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psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach
July 13, 2010 - Study
Resident physicians' advice seeking and error making: a social networks approach.
Citation Text:
Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333.
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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/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - SPOTLIGHT CASE
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
Citation Text:
Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/factors-associated-potentially-missed-acute-deterioration-primary-care-cohort-study-uk
February 02, 2022 - Study
Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices.
Citation Text:
Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practi…
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - First-Episode Psychosis and the Role of the Psychiatric Consultant.
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psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
March 06, 2019 - Study
Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study.
Citation Text:
van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - Involving consultants from large-volume urban enters early with complex patients in rural hospitals can
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psnet.ahrq.gov/issue/diagnostic-accuracy-gps-when-using-early-intervention-decision-support-system-high-fidelity
April 03, 2018 - Study
Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation.
Citation Text:
Kostopoulou O, Porat T, Corrigan D, et al. Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation…
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 2023 - orientation and/or recall memory, even if other cortical functions are preserved. 2,3 The psychiatry consultant
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - In cases in
which capacity is questionable, the provider must enlist the aid of a consultant with expertise … Capacity reflects a spectrum of decision-making ability and providers should enlist the help of a
consultant
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - evident frailty of this patient was a cause for concern and
the trauma surgery team and orthopedic consultant … Emergency general surgery and trauma: Outcomes from the first consultant-led service in Singapore.
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - Because they think, "For any new readers or consultants reading the chart today, I
want them to know
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psnet.ahrq.gov/web-mm/nosy-business
March 01, 2007 - Because the patient's platelet count remained normal through the bleeding episodes, a hematology consultant
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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - communication between the
pump user and hospital staff, including practitioners on the primary team, diabetes consultants
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - In reviewing the records, consultants realized that the mannitol infusion had been continued for more
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - Missed Opportunities for Suicide Risk Assessment
November 27, 2019
Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
Disclosure of Relevant Financial Relationships: As a provider accredited by the Acc…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - Spotlight Case [MONTH] 2003
Spotlight Case
Standard Deviations
Source and Credits
This presentation is based on the December 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: James E. Sabin, MD
Harvard Medical School; Harvard Pilgrim Heal…
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psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
February 07, 2024 - Commentary
Sued for misdiagnosis? It could happen to you.
Citation Text:
Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508.
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psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - An infectious diseases
consultant recommended therapy with 6 weeks of intravenous ceftriaxone to be