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psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution
March 25, 2020 - Commentary
Misdiagnosis in the emergency department: time for a system solution.
Citation Text:
Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577.
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psnet.ahrq.gov/issue/person-first-treatment-strategies-weight-bias-and-impact-mental-health-people-living-obesity
August 18, 2021 - Commentary
Person-first treatment strategies: weight bias and impact on mental health of people living with obesity.
Citation Text:
Crowley N. Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. Prim Care. 2023;50(1):89-101. doi:10.10…
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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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psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces
November 16, 2022 - Commentary
Emerging Classic
Misdiagnosis, mistreatment, and harm - when medical care ignores social forces.
Citation Text:
Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. N Engl J Med. 2020;382…
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psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers
December 12, 2014 - Review
Suffering in silence: medical error and its impact on health care providers.
Citation Text:
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
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psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting
November 17, 2021 - Study
The effects of physical environments in medical wards on medication communication processes affecting patient safety.
Citation Text:
Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication communication processes affecting patient safety. Heal…
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psnet.ahrq.gov/issue/epidemiology-medical-error
March 29, 2012 - Commentary
Classic
Epidemiology of medical error.
Citation Text:
Weingart SN, Wilson R, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320(7237):774-7.
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psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer-use
October 01, 2014 - Commentary
mHealth and mobile medical apps: a framework to assess risk and promote safer use.
Citation Text:
Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and promote safer use. J Med Internet Res. 2014;16(9):e210. doi:10.2196/jmir.3133.
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psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
June 03, 2020 - Study
Public sector organizational failure: a study of collective denial in the UK national health service.
Citation Text:
Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…
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psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
February 14, 2024 - Commentary
The WHO World Alliance for Patient Safety: a new challenge or an old one neglected?
Citation Text:
Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86.
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psnet.ahrq.gov/issue/medication-errors-critical-care-risk-factors-prevention-and-disclosure
November 30, 2016 - Review
Medication errors in critical care: risk factors, prevention and disclosure.
Citation Text:
Camiré E, Moyen E, Stelfox HT. Medication errors in critical care: risk factors, prevention and disclosure. CMAJ. 2009;180(9):936-43. doi:10.1503/cmaj.080869.
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psnet.ahrq.gov/issue/risk-misdiagnosis-and-delayed-diagnosis-covid-19-syndemic-approach
November 04, 2020 - Commentary
Risk of misdiagnosis and delayed diagnosis with COVID-19: a syndemic approach.
Citation Text:
Muhrer JC. Risk of misdiagnosis and delayed diagnosis with COVID-19. Nurs Pract. 2021;46(2):44-49. doi:10.1097/01.npr.0000731572.91985.98.
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psnet.ahrq.gov/issue/untold-toll-pandemics-effects-patients-without-covid-19
August 02, 2015 - Commentary
Classic
The untold toll — the pandemic’s effects on patients without Covid-19.
Citation Text:
Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid-19. New Engl J Med. 2020;382(24):2368-2371. doi:10.1056/nejmms2009984.
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psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
September 16, 2020 - Commentary
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.
Citation Text:
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
September 02, 2009 - Review
Interventions to increase clinical incident reporting in health care.
Citation Text:
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…
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psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study
March 05, 2014 - Study
Medical students' experiences, perceptions, and management of second victim: an interview study.
Citation Text:
Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and management of second victim: an interview study. BMC Med Educ. 2023;23(1…
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psnet.ahrq.gov/issue/state-science-and-future-directions-improve-diagnostic-safety-older-adults
January 22, 2025 - Book/Report
State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults.
Citation Text:
Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research a…
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psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework
June 24, 2020 - Commentary
Responding to unprofessional behavior by trainees - a "just culture" framework.
Citation Text:
Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms191…
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psnet.ahrq.gov/issue/care-and-oversight-deficiencies-related-multiple-homicides-louis-johnson-va-medical-center
February 10, 2021 - Book/Report
Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia.
Citation Text:
Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Vir…
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psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-solve-old-problems
December 27, 2018 - Commentary
Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems.
Citation Text:
Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2…