closed claims analysis. Citation Text: Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33-39. Copy Citation Format: Google Scholar PubMed BibTeX…
  9. psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps
    February 24, 2011 - Study Classic Communication failures: an insidious contributor to medical mishaps. Citation Text: Sutcliffe K, Lewton E, Rosenthal M. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194. Copy Citation Format:…
  10. psnet.ahrq.gov/issue/telehealth
    January 27, 2019 - Commentary Telehealth. Citation Text: Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…
  11. psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care-0
    March 29, 2007 - Book/Report Classic Patient Safety: Achieving a New Standard of Care. Citation Text: Patient Safety: Achieving a New Standard of Care. Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM, Wolcott J, Erickson SM, e…
  12. psnet.ahrq.gov/issue/clinical-reasoning-curriculum-medical-students-interim-analysis
    March 02, 2022 - Study A clinical reasoning curriculum for medical students: an interim analysis. Citation Text: Connor DM, Narayana S, Dhaliwal G. A clinical reasoning curriculum for medical students: an interim analysis. Diagnosis (Berl). 2022;9(2):265-273. doi:10.1515/dx-2021-0112. Copy Citation …
  13. psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
    March 12, 2025 - Review Quality improvement and safety in pediatric emergency medicine. Citation Text: Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. Copy Citation Format: …
  14. psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
    April 24, 2018 - Commentary Laney's story: the problem of delayed diagnosis of pediatric stroke. Citation Text: Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458. Copy Citation For…
  15. psnet.ahrq.gov/issue/how-doctors-think-common-diagnostic-errors-clinical-judgment-lessons-undiagnosed-and-rare
    September 14, 2022 - Review How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. Citation Text: Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare Dis…
  16. psnet.ahrq.gov/issue/objective-impact-clinical-peer-review-hospital-quality-and-safety
    April 13, 2017 - Study The objective impact of clinical peer review on hospital quality and safety. Citation Text: Edwards MT. The objective impact of clinical peer review on hospital quality and safety. Am J Med Qual. 2011;26(2):110-9. doi:10.1177/1062860610380732. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
    July 20, 2022 - Study Effect of a hospital command centre on patient safety: an interrupted time series study. Citation Text: Effect of a hospital command centre on patient safety: an interrupted time series study. Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653…
  18. psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algorithms-research-clinical
    October 27, 2021 - Study Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Citation Text: Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Zimolzak AJ, Singh H,…
  19. psnet.ahrq.gov/perspective/becoming-patient-safety-organization
    July 01, 2011 - Becoming a Patient Safety Organization Rory Jaffe, MD, MBA | July 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49824/psn-pdf
    March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay March 1, 2018 O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay The Case A 35-year-old woman with no prior cardiac history calle…

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