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psnet.ahrq.gov/node/46045/psn-pdf
December 22, 2018 - validating-domains-patient-contextual-factors-essential-preventing-contextual-
errors
Contextual errors can occur when health care providers fail to consider … The authors advocate a
"contextual differential" to consider these potential errors.
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psnet.ahrq.gov/issue/patients-views-adverse-events-primary-and-ambulatory-care-systematic-review-assess-methods
December 18, 2017 - primary and ambulatory care: a systematic review to assess methods and the content of what patients consider … primary and ambulatory care: a systematic review to assess methods and the content of what patients consider … primary and ambulatory care: a systematic review to assess methods and the content of what patients consider
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psnet.ahrq.gov/issue/moving-beyond-misuse-and-diversion-urgent-need-consider-role-iatrogenic-addiction-current
July 18, 2012 - Commentary
Moving beyond misuse and diversion: the urgent need to consider the role … Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the … Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
May 01, 2005 - case with knowledge of the patient’s outcome (hindsight bias)
Lack of a gold standard
Failure to consider … the spectrum of clinical presentations
Failure to consider the consequences of competing diagnoses … Failure to Consider Hindsight Bias
Patient classified as low risk for adverse outcomes (0.1%-0.4% mortality … cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12008187
Failure to Consider Consequences of Competing … Improving Diagnosis of Errors
Use the threshold model of decision making
Consider explicit tradeoffs
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psnet.ahrq.gov/issue/contextual-errors-medical-decision-making-overlooked-and-understudied
May 01, 2020 - Physicians should consider contextual issues when developing care plans with patients. … Contextual factors that physicians should consider include finances, religion, social support, and access
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psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices
August 14, 2019 - the use of a new syringe and needle for every IV push injection and outlines 10 best practices to consider … June 19, 2019
Safety enhancements every hospital must consider in wake of another tragic
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psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - There are many different approaches that clinicians and patients can consider in such situations and … Gordon Schiff, 1,2 for approaching such diagnostically challenging situations is to consider three ideas … There are many condition-specific pitfalls that clinicians and patients can consider when approaching … Red Flag Conditions As one attempts to avoid diagnostic pitfalls, it can be helpful to proactively consider … patients with headache do not have one of these conditions, it is helpful and important to actively consider
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psnet.ahrq.gov/node/44734/psn-pdf
July 11, 2017 - psnet.ahrq.gov/issue/contextual-errors-medical-decision-making-overlooked-and-understudied
Physicians should consider … Contextual factors that physicians should consider include finances, religion, social support,
and access
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psnet.ahrq.gov/node/44751/psn-pdf
February 17, 2016 - primary and
ambulatory care: a systematic review to assess methods
and the content of what patients consider … primary and ambulatory care: a
systematic review to assess methods and the content of what patients consider
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psnet.ahrq.gov/node/73387/psn-pdf
March 17, 2021 - architects and engineers have identified numerous
areas of risk, offered mitigating solutions, and must now consider … Hospital EDs and other outpatient clinics
may wish to consider more seamless integration of screening … In further support of physical
distancing, both inpatient and outpatient facilities may need to consider … Outside of the design elements, there is the opportunity to consider
the incorporation of more sophisticated … recommending safety parameters of the built environment are
updated, there is a clear opportunity to consider
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - That is, one must consider the context in which decisions are made in
order to understand how those … First, it is important to consider
that clinicians' prompt recognition of one condition—tumor lysis … simply try to avoid the use of nonanalytic, pattern recognition
decision-making but instead aim to consider … Second, we must consider the effect that teamwork and the clinical ecosystem have on the diagnostic … Systems should consider methods to highlight potentially contradictory information and question
whether
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psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors
September 20, 2011 - Contextual errors can occur when health care providers fail to consider a patient's individual context … The authors advocate a "contextual differential" to consider these potential errors.
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psnet.ahrq.gov/issue/advancing-equity-through-quality-and-safety
September 14, 2022 - affecting health care quality such as safety, timeliness, and equity, given how lasting solutions must consider
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psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - Clearly, it is critical to consider
TB as a possible diagnosis in patients with infectious respiratory … In this case, the error was not so much that the clinicians failed to consider TB until hospital
day … 21, but that they did not consider any alternative diagnoses or complications that might explain the … Most cases of missed TB can be traced to the fact that
clinicians failed to consider the possibility … Causes to Consider When Pneumonia Does Not Respond to Several Days of Empiric Antibiotic
Therapy
Lung
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - That is, one must consider the context in which decisions are made in order to understand how those decisions … simply try to avoid the use of nonanalytic, pattern recognition decision-making but instead aim to consider … Second, we must consider the effect that teamwork and the clinical ecosystem have on the diagnostic process … final diagnosis—since it is quite plausible that some of them involved early in the case would still consider … Systems should consider methods to highlight potentially contradictory information and question whether
-
psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - magnified patient safety risk frail older patients experience, clinicians and other providers should
consider … Indicator, the Tilburg Frailty Indicator, the timed-up-and-go-test (TUGT), and
the Edmonton Frail Scale.6
Consider … psnet.ahrq.gov//#ref4
https://psnet.ahrq.gov//#ref13
https://psnet.ahrq.gov//#ref6
this, providers may wish to consider … Care providers should consider both the risks of
the proposed treatment and the long-term care goals
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psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - underlying causes often cannot be detected on plain chest x-rays, it has
been recommended4 that clinicians consider … presentation three days later, providers at the same ED “anchored” on the incorrect diagnosis and failed to
consider … additional
imaging and referral to a lung specialty center is necessary to identify the cause and to consider … Unfortunately, the initial pulmonary consultant in this case
apparently did not consider the potential … interventions for ensuring
more reliable performance.12 Providing real-time, automated reminders to consider
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - Clearly, it is critical to consider TB as a possible diagnosis in patients with infectious respiratory … In this case, the error was not so much that the clinicians failed to consider TB until hospital day … 21, but that they did not consider any alternative diagnoses or complications that might explain the … Most cases of missed TB can be traced to the fact that clinicians failed to consider the possibility … Causes to Consider When Pneumonia Does Not Respond to Several Days of Empiric Antibiotic Therapy
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psnet.ahrq.gov/node/38667/psn-pdf
June 16, 2019 - ismp-medication-error-report-analysis-35
https://psnet.ahrq.gov/issue/considering-insulin-pens-routine-hospital-use-consider
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
February 01, 2003 - Consider reversal of specific drugs such as opiates, benzodiazepines, anticholinergics
If residual blockade … medication neostigmine along with glycopyrrolate
Reassure patient; continue short-acting sedation
Consider … Consider potential synergistic effects of muscle relaxants and aminoglycosides—if so give 1 gm calcium … Inspect open ampoules
Impound “sharps” container for inspection of ampoules and syringes at later time
Consider