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psnet.ahrq.gov/issue/changes-burnout-and-satisfaction-work-life-balance-physicians-and-general-us-working
April 05, 2013 - Study
Classic
Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014.
Citation Text:
Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in Burnout and Satisfaction With Work-Life Balance…
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psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic
September 23, 2020 - Study
Classic
How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting.
Citation Text:
Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…
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psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice
August 10, 2022 - Study
Fostering a just culture in healthcare organizations: experiences in practice.
Citation Text:
van Baarle E, Hartman L, Rooijakkers S, et al. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Serv Res. 2022;22(1):1035. doi:10.1186/s12913-022-0…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-attitudes-and-practices-physicians-and-trainees
February 15, 2011 - Study
Disclosing medical errors to patients: attitudes and practices of physicians and trainees.
Citation Text:
Kaldjian LC, Jones EW, Wu BJ, et al. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. J Gen Intern Med. 2007;22(7):988-96.
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psnet.ahrq.gov/issue/hearing-impairment-and-amelioration-avoidable-medical-error-cross-sectional-survey
June 09, 2021 - Study
Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey.
Citation Text:
Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. do…
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psnet.ahrq.gov/issue/assessing-dangers-hospital-stay-patients-developmental-disability-england-2017-19
October 26, 2022 - Study
Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19.
Citation Text:
Friebel R, Maynou L. Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19. Health Aff (Millwood). 2022;41(10):1…
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psnet.ahrq.gov/issue/randomised-controlled-trial-assessing-efficacy-electronic-discharge-communication-tool
August 24, 2016 - Study
A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission.
Citation Text:
Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of an electronic dis…
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psnet.ahrq.gov/issue/managing-diagnostic-uncertainty-primary-care-systematic-critical-review
February 15, 2017 - Review
Managing diagnostic uncertainty in primary care: a systematic critical review.
Citation Text:
Alam R, Cheraghi-Sohi S, Panagioti M, et al. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Fam Pract. 2017;18(1):79. doi:10.1186/s12875-017-0650-0.
…
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psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights-focused-ethnographic
January 24, 2018 - Study
Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity.
Citation Text:
Daker-White G, Hays R, Blakeman T, et al. Safety work and risk management as burdens of treatment in primary care: ins…
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psnet.ahrq.gov/issue/next-step-learning-sentinel-events-healthcare
June 12, 2024 - Commentary
The next step in learning from sentinel events in healthcare.
Citation Text:
Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare. BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739.
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psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey
January 27, 2012 - Study
Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey.
Citation Text:
Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…
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psnet.ahrq.gov/issue/vestibular-syndromes-diagnosis-and-diagnostic-errors-patients-dizziness-presenting-emergency
May 17, 2023 - Study
Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study.
Citation Text:
Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness pre…
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Hold That Order
March 1, 2008
Grissinger M. Hold That Order. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/hold-order
The Case
A 25-year-old woman with a history of a pituitary tumor was admitted with hypernatremia. Because of her
previous pituitary resection and radiation, the patient had a long history …
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer?
Citation Text:
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
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psnet.ahrq.gov/web-mm/urine-tough-position
January 01, 2009 - Urine a Tough Position
Citation Text:
Gandhi TK. Urine a Tough Position. 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/web-mm/its-all-syringe
February 01, 2013 - number of prescriptions are written electronically, although the precise number is not known.( 3 ) While doctors
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psnet.ahrq.gov/node/33731/psn-pdf
June 01, 2012 - came largely from the National Health Service (NHS), which owns
the hospitals and employs all the doctors
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psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - Why patients visit their doctors: assessing the most prevalent
conditions in a defined American population
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - examination when it was warranted.
14
Diagnostic Failure: The Missing Bedside Examination (1)
• When doctors … Incomplete medical records
– Cultural and language barriers with patients
– Communication barriers between doctors
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - 04/my-skepticism-about-gms-speak-up-for-safety-program/
I cringe when organizations complain that doctors … Instead of blaming the
doctors, we have a systemic issue where the technology either wasn't selected