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Project BOOST implementation: lessons learned. | PSNet

psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned

August 21, 2013 - Study Project BOOST implementation: lessons learned. Citation Text: Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? | PSNet

psnet.ahrq.gov/issue/graduate-medical-educations-new-focus-resident-engagement-quality-and-safety-will-it

July 14, 2021 - Commentary Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? Citation Text: Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10…

Resident shift handoff strategies in US internal medicine residency programs. | PSNet

psnet.ahrq.gov/issue/resident-shift-handoff-strategies-us-internal-medicine-residency-programs

July 02, 2014 - Study Resident shift handoff strategies in US internal medicine residency programs. Citation Text: Wray CM, Chaudhry S, Pincavage A, et al. Resident Shift Handoff Strategies in US Internal Medicine Residency Programs. JAMA. 2016;316(21):2273-2275. doi:10.1001/jama.2016.17786. Copy Cita…

Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. | PSNet

psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic

August 04, 2021 - Study Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. Citation Text: Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health care system with an advanced electro…

Seen through the patients' eyes: safety of chronic illness care. | PSNet

psnet.ahrq.gov/issue/seen-through-patients-eyes-safety-chronic-illness-care

May 16, 2018 - Study Seen through the patients' eyes: safety of chronic illness care. Citation Text: Desmedt M, Petrovic M, Bergs J, et al. Seen through the patients' eyes: Safety of chronic illness care. Int J Qual Health Care. 2017;29(7):916-921. doi:10.1093/intqhc/mzx137. Copy Citation Format:…

Factors underlying suboptimal diagnostic performance in physicians under time pressure. | PSNet

psnet.ahrq.gov/issue/factors-underlying-suboptimal-diagnostic-performance-physicians-under-time-pressure

June 01, 2016 - Study Factors underlying suboptimal diagnostic performance in physicians under time pressure. Citation Text: ALQahtani DA, Rotgans JI, Mamede S, et al. Factors underlying suboptimal diagnostic performance in physicians under time pressure. Med Educ. 2018;52(12):1288-1298. doi:10.1111/med…

Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. | PSNet

psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content-analysis-national

May 13, 2015 - Study Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Citation Text: Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a natio…

Effect of outcome on physician judgments of appropriateness of care. | PSNet

psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care

June 23, 2015 - Review Classic Effect of outcome on physician judgments of appropriateness of care. Citation Text: Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60. Copy Citation Format: …

Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. | PSNet

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March 14, 2022 - Commentary Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. Citation Text: Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…

Uncharted territory: measuring costs of diagnostic errors outside the medical record. | PSNet

psnet.ahrq.gov/issue/uncharted-territory-measuring-costs-diagnostic-errors-outside-medical-record

September 20, 2011 - Study Uncharted territory: measuring costs of diagnostic errors outside the medical record. Citation Text: Schwartz A, Weiner SJ, Weaver FM, et al. Uncharted territory: measuring costs of diagnostic errors outside the medical record. BMJ Qual Saf. 2012;21(11):918-24. doi:10.1136/bmjqs-…

Errors as allies: error management training in health professions education. | PSNet

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January 22, 2016 - Commentary Errors as allies: error management training in health professions education. Citation Text: King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945. Copy Citatio…

Relating faults in diagnostic reasoning with diagnostic errors and patient harm. | PSNet

psnet.ahrq.gov/issue/relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm

April 30, 2014 - Study Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6. Copy…

Communicating with patients about medical errors: a review of the literature. | PSNet

psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature

December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…

Cognitive testing of older clinicians prior to recredentialing. | PSNet

psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing

January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. | PSNet

psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes

March 05, 2025 - Study Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. Citation Text: Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…

Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet

psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis

November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident report analysis. Citation Text: Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…

"It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. | PSNet

psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role

August 10, 2010 - Study "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. Citation Text: Wu MS, Rawal S. "It's the difference between life and death": The views of profession…

Patient and family empowerment as agents of ambulatory care safety and quality. | PSNet

psnet.ahrq.gov/issue/patient-and-family-empowerment-agents-ambulatory-care-safety-and-quality

December 15, 2021 - Commentary Patient and family empowerment as agents of ambulatory care safety and quality. Citation Text: Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. C…

Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. | PSNet

psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm

July 02, 2014 - Study Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm?…

Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. | PSNet

psnet.ahrq.gov/issue/am-i-right-when-i-am-sure-data-consistency-influences-relationship-between-diagnostic

March 18, 2013 - Study Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. Citation Text: Cavalcanti RB, Sibbald M. Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. Acad Med. …

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