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psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds
October 19, 2022 - Study
Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds.
Citation Text:
Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(…
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psnet.ahrq.gov/issue/outcome-adverse-events-and-medical-errors-intensive-care-unit-systematic-review-and-meta
March 16, 2022 - Review
Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis.
Citation Text:
Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J M…
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psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
March 23, 2022 - Study
Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths.
Citation Text:
LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…
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psnet.ahrq.gov/issue/delayed-rapid-response-team-activation-associated-increased-hospital-mortality-morbidity-and
March 16, 2022 - Study
Delayed rapid response team activation is associated with increased hospital mortality, morbidity, and length of stay in a tertiary care institution.
Citation Text:
Barwise A, Thongprayoon C, Gajic O, et al. Delayed Rapid Response Team Activation Is Associated With Increased Hospit…
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psnet.ahrq.gov/issue/association-overlapping-surgery-patient-outcomes-large-series-neurosurgical-cases
November 16, 2022 - Study
Association of overlapping surgery with patient outcomes in a large series of neurosurgical cases.
Citation Text:
Howard BM, Holland CM, Mehta C, et al. Association of Overlapping Surgery With Patient Outcomes in a Large Series of Neurosurgical Cases. JAMA Surg. 2018;153(4):313-321…
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psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
April 14, 2021 - Study
Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.
Citation Text:
Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.…
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psnet.ahrq.gov/issue/patient-safety-and-image-transfer-between-referring-hospitals-and-neuroscience-centres-could
July 19, 2023 - Study
Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better?
Citation Text:
Crocker M, Cato-Addison WB, Pushpananthan S, et al. Patient safety and image transfer between referring hospitals and neuroscience centres: could we do bette…
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psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia
June 07, 2023 - Study
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals.
Citation Text:
Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…
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psnet.ahrq.gov/issue/criteria-selection-paediatric-patients-susceptible-reconciliation-error
December 12, 2021 - Study
Criteria for the selection of paediatric patients susceptible to reconciliation error.
Citation Text:
Iturgoyen Fuentes DP, Meneses Mangas C, Cuervas Mons Vendrell M. Criteria for the selection of paediatric patients susceptible to reconciliation error. Eur J Hosp Pharm. 2024;31(3…
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psnet.ahrq.gov/issue/changes-practice-among-physicians-malpractice-claims
February 14, 2017 - Study
Changes in practice among physicians with malpractice claims.
Citation Text:
Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981.
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psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
November 15, 2017 - Study
Comparison of Broselow tape measurements versus physician estimations of pediatric weights.
Citation Text:
Rosenberg M, Greenberger S, Rawal A, et al. Comparison of Broselow tape measurements versus physician estimations of pediatric weights. Am J Emerg Med. 2011;29(5):482-8. doi…
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psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature
January 07, 2015 - Review
Telenursing in incidents and disasters: a systematic review of the literature.
Citation Text:
Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005.
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psnet.ahrq.gov/issue/impact-resident-participation-morbidity-and-mortality-neurosurgical-procedures-analysis-16098
June 17, 2014 - Study
Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients.
Citation Text:
Bydon M, Abt NB, De la Garza-Ramos R, et al. Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis …
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psnet.ahrq.gov/issue/effect-electronic-checklist-critical-care-provider-workload-errors-and-performance
January 22, 2016 - Study
The effect of an electronic checklist on critical care provider workload, errors, and performance.
Citation Text:
Thongprayoon C, Harrison AM, O'Horo JC, et al. The Effect of an Electronic Checklist on Critical Care Provider Workload, Errors, and Performance. J Intensive Care Med. …
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psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
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…
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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. …
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psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - The Case A 35-year-old patient on the neurology service was receiving carbamazepine for a seizure disorder
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-critical-care-systematic-review
April 06, 2016 - Review
Diagnostic errors in pediatric critical care: a systematic review.
Citation Text:
Cifra CL, Custer J, Singh H, et al. Diagnostic errors in pediatric critical care: a systematic review. Pediatr Crit Care Med. 2021;22(8):701-712. doi:10.1097/pcc.0000000000002735.
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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - Delayed Diagnosis in the Setting of Virtual Care:
Remembering the Physical Examination
March 31, 2021
Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical
Examination. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-…
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psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
November 29, 2023 - Study
Emerging Classic
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial.
Citation Text:
Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …