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1. WebM&M: Case Studies | PSNet
   psnet.ahrq.gov/webmm-case-studies
   April 24, 2024 - WebM&M: Case Studies WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical … Submit Your Case All WebM&M: Case Studies (645)

2. Case studies on medication reconciliation. | PSNet
   psnet.ahrq.gov/issue/case-studies-medication-reconciliation
   February 15, 2023 - Special or Theme Issue Case studies on medication reconciliation. … The journal provides an editorial and several case studies on medication reconciliation from a variety … April 12, 2006 Radiologists make more errors interpreting off-hours body CT studies during

3. Diagnostic Errors Case Studies | PSNet
   psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
   February 08, 2023 - The PSNet Collection Curated Libraries Subscribed Diagnostic Errors Case Studies … Through the PRIDE Learning Network, diagnostic error case studies were reviewed to identify common pitfalls … These de-identified case studies are free to view and available through this Curated Library.

4. AHRQ Impact Case Studies: Patient Safety. | PSNet
   psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
   October 23, 2019 - Multi-use Website AHRQ Impact Case Studies: Patient Safety. … This collection of case studies highlights AHRQ-funded patient safety tools, including the Comprehensive

5. Evidence of bias and variation in diagnostic accuracy studies. | PSNet
   psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies
   October 14, 2016 - Review Evidence of bias and variation in diagnostic accuracy studies. … Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. … This review identified 31 meta-analyses with 487 studies of test evaluation. … greatly impacted estimated accuracy, highlighting the importance of considering design when conducting studies … Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476.

6. Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. | PSNet
   psnet.ahrq.gov/issue/quality-reporting-studies-evaluating-time-diagnosis-systematic-review-paediatrics
   August 09, 2023 - Review Quality of reporting of studies evaluating time to diagnosis: a systematic … Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. … Despite a rapidly growing number of studies evaluating time to diagnosis in pediatrics, this review … Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. … intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies

7. Committed to Safety: Ten Case Studies on Reducing Harm to Patients. | PSNet
   psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
   March 30, 2011 - Book/Report Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … This report presents ten case studies to illustrate interventions that address prominent and targeted … The authors also published an article about case studies in safety improvement. … March 30, 2011 Stories from the sharp end: case studies in safety improvement.

8. Patient and Family Engagement in Primary Care: Case Studies. | PSNet
   psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
   September 03, 2016 - Book/Report Patient and Family Engagement in Primary Care: Case Studies. … This guide includes case studies that explore how Open Notes , team-based care delivery, and patient

9. Diagnostic accuracy of a large language model in pediatric case studies. | PSNet
   psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
   May 25, 2016 - Study Diagnostic accuracy of a large language model in pediatric case studies. … Diagnostic accuracy of a large language model in pediatric case studies. … asked ChatGPT to provide a differential diagnosis list and final diagnosis for 100 pediatric case studies … Diagnostic accuracy of a large language model in pediatric case studies.

10. Scoping review of studies evaluating frailty and its association with medication harm. | PSNet
    psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm
    May 25, 2022 - Review Scoping review of studies evaluating frailty and its association with medication … Scoping review of studies evaluating frailty and its association with medication harm. … This scoping review shows that studies evaluating medication harm in frail patients are largely limited … The authors discuss the need for more robust studies examining this relationship, including the effect … Scoping review of studies evaluating frailty and its association with medication harm.

11. Safe use of cellular telephones in hospitals: fundamental principles and case studies. | PSNet
    psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies
    August 04, 2021 - Commentary Safe use of cellular telephones in hospitals: fundamental principles and case studies … Safe use of cellular telephones in hospitals: fundamental principles and case studies. … After reviewing the literature and several case studies, the authors conclude that cell phones can be … Safe use of cellular telephones in hospitals: fundamental principles and case studies.

12. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. | PSNet
    psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
    March 04, 2015 - Review Diagnostic errors in the intensive care unit: a systematic review of autopsy studies … Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. … This systematic review of autopsy studies sought to estimate the incidence of diagnostic errors contributing … This review, which included 31 separate studies, found an overall class I error rate of 8% in ICU patients … Diagnostic errors in the intensive care unit: a systematic review of autopsy studies.

13. New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. | PSNet
    psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
    January 22, 2014 - Book/Report New Horizons in Patient Safety: Understanding Communication: Case Studies … publication discusses factors that influence communication in the medical care process and uses case studies … Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing.

14. Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. | PSNet
    psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
    March 29, 2023 - improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies … However, subsequent studies failed to reproduce these results, engendering controversy about the true … The authors also noted that the reported effect of the checklist was incongruous—in several studies, … These concerns, along with methodological problems in many of the included studies, led the authors to … postulate that the observed improvements seen in some studies may have been due to temporal changes

15. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. | PSNet
    psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read
    November 10, 2021 - improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies … Improving the Value of the Radiology Report: A Retrospective Analysis of Errors in Formally Over-read Studies … This retrospective review of imaging studies submitted to a second institution for a second interpretation … September 2, 2020 Radiologists make more errors interpreting off-hours body CT studies … , 2020 Diagnostic errors in the intensive care unit: a systematic review of autopsy studies

16. Studies on medical errors warrant a second opinion. | PSNet
    psnet.ahrq.gov/issue/studies-medical-errors-warrant-second-opinion
    June 25, 2014 - Newspaper/Magazine Article Studies on medical errors warrant a second opinion.

17. The business case for quality: case studies and an analysis. | PSNet
    psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
    June 08, 2005 - Study Classic The business case for quality: case studies … The business case for quality: case studies and an analysis. … The authors examine four case studies to explore the financial and clinical implications of quality improvements … The business case for quality: case studies and an analysis.

18. Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies. | PSNet
    psnet.ahrq.gov/issue/artificial-intelligence-versus-clinicians-systematic-review-design-reporting-standards-and
    August 04, 2021 - intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies … intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies … Although 61 of 81 published studies reported that AI performance was comparable or better than that of … clinicians, the authors identified few prospective studies or studies conducted in real-world settings … Future studies examining the impact of AI in medicine must decrease risk of bias, increase relevance

19. Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with national coverage. | PSNet
    psnet.ahrq.gov/issue/hospitalizations-and-deaths-related-adverse-drug-events-worldwide-systematic-review-studies
    March 16, 2022 - Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with … This systematic review of 62 studies found that hospitalizations related to ADEs ranged from 10 to 383 … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with … March 24, 2021 Scoping review of studies evaluating frailty and its association with

20. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. | PSNet
    psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
    April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety … An integrative review of patient safety in studies on the care and safety of patients with communication … This literature review found a need for further studies of patient safety and communication disabilities … An integrative review of patient safety in studies on the care and safety of patients with communication