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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46656/psn-pdf
     February 07, 2018 - Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? February 7, 2018 Liu D, Gan R, Zhang W, et al. Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? J Clin Pathol. 2018;71(1):67-71. doi:10.1136/jclinpath-2017-204…

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34952/psn-pdf
     November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. November 17, 2011 Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance pr…

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35139/psn-pdf
     February 24, 2011 - Sins of omission. Getting too little medical care may be the greatest threat to patient safety. February 24, 2011 Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91. https://psnet.ahrq.gov/issue/s…

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45695/psn-pdf
     December 14, 2016 - Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. December 14, 2016 Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws After Implementation of a Novel I…

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43710/psn-pdf
     October 06, 2016 - Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. October 6, 2016 Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and…

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47248/psn-pdf
     September 26, 2018 - Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective with clinician review: a population-level survey in Great Britain. September 26, 2018 Stocks SJ, Donnelly A, Esmail A, et al. Frequency and nature of potentially harmful preventable problems in primary …

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46505/psn-pdf
     August 20, 2018 - Americans' Experiences With Medical Errors and Views on Patient Safety. August 20, 2018 Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute; 2017. https://psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety Patient perspectives have been shown to identi…

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34651/psn-pdf
     March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 4, 2011 Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ. 2000;320(7237):741-4. https://psnet.ahrq.g…

269. Diagnostic Errors Case Studies | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
     November 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Errors Case Studies  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Maria Mirica, PRIDE Group …

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35324/psn-pdf
     February 03, 2011 - Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. February 3, 2011 Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025. https://psnet.ahrq.gov/issue/…

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46201/psn-pdf
     September 27, 2017 - Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. September 27, 2017 Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow- up: Results from a national survey in Denmark. Cancer Epidemiol. 2017;49:38-45…

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39512/psn-pdf
     June 11, 2010 - An intervention to decrease patient identification band errors in a children's hospital. June 11, 2010 Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288. https://psnet.ahrq.g…

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41301/psn-pdf
     April 18, 2012 - Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. April 18, 2012 Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organi…

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46391/psn-pdf
     February 08, 2018 - Nature of blame in patient safety incident reports: mixed methods analysis of a national database. February 8, 2018 Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-461. doi:10.1370/afm.2123. https…

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34734/psn-pdf
     March 28, 2005 - The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. March 28, 2005 Donahedian A. Ann Arbor, MI; Health Administration Press: 1980. ISBN: 9780914904489. https://psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-…

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47082/psn-pdf
     July 02, 2019 - Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. July 2, 2019 Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: The CHARMED Cluster Ra…

277. Safeguarding Diagnostic Testing at the Point of Care | PSNet
     psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
     September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care Citation Text: Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: …

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38428/psn-pdf
     February 18, 2009 - Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220. https://psnet.ahrq.gov/issue/adverse-eve…

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35611/psn-pdf
     June 23, 2010 - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. June 23, 2010 Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and d…

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41597/psn-pdf
     December 02, 2014 - Medical errors in US pediatric inpatients with chronic conditions. December 2, 2014 Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555. https://psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic…