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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - Few studies have examined the safety
risks presented by the type of handoff in this case—the academic
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psnet.ahrq.gov/web-mm/hold-tpa
July 29, 2020 - commonly in the community—in more than 50% of patients treated in some early series.( 2,5,6 ) When examined
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - The admitting team re-examined the information and realized the clinical presentation was more consistent
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psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - troubling gaps is that all of the variables that contribute to safe and quality care
have not been examined
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - For both open
[active] and closed claims, the data are carefully deidentified and primarily examined
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - manage medical errors such as retained foreign bodies.(
13,14,15)
Unfortunately, only one study has examined
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - taking shortcuts and doing "adaptive work" to provide the best care, then the care process needs
to be examined
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psnet.ahrq.gov/node/49751/psn-pdf
January 01, 2016 - The physician examined the patient and advised that given his age and family history, he should have
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psnet.ahrq.gov/node/50391/psn-pdf
September 25, 2019 - The hospitalist who received the patient on the ward examined the patient and
realized his diagnosis
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psnet.ahrq.gov/issue/beyond-patient-safety-flatland
September 04, 2024 - Commentary
Beyond patient safety Flatland.
Citation Text:
Braithwaite J, Coiera E. Beyond patient safety Flatland. J R Soc Med. 2010;103(6):219-25. doi:10.1258/jrsm.2010.100032.
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psnet.ahrq.gov/issue/medical-error-and-moral-luck
October 02, 2024 - Commentary
Medical error and moral luck.
Citation Text:
Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203. doi:10.1353/ken.2019.0022.
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psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
September 27, 2023 - Special or Theme Issue
Interdisciplinary Perspectives on Medical Error.
Citation Text:
Interdisciplinary Perspectives on Medical Error. J Public Health Res. 2013;2:e22-e33.
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psnet.ahrq.gov/issue/managing-risk-point-care-preventing-errors
February 06, 2018 - Newspaper/Magazine Article
Managing risk at the point-of-care: preventing errors.
Citation Text:
Managing risk at the point-of-care: preventing errors. Njoroge S; Nichols JH.
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psnet.ahrq.gov/issue/bringing-diagnosis-quality-and-safety-equations
October 10, 2018 - Commentary
Bringing diagnosis into the quality and safety equations.
Citation Text:
Graber ML, Wachter R, Cassel C. Bringing diagnosis into the quality and safety equations. JAMA. 2012;308(12):1211-2.
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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psnet.ahrq.gov/issue/learning-not-blaming
March 28, 2018 - Book/Report
Learning Not Blaming.
Citation Text:
Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716.
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psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
June 21, 2016 - Commentary
Our stubborn quest for diagnostic certainty.
Citation Text:
Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211.
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psnet.ahrq.gov/issue/artificial-intelligence-makes-bad-medicine-even-worse
November 25, 2020 - Newspaper/Magazine Article
Artificial intelligence makes bad medicine even worse.
Citation Text:
Artificial intelligence makes bad medicine even worse. Aschwanden C. Wired Magazine. January 10, 2020.
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psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
August 06, 2016 - Book/Report
Classic
The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries.
Citation Text:
The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023.
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psnet.ahrq.gov/issue/blame-what-does-it-look
February 02, 2022 - Commentary
Blame: what does it look like?
Citation Text:
Duthie EA. Blame: What does it look like? Nurs Manage. 2018;49(11):18-21. doi:10.1097/01.NUMA.0000547256.76967.9e.
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