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  1. The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. | PSNet

    psnet.ahrq.gov/issue/design-and-conduct-project-redde-cluster-randomized-trial-reduce-diagnostic-errors-pediatric
    April 08, 2018 - Study The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Citation Text: Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric…

  2. Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. | PSNet

    psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
    March 11, 2015 - Book/Report Classic Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Citation Text: Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011. Cop…

  3. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call
    September 13, 2023 - Book/Report Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Citation Text: Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…

  4. Patient safety in out-of-hours primary care: a review of patient records. | PSNet

    psnet.ahrq.gov/issue/patient-safety-out-hours-primary-care-review-patient-records
    June 16, 2021 - Study Patient safety in out-of-hours primary care: a review of patient records. Citation Text: Smits M, Huibers L, Kerssemeijer B, et al. Patient safety in out-of-hours primary care: a review of patient records. BMC Health Serv Res. 2010;10:335. doi:10.1186/1472-6963-10-335. Copy Cit…

  5. Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture-nursing-home-survey-user-database-report
    February 28, 2024 - Book/Report Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. Citation Text: Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. Agency for Healthcare Research and Quality; 2011-2025. Copy Citation Save Save to y…

  6. Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. | PSNet

    psnet.ahrq.gov/issue/our-pharmacy-meeting-patients-needs-pharmacy-health-literacy-assessment-tool-users-guide
    December 24, 2008 - Measurement Tool/Indicator Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. Citation Text: Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. Jacobson KL, Gazmararian JA, Kripalani S, et a…

  7. Workshop on Interactive Systems in Healthcare (WISH) 2012 - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/workshop-interactive-systems-healthcare-wish-2012/annual-summary/2012
    January 01, 2012 - Workshop on Interactive Systems in Healthcare (WISH) 2012 - 2012 Project Name Workshop on Interactive Systems in Healthcare (WISH) 2012 Principal Investigator Pratt, Wanda Organization University of Washington Funding Mechanism PAR: HS09-231: Small Grant Program for…

  8. Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-interprofessional-education-report-key-issues-two-interprofessional
    August 20, 2018 - Commentary Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. Citation Text: Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from two interprofessional workshops. J Interprof Ca…

  9. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. | PSNet

    psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
    October 31, 2014 - Study Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. Citation Text: Srinivasan J, Scala S, Jones R, et al. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. Muscle Nerve. 2006;34(3):359-60. Copy Ci…

  10. Redesigning surgical decision making for high-risk patients. | PSNet

    psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients
    July 20, 2016 - Commentary Redesigning surgical decision making for high-risk patients. Citation Text: Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. Copy Citation Format: DOI Googl…

  11. Priority patient safety issues identified by perioperative nurses. | PSNet

    psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
    June 19, 2013 - Study Priority patient safety issues identified by perioperative nurses. Citation Text: Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN J. 2013;97(4):402-18. doi:10.1016/j.aorn.2012.06.016. Copy Citation Format: …

  12. CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. | PSNet

    psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
    February 27, 2019 - Government Resource CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. Citation Text: Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5. Cop…

  13. Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. | PSNet

    psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and-safety-diagnosis
    January 11, 2017 - Book/Report Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. Citation Text: Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; Augu…

  14. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet

    psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
    November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …

  15. Communication failures: an insidious contributor to medical mishaps. | PSNet

    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:…

  16. Wrong site surgery near misses and actual occurrences. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
    November 30, 2012 - Study Wrong site surgery near misses and actual occurrences. Citation Text: Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J. 2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010. Copy Citation Format: DOI Google Scholar …

  17. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
    August 20, 2018 - Study Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. Citation Text: Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. …

  18. Diagnostic reasoning in cardiovascular medicine. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
    October 27, 2021 - Review Diagnostic reasoning in cardiovascular medicine. Citation Text: Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…

  19. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. | PSNet

    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…

  20. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-and-patient-care-checklists-intrahospital-transfers-involving-pediatric
    September 23, 2020 - Study Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. Citation Text: Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…
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