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Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. | PSNet

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May 12, 2021 - Study Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. Citation Text: Chang T-P, Bery AK, Wang Z, et al. Stroke hospitalization after misdiagnosis of …

Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. | PSNet

psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological

October 23, 2019 - Review Classic Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. Citation Text: Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of D…

Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity. | PSNet

psnet.ahrq.gov/issue/optimizing-measurement-misdiagnosis-related-harms-using-symptom-disease-pair-analysis

July 21, 2021 - Commentary Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity. Citation Text: Liberman AL, Wang Z, Zhu Y, et al. Optimizing measurement of misdiagnosis-related harms using symp…

Bad things can happen: are medical students aware of patient centered care and safety? | PSNet

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July 06, 2022 - Study Bad things can happen: are medical students aware of patient centered care and safety? Citation Text: Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/…

Identifying trigger concepts to screen emergency department visits for diagnostic errors. | PSNet

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March 12, 2025 - Study Identifying trigger concepts to screen emergency department visits for diagnostic errors. Citation Text: Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…

Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. | PSNet

psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool

August 14, 2018 - Study Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. Citation Text: Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076. Copy Cit…

Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinical-deterioration-and-hospital-acquired-complications-adult-patients-isolation

September 23, 2020 - Review Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. Citation Text: Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital‐acquired complications in adult patients wi…

Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. | PSNet

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January 31, 2018 - Review Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. Citation Text: Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature Wit…

Operational failures in general practice: a consensus-building study on the priorities for improvement. | PSNet

psnet.ahrq.gov/issue/operational-failures-general-practice-consensus-building-study-priorities-improvement

February 07, 2024 - Study Operational failures in general practice: a consensus-building study on the priorities for improvement. Citation Text: Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building study on the priorities for improvement. Br J Gen Pract. 2…

The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies. | PSNet

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April 27, 2022 - Review The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies. Citation Text: Essex R, Weldon SM, Thompson T, et al. The impact of health care strikes on patient mortality: a systematic review and meta‐analysis of observatio…

Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-cpoe-incidence-chemotherapy-related-medication

May 25, 2022 - Review Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. Citation Text: Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry (CPOE) on the incidence of chemothe…

Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. | PSNet

psnet.ahrq.gov/issue/adaptive-design-adaptation-and-adoption-patient-safety-practices-daily-routines-multi-site

November 25, 2020 - Study Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. Citation Text: Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-…

Adverse events experienced by homecare patients: a scoping review of the literature. | PSNet

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October 19, 2022 - Review Adverse events experienced by homecare patients: a scoping review of the literature. Citation Text: Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/…

Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. | PSNet

psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes

May 19, 2021 - Study Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. Citation Text: Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…

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…

Operating room to intensive care unit handoffs and the risks of patient harm. | PSNet

psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm

October 05, 2022 - Study Operating room to intensive care unit handoffs and the risks of patient harm. Citation Text: McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061. Copy …

How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. | PSNet

psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations

February 20, 2019 - Study How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. Citation Text: Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf…

Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet

psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record

July 12, 2023 - Study Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. Citation Text: Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communica…

Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. | PSNet

psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery-multicenter

September 13, 2023 - Study Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. Citation Text: Pérez Zapata AI, Rodríguez Cuéllar E, de la Fuente Bartolomé M, et al. Predictive power of the "Trigger Tool" for the detectio…

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. | PSNet

psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex

November 16, 2022 - Study Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. Citation Text: Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex c…

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