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psnet.ahrq.gov/issue/inattentional-blindness-and-failures-rescue-deteriorating-patient-critical-care-emergency-and
October 12, 2016 - October 26, 2022
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired
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psnet.ahrq.gov/issue/cognitive-task-analysis-information-management-strategies-computerized-provider-order-entry
May 27, 2011 - August 4, 2021
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired
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psnet.ahrq.gov/issue/reviewing-impact-computerized-provider-order-entry-clinical-outcomes-quality-systematic
May 21, 2009 - December 31, 2014
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired
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psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach-patient-safety
July 23, 2008 - July 10, 2024
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired
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psnet.ahrq.gov/issue/maybe-they-had-bad-day-how-lgbtq-and-bipoc-patients-react-bias-healthcare-and-struggle-speak
July 22, 2020 - Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity
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psnet.ahrq.gov/issue/effects-rudeness-experience-and-perspective-taking-challenging-premature-closure-after
February 16, 2022 - Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity
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psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospital
August 04, 2021 - October 1, 2014
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired
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psnet.ahrq.gov/issue/impact-technology-prescribing-errors-pediatric-intensive-care-and-after-study
November 16, 2022 - August 4, 2021
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired
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psnet.ahrq.gov/issue/symptom-checker-adult-patients-visiting-interdisciplinary-emergency-care-center-and-safety
April 21, 2021 - January 15, 2025
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired
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psnet.ahrq.gov/issue/predictors-response-rates-safety-culture-questionnaires-healthcare-systematic-review-and
September 01, 2021 - Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity
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psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve
March 01, 2011 - August 4, 2021
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired
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psnet.ahrq.gov/node/36257/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-7
This monthly selection of medication error reports provides examples of problems related to poorly
scanned pharmacy orders, ambiguous labeling, and abbreviation use.
https://psnet.ah…
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psnet.ahrq.gov/node/33984/psn-pdf
April 17, 2024 - ISMP List of Error-Prone Abbreviations, Symbols, and
Dose Designations.
April 17, 2024
Horsham, PA; Institute for Safe Medication Practices; April 17, 2024.
https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
A handy list for medical personnel to ensure and implement safe…
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psnet.ahrq.gov/node/74232/psn-pdf
January 12, 2022 - Intersystem medical error discovery: a document analysis
of ethical guidelines.
January 12, 2022
Duffy B, Miller J, Vitous CA, et al. Intersystem medical error discovery: a document analysis of ethical
guidelines. J Patient Saf. 2021;17(8):e1765-e1773. doi:10.1097/pts.0000000000000625.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/44649/psn-pdf
November 11, 2015 - Seven (potentially) deadly prescribing errors.
November 11, 2015
Graham LR, Scudder L, Stokowski L. Medscape. October 22, 2015.
https://psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors
Errors in the prescribing process can lead to adverse drug events. This slide set provides information about
commo…
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psnet.ahrq.gov/node/847060/psn-pdf
January 01, 2001 - The Emperor’s New Clothes: Or Whatever Happened To
“Human Error”?
January 1, 2001
Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed. Proceedings of the 4th International
Workshop on Human Error, Safety and Systems Development. Linköping Sweden: Linköping University;
2001.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/46989/psn-pdf
August 15, 2018 - Frequency, comprehension and attitudes of physicians
towards abbreviations in the medical record.
August 15, 2018
Hamiel U, Hecht I, Nemet A, et al. Frequency, comprehension and attitudes of physicians towards
abbreviations in the medical record. Postgrad Med J. 2018;94(1111):254-258. doi:10.1136/postgradmedj-
201…
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psnet.ahrq.gov/node/44753/psn-pdf
April 12, 2019 - Is bias in the eye of the beholder? A vignette study to
assess recognition of cognitive biases in clinical case
workups.
April 12, 2019
Zwaan L, Monteiro SD, Sherbino J, et al. Is bias in the eye of the beholder? A vignette study to assess
recognition of cognitive biases in clinical case workups. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/73139/psn-pdf
April 14, 2021 - Effect of barcode technology on medication preparation
safety: a quasi-experimental study.
April 14, 2021
Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a
quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1093/intqhc/mzab043.
https://psnet…
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psnet.ahrq.gov/periodic-issue/periodic-issue-460
October 30, 2024 - Study
Diagnostic discordance, uncertainty, and treatment ambiguity … Study
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired