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  1. Error codes at autopsy to study potential biases in diagnostic error. | PSNet

    psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
    November 30, 2012 - Study Error codes at autopsy to study potential biases in diagnostic error. Citation Text: Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. Copy Citation F…

  2. Nursing crew resource management: a follow-up report from the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-administration
    September 27, 2016 - Commentary Nursing crew resource management: a follow-up report from the Veterans Health Administration. Citation Text: Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…

  3. Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. | PSNet

    psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
    August 09, 2023 - Study Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. Citation Text: Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…

  4. Using computerized virtual cases to explore diagnostic error in practicing physicians. | PSNet

    psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians
    August 20, 2018 - Study Using computerized virtual cases to explore diagnostic error in practicing physicians. Citation Text: Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515…

  5. Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. | PSNet

    psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
    November 18, 2020 - Book/Report Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. Citation Text: Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…

  6. Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. | PSNet

    psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
    January 23, 2017 - Commentary Classic Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Citation Text: McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…

  7. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet

    psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
    February 21, 2015 - Study Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Citation Text: Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …

  8. The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. | PSNet

    psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
    July 02, 2014 - Study The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. Citation Text: Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…

  9. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
    December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

  10. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. | PSNet

    psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise
    March 08, 2017 - Commentary Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. Citation Text: Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5)…

  11. Electronic detection of delayed test result follow-up in patients with hypothyroidism. | PSNet

    psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
    September 27, 2017 - Study Electronic detection of delayed test result follow-up in patients with hypothyroidism. Citation Text: Meyer AND, Murphy DR, Al-Mutairi A, et al. Electronic Detection of Delayed Test Result Follow-Up in Patients with Hypothyroidism. J Gen Intern Med. 2017;32(7). doi:10.1007/s11606-0…

  12. A qualitative survey of factors shaping the role of a safety professional. | PSNet

    psnet.ahrq.gov/issue/qualitative-survey-factors-shaping-role-safety-professional
    August 12, 2020 - Study A qualitative survey of factors shaping the role of a safety professional. Citation Text: Van Wassenhove W, Foussard C, Dekker SWA, et al. A qualitative survey of factors shaping the role of a safety professional. Safety Sci. 2022;154:105835. doi:10.1016/j.ssci.2022.105835. Copy …

  13. Sharing lessons learned to prevent incorrect surgery. | PSNet

    psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
    July 16, 2015 - Study Sharing lessons learned to prevent incorrect surgery. Citation Text: Neily J, Mills PD, Paull DE, et al. Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  14. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. | PSNet

    psnet.ahrq.gov/issue/perspective-business-school-view-medical-interprofessional-rounds-transforming-rounding
    November 23, 2016 - Study Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Citation Text: Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…

  15. Teamwork in obstetric critical care. | PSNet

    psnet.ahrq.gov/issue/teamwork-obstetric-critical-care
    January 31, 2024 - Review Teamwork in obstetric critical care. Citation Text: Guise J-M, Segel S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):937-51. doi:10.1016/j.bpobgyn.2008.06.010. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  16. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. | PSNet

    psnet.ahrq.gov/issue/safety-teletriage-nurses-and-physicians-united-states-and-israel-narrative-review-and
    April 29, 2020 - Study Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. Citation Text: Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum…

  17. Towards a framework for managing risk associated with technology-induced error. | PSNet

    psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
    May 10, 2013 - Commentary Towards a framework for managing risk associated with technology-induced error. Citation Text: Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. Copy Citation Format: …

  18. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. | PSNet

    psnet.ahrq.gov/issue/evaluation-predevelopment-service-delivery-intervention-application-improve-clinical
    March 06, 2013 - Study Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. Citation Text: Yao GL, Novielli N, Manaseki-Holland S, et al. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. BMJ …

  19. Identification and interference of intraoperative distractions and interruptions in operating rooms. | PSNet

    psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms
    June 26, 2024 - Study Identification and interference of intraoperative distractions and interruptions in operating rooms. Citation Text: Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…

  20. The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. | PSNet

    psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
    April 12, 2019 - Commentary The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Citation Text: Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…
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