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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”. | PSNet

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…

Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. | PSNet

psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20

October 21, 2020 - Study Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. Citation Text: Goodair B, Reeves A. Outsourcing health-care services to the private sector and treatable mortality rates in England…

Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. | PSNet

psnet.ahrq.gov/issue/description-role-pharmacist-independent-double-checks-during-cognitive-order-verification

March 10, 2021 - Study Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. Citation Text: Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive …

Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. | PSNet

psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports

April 07, 2019 - Study Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. Citation Text: Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories o…

Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-patient-safety-and-magnet-designation-united

October 09, 2019 - Study Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. Citation Text: Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Sa…

Mortality due to hospital-acquired infection after cardiac surgery. | PSNet

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. Copy C…

Performance of a fail-safe system to follow up abnormal mammograms in primary care. | PSNet

psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care

September 11, 2013 - Study Performance of a fail-safe system to follow up abnormal mammograms in primary care. Citation Text: Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179. Copy Citation Format:…

Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. | PSNet

psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety-qualitative-study

October 20, 2021 - Study Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. Citation Text: Moore A, Knutsen Glette M. Nurses’ experience with presenteeism and the potential consequences o…

When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. | PSNet

psnet.ahrq.gov/issue/when-agency-fails-analysis-association-between-hospital-agency-staffing-and-quality-outcomes

September 11, 2024 - Study When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Citation Text: Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Risk Ma…

Decreasing malpractice claims by reducing preventable perinatal harm. | PSNet

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September 01, 2018 - Study Decreasing malpractice claims by reducing preventable perinatal harm. Citation Text: Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551. Copy Citation…

A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. | PSNet

psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming

March 20, 2019 - Study A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Citation Text: Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming…

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. | PSNet

psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis

December 08, 2021 - Study Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. Citation Text: Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…

Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. | PSNet

psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group

March 06, 2019 - Study Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. Citation Text: van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. | PSNet

psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy

December 08, 2021 - Study Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. Citation Text: Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…

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

psnet.ahrq.gov/issue/stroke-hospitalization-after-misdiagnosis-benign-dizziness-lower-specialty-care-general

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…

Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records. | PSNet

psnet.ahrq.gov/issue/comorbid-conditions-delay-diagnosis-colorectal-cancer-cohort-study-using-electronic-primary

January 13, 2021 - Study Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records. Citation Text: Mounce LTA, Price S, Valderas JM, et al. Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records. Br…

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…

A program to provide clinicians with feedback on their diagnostic performance in a learning health system. | PSNet

psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning-health-system

October 12, 2022 - Study A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Citation Text: Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J …

A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. | PSNet

psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice

May 23, 2012 - Review A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. Citation Text: Abraham J, Kannampallil TG, Patel VL. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. …

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