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psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study
February 20, 2019 - Study
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study.
Citation Text:
Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(1…
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - Did We Forget Something?
Citation Text:
Gibbs VC. Did We Forget Something?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/issue/interrogating-and-uprooting-systemic-racism-emergency-department
March 05, 2025 - Commentary
Interrogating and uprooting systemic racism in the emergency department.
Citation Text:
Sangal RB, Khidir H, Agarwal AK. Interrogating and uprooting systemic racism in the emergency department. JAMA Health Forum. 2024;5(8):e242347. doi:10.1001/jamahealthforum.2024.2347.
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psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
September 18, 2024 - Commentary
Checklists to reduce diagnostic errors.
Citation Text:
Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd.
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psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making
April 10, 2024 - Study
A novel approach for assessing bias during team-based clinical decision-making.
Citation Text:
Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.101477…
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psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-test-results
April 03, 2024 - Review
Assigning responsibility to close the loop on radiology test results.
Citation Text:
Kwan JL, Singh H. Assigning responsibility to close the loop on radiology test results. Diagnosis (Berl). 2017;4(3):173-177. doi:10.1515/dx-2017-0019.
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DOI Googl…
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psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
March 12, 2025 - Study
Developing and evaluating large language model-generated emergency medicine handoff notes.
Citation Text:
Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…
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psnet.ahrq.gov/node/37964/psn-pdf
June 29, 2011 - Impact of miscommunication in medical dispute cases in
Japan.
June 29, 2011
Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual
Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028.
https://psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-ja…
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psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
March 22, 2014 - Newspaper/Magazine Article
Death of a boy prompts new medical efforts nationwide.
Citation Text:
Death of a boy prompts new medical efforts nationwide. Dwyer J. New York Times. October 25, 2012.
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - SPOTLIGHT CASE
Missed Opportunities for Suicide Risk Assessment
Citation Text:
Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/38987/psn-pdf
May 04, 2014 - Disclosing harmful medical errors to patients: tackling
three tough cases.
May 4, 2014
Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough
cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030.
https://psnet.ahrq.gov/issue/disclosing-harmful-medical-er…
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - Liposuction Gone Awry
Citation Text:
Yates JA. Liposuction Gone Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes
Citation Text:
Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/issue/discrepant-advanced-directives-and-code-status-orders-preventable-medical-error
October 31, 2018 - Journal Article
Discrepant advanced directives and code status orders: a preventable medical error.
Citation Text:
Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm…
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psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
November 30, 2012 - Study
Classic
Missed diagnoses of acute cardiac ischemia in the emergency department.
Citation Text:
Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…
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psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
August 07, 2019 - Newspaper/Magazine Article
RFID tags reduce restocking errors of anesthesia medications.
Citation Text:
RFID tags reduce restocking errors of anesthesia medications. Banks MA. Specialty Pharmacy Continuum. September 15, 2023.
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Electrocardiogram Results: ***READ ME***
Citation Text:
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/missing-point-eye-injury
March 01, 2005 - Missing the Point—Eye Injury
Citation Text:
Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - An Obstructed View
Citation Text:
Carter J. An Obstructed View. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/34965/psn-pdf
August 02, 2016 - Safety Ethics: Cases from Aviation, Healthcare and
Occupational and Environmental Health.
August 2, 2016
Patankar MS, Brown JP, Treadwell MD. Burlington VT: Ashgate; 2005. ISBN: 9780754642473.
https://psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-
health
The autho…