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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - SPOTLIGHT CASE
Anchoring Bias With Critical Implications
Citation Text:
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient.
Citation Text:
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - Auerbach et al.15 and the TOPS (Triad for Optimal Patient Safety) project team examined how teamwork
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psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
January 01, 2014 - patient about the duration of symptoms, character of nasal discharge, and presence of toothache, and examined
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Early Ophthalmologic Exam The patient in this case was apparently not examined early for visual loss,
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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - The anesthesia team examined the drawer and found vials of
cefazolin and vecuronium (a long-acting paralytic
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psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
January 12, 2022 - Commentary
Bundaberg and beyond: duty to disclose adverse events to patients.
Citation Text:
Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27.
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psnet.ahrq.gov/issue/misunderstanding-safety-culture-and-its-relationship-safety-management
May 10, 2014 - Commentary
(Mis)understanding safety culture and its relationship to safety management.
Citation Text:
Guldenmund FW. (Mis)understanding Safety Culture and Its Relationship to Safety Management. Risk Anal. 2010;30(10):1466-80. doi:10.1111/j.1539-6924.2010.01452.x.
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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - Review
The spectrum of medical errors: when patients sue.
Citation Text:
Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257.
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psnet.ahrq.gov/issue/removing-me-md
July 18, 2016 - Commentary
Removing the "me" from "MD."
Citation Text:
Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
January 06, 2017 - Commentary
Rapid response systems: should we still question their implementation?
Citation Text:
Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050.
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psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
August 07, 2013 - Commentary
Human factors and systems engineering approach to patient safety for radiotherapy.
Citation Text:
Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177.
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psnet.ahrq.gov/issue/misinformation-medical-literature-what-role-do-error-and-fraud-play
November 02, 2011 - Commentary
Misinformation in the medical literature: what role do error and fraud play?
Citation Text:
Steen G. Misinformation in the medical literature: what role do error and fraud play? J Med Ethics. 2011;37(8):498-503. doi:10.1136/jme.2010.041830.
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psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
August 23, 2023 - Commentary
Poor physician-patient communication and medical error.
Citation Text:
Poor physician-patient communication and medical error. Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.
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psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
October 19, 2022 - Commentary
Nurses improve medication safety with medication allergy and adverse drug reports.
Citation Text:
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug reports. J Nurs Care Qual. 2007;22(4):322-7.
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psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
November 21, 2021 - Commentary
Changing our culture: adopting the military aviation safety system.
Citation Text:
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
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psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
March 23, 2022 - Book/Report
Classic
Safer Healthcare: Strategies for the Real World.
Citation Text:
Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016
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psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
June 12, 2013 - Book/Report
Classic
An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer.
Citation Text:
An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events …
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psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
May 02, 2018 - Book/Report
The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level.
Citation Text:
The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - Review
The incidence of diagnostic error in medicine.
Citation Text:
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615.
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