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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup: Improving Diagnostic Safety
and Quality in Healthcare
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to convene a cross agency working …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
November 15, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Car…
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psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
March 29, 2023 - Study
Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports.
Citation Text:
Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - Study
Assessment of patient retention of inpatient care information post-hospitalization.
Citation Text:
Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…
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psnet.ahrq.gov/issue/enhancing-patient-safety-prehospital-environment-analyzing-patient-perspectives-non-transport
September 20, 2017 - Study
Enhancing patient safety in prehospital environment: analyzing patient perspectives on non-transport decisions with natural language processing and machine learning.
Citation Text:
Farhat H, Alinier G, Tluli R, et al. Enhancing patient safety in prehospital environment: analyzing p…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tufano-jt-et-al-2008
January 01, 2008 - Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study."
Reference
Tufano JT, Ralston JD, Martin DP. Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitati…
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psnet.ahrq.gov/issue/assessing-patients-perceptions-safety-culture-hospital-setting-development-and-initial
June 09, 2021 - Study
Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale.
Citation Text:
Monaca C, Bestmann B, Kattein M, et al. Assessing Patients' Perceptions of Safety Culture in the Hospit…
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psnet.ahrq.gov/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation
July 02, 2014 - Study
Does teamwork improve performance in the operating room? A multilevel evaluation.
Citation Text:
Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42.
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psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery
February 12, 2020 - Study
Mortality due to hospital-acquired infection after cardiac surgery.
Citation Text:
Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094.
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psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
September 01, 2021 - Study
Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals.
Citation Text:
Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Patien…
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psnet.ahrq.gov/issue/healthcare-associated-infections-veterans-affairs-acute-care-and-long-term-healthcare
February 07, 2022 - Study
Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic.
Citation Text:
Evans ME, Simbartl LA, Kralovic SM, et al. Healthcare-associated infections in Veterans Affairs acute-care and…
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psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
December 16, 2020 - Study
Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.
Citation Text:
Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…
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psnet.ahrq.gov/issue/changes-burnout-and-satisfaction-work-life-integration-physicians-over-first-2-years-covid-19
June 01, 2022 - Study
Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years of the COVID-19 pandemic.
Citation Text:
Shanafelt TD, West CP, Dyrbye LN, et al. Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years …
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psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
November 18, 2020 - Study
Classic
Some unintended consequences of information technology in health care: the nature of patient care information system-related errors.
Citation Text:
Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: t…
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psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
September 25, 2008 - Study
Classic
Managing the prevention of retained surgical instruments: what is the value of counting?
Citation Text:
Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. …
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psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
June 03, 2020 - Study
Burden of serious harms from diagnostic error in the USA.
Citation Text:
Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130.
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psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events
July 28, 2023 - Study
Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”.
Citation Text:
Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis…
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psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
May 29, 2019 - Review
Classic
Adverse outcomes of polypharmacy in older people: systematic review of reviews.
Citation Text:
Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):1…
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psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
December 01, 2011 - Study
Effect of illness severity and comorbidity on patient safety and adverse events.
Citation Text:
Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456…
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psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care
March 16, 2022 - Study
What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States.
Citation Text:
Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…