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psnet.ahrq.gov/node/45616/psn-pdf
November 27, 2017 - Education for the next frontier in patient safety: a
longitudinal resident curriculum on diagnostic error.
November 27, 2017
Ruedinger E, Olson M, Yee J, et al. Education for the Next Frontier in Patient Safety: A Longitudinal
Resident Curriculum on Diagnostic Error. Am J Med Qual. 2017;32(6):625-631.
doi:10.1177/…
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psnet.ahrq.gov/node/37309/psn-pdf
January 05, 2012 - Adverse drug events in hospitalized cardiac patients.
January 5, 2012
Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol.
2007;100(9):1465-9.
https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
This study noted two adverse drug event…
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psnet.ahrq.gov/node/47619/psn-pdf
April 08, 2019 - A decade of health information technology usability
challenges and the path forward.
April 8, 2019
Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the
Path Forward. JAMA. 2019;321(8):743-744. doi:10.1001/jama.2019.0161.
https://psnet.ahrq.gov/issue/decade-health-in…
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psnet.ahrq.gov/node/840490/psn-pdf
February 14, 2006 - Evidence of bias and variation in diagnostic accuracy
studies.
February 14, 2006
Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies.
CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090.
https://psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy…
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psnet.ahrq.gov/node/34814/psn-pdf
January 01, 2015 - Prescribing for the elderly. Part I: Sensitivity of the elderly
to adverse drug reactions.
March 28, 2005
Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug
Reactions*. J Am Geriatr Soc. 2015;36(2):142-149. doi:10.1111/j.1532-5415.1988.tb01785.x.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44199/psn-pdf
September 09, 2015 - Raising the alarm: a cross-sectional study exploring the
factors affecting patients' willingness to escalate care on
surgical wards.
September 9, 2015
Johnston MJ, Davis R, Arora S, et al. Raising the Alarm: A Cross-Sectional Study Exploring the Factors
Affecting Patients' Willingness to Escalate Care on Surgical …
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psnet.ahrq.gov/node/73194/psn-pdf
April 28, 2021 - CLER Report of Findings 2021: Subprotocol for Operative
and Procedural Areas.
April 28, 2021
Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER
Operative and Procedural Subprotocol National Advisory Group, and the CLER Program. Chicago, IL:
Accreditation Council for Gradua…
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psnet.ahrq.gov/node/44438/psn-pdf
August 26, 2015 - Reducing errors through discharge medication
reconciliation by pharmacy services.
August 26, 2015
Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by
pharmacy services. Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.2146/sp150021.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/74761/psn-pdf
February 09, 2022 - Did the Hospital Readmissions Reduction Program
reduce readmissions? An assessment of prior evidence
and new estimates.
February 9, 2022
Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An
assessment of prior evidence and new estimates. Eval Rev. 2021;45(6):359-411.
doi:1…
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psnet.ahrq.gov/node/74079/psn-pdf
December 02, 2020 - Impact of digitally acquired peer diagnostic input on
diagnostic confidence in outpatient cases: a pragmatic
randomized trial.
December 2, 2020
Khoong EC, Fontil V, Rivadeneira NA, et al. Impact of digitally acquired peer diagnostic input on diagnostic
confidence in outpatient cases: a pragmatic randomized trial. …
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psnet.ahrq.gov/node/45690/psn-pdf
June 28, 2017 - The impact of critical event checklists on medical
management and teamwork during simulated crises in a
surgical daycare facility.
June 28, 2017
Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management
and teamwork during simulated crises in a surgical daycare facility…
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psnet.ahrq.gov/node/45819/psn-pdf
March 15, 2017 - How doctors think: common diagnostic errors in clinical
judgment--lessons from an undiagnosed and rare disease
program.
March 15, 2017
Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical
Judgment-Lessons from an Undiagnosed and Rare Disease Program. Pediatr Clin North A…
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psnet.ahrq.gov/node/47816/psn-pdf
June 26, 2019 - Clinical reasoning assessment methods: a scoping
review and practical guidance.
June 26, 2019
Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and
Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618.
https://psnet.ahrq.gov/issue/clinical-…
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psnet.ahrq.gov/node/43660/psn-pdf
November 12, 2014 - Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for Disease
Control and Prevention–convened meeting.
November 12, 2014
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for …
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psnet.ahrq.gov/node/39088/psn-pdf
September 01, 2015 - Laboratory session to improve first-year pharmacy
students' knowledge and confidence concerning the
prevention of medication errors.
September 1, 2015
Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students'
knowledge and confidence concerning the prevention of medica…
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psnet.ahrq.gov/node/61017/psn-pdf
October 14, 2020 - Impact of pharmacist interventions on medication errors
in hospitalized pediatric patients: a systematic review and
meta-analysis.
October 14, 2020
Naseralallah LM, Hussain TA, Jaam M, et al. Impact of pharmacist interventions on medication errors in
hospitalized pediatric patients: a systematic review and meta-an…
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psnet.ahrq.gov/node/45823/psn-pdf
May 09, 2017 - The effect of prescriber education on medication-related
patient harm in the hospital: a systematic review.
May 9, 2017
Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-
related patient harm in the hospital: a systematic review. Br J Clin Pharmacol. 2017;83(5):953-961…
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psnet.ahrq.gov/node/74097/psn-pdf
November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is
worth one thousand words.
November 24, 2021
De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one
thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/838930/psn-pdf
October 26, 2022 - Artificial Intelligence in Health Care: Benefits and
Challenges of Machine Learning Technologies for Medical
Diagnostics.
October 26, 2022
Washington DC: United States Government Accountability Office and National Academy of
Medicine; September 2022. Report no. GAO-22-104629.
https://psnet.ahrq.gov/issue/ar…
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psnet.ahrq.gov/node/841760/psn-pdf
December 21, 2022 - Pursuit of "endpoint diagnoses" as a cognitive forcing
strategy to avoid premature diagnostic closure.
December 21, 2022
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to
avoid premature diagnostic closure. Diagnosis (Berl). 2022;9(4):421-429. doi:10.1515/dx-202…