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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - SPOTLIGHT CASE
The Missing Abscess: Radiology Reads in the Digital Era
Citation Text:
Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation…
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - contemplate a full differential diagnosis) and not attribute signs and symptoms to a solitary diagnosis—a
cognitive
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - A focus on prevention, detection, and treatment of delirium, including dip-testing urine for indications … Strategies to prevent falls and fractures in hospitals and care
homes and effect of cognitive impairment
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - This case highlights multiple potential diagnostic errors and cognitive biases which may have contributed … October 16, 2024
Testing an intervention to improve health care worker well-being during
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psnet.ahrq.gov/issue/panel-set-study-safety-electronic-patient-data
March 06, 2005 - December 30, 2014
Minnesota hospitals are testing ways to reduce return trips.
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psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
October 03, 2013 - Commentary
Human factors systems approach to healthcare quality and patient safety.
Citation Text:
Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…
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psnet.ahrq.gov/issue/improving-communication-icu-using-daily-goals
December 19, 2018 - June 16, 2011
Developing and testing a tool to measure nurse/physician communication
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psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
April 22, 2015 - June 10, 2020
Portable advanced medical simulation for new emergency department testing
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - health care practitioners; and (iii) a push for efficiency over safety that
decreases the time for cognitive
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psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - 20,000 participants) confirmed theory-based predictions that
feedback, repetition, range of difficulty, cognitive
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psnet.ahrq.gov/topics-0
March 03, 2025 - this topic
Active Errors Go to this topic
Cognitive
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - , 2024
Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - Different team huddle approaches help providers avoid cognitive errors by allowing colleagues to confer
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - brain MRI had the
same initials as another patient on the same unit who also happened to have severe cognitive … Because the order for a "brain MRI to evaluate worsening cognitive function"
could apply to either patient
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - some benefit, with less claustrophobia noted as well. 16 Some portion of anxiety can be attributed to cognitive … patient call button allows the patient to alert the technician of any concerns, decreasing anxiety. 18 Cognitive
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - Topic
Emergency Departments
Physicians
Cardiology
Radiograph Interpretation Error
Cognitive
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - contemplate a full differential diagnosis) and not attribute signs and symptoms to a solitary diagnosis—a cognitive
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - involving breast and lung cancers or acute myocardial infarction.( 4 ) This might suggest a set of cognitive … Care Setting
August 5, 2022
When no news is bad news: improving diagnostic testing
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - A focus on prevention, detection, and treatment of delirium, including dip-testing urine for indications … Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - The Missing Abscess: Radiology Reads in the Digital Era
January 1, 2017
Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
Case Objectives
Identify the most common complication of hysterectomy.
Descr…