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psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
June 16, 2010 - October 3, 2012
The Institute of Medicine report on medical errors—could it do harm?
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psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
November 30, 2016 - About The Topic
Hospitals
Health Care Executives and Administrators
Geriatrics
Hospital Medicine
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psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient-acute-care-visits
September 07, 2011 - March 4, 2011
Overconfidence as a cause of diagnostic error in medicine.
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psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis
August 04, 2021 - Topic
Physicians
Facility and Group Administrators
Educators
Policy Makers
Emergency Medicine
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psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
April 28, 2021 - Study
Adverse events in long-term care residents transitioning from hospital back to nursing home.
Citation Text:
Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…
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psnet.ahrq.gov/issue/diagnostic-errors-medical-students-results-prospective-qualitative-study
May 18, 2022 - 2006
View More
See More About The Topic
Hospitals
Educators
Medicine
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psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
September 23, 2020 - See More About The Topic
Hospitals
Physicians
Nurses
Risk Managers
Hospital Medicine
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psnet.ahrq.gov/node/43760/psn-pdf
March 20, 2015 - pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-
record-tool-improve
In this single-site study, 70% of patients discharged from a general medicine
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psnet.ahrq.gov/node/47068/psn-pdf
June 25, 2018 - The need for closed-loop systems for management of
abnormal test results.
June 25, 2018
Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal
Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425.
https://psnet.ahrq.gov/issue/need-closed-loop-systems…
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psnet.ahrq.gov/node/43038/psn-pdf
March 05, 2014 - psnet.ahrq.gov/issue/medical-error-second-victim
https://psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - The Emergency Medicine attending did not communicate the EGS attending’s refusal to see the patient to … In this era of sub-specialization of medicine and surgery, diagnoses tend to be assigned to the care … Why did the emergency medicine physician neither talk to the attending EGS surgeon directly nor alert … Burnout Physician burnout (also referred to as “moral injury”) is an ongoing topic of discussion in medicine … See More About The Topic
Emergency Departments
Operating Room
Physicians
Emergency Medicine
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psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
December 07, 2022 - Impact of regionalized care on concordance of plan and preventable adverse events on general medicine
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - The Emergency Medicine attending did not communicate the
EGS attending’s refusal to see the patient … In this era of sub-specialization of medicine and surgery, diagnoses tend to be assigned to the care … Why did the emergency medicine physician neither talk to the attending EGS surgeon directly nor
alert … Burnout
Physician burnout (also referred to as “moral injury”) is an ongoing topic of discussion in medicine
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - to patients, often because of overtreatment.( 2-4 ) The above construct is true for many tests in medicine … MAS Assistant Clinical Professor Medical Director, Adult Antimicrobial Stewardship Department of Medicine … and customer service call centers for timely and accurate reporting of critical values: a laboratory medicine … See More About The Topic
Hospitals
Health Care Providers
Pathology and Laboratory Medicine
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - 4,10 ) Diagnostic error rates appear to vary by specialty (e.g., 5% in radiology vs. 12% in emergency medicine … is hinged to a particular diagnosis, as is practically the entire scientific evidence base of modern medicine … Diagnostic errors in medicine: a case of neglect. Jt Comm J Qual Patient Saf. 2005;31:106-113. … Diagnostic error in internal medicine. Arch Intern Med. 2005;165:1493-1499. [go to PubMed] 11. … Diagnostic error in medicine: analysis of 583 physician-reported errors.
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psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state
August 25, 2021 - February 29, 2012
The use of simulation in emergency medicine: a research agenda. … September 16, 2015
Pediatric crisis resource management training improves emergency medicine … See More About The Topic
Patient Transport
Health Care Providers
Educators
Emergency Medicine … Pediatric Emergency Medicine
View More
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psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error-management-policies
December 23, 2020 - attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine … attitudes, and Expectations of Medical Staff Toward Medical Error Management Policies in Humanitarian Medicine … attitudes, and Expectations of Medical Staff Toward Medical Error Management Policies in Humanitarian Medicine … Ambulatory Care
Health Care Providers
Non-Health Care Professionals
Policy Makers
Medicine
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psnet.ahrq.gov/issue/effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals
August 28, 2024 - Same Author(s)
Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine … Use and implementation of standard operating procedures and checklists in prehospital emergency medicine … February 8, 2023
Automated identification of diagnostic labelling errors in medicine. … October 14, 2009
View More
See More About The Topic
Medicine
Medication
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psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
July 12, 2016 - Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine … Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine … Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine
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psnet.ahrq.gov/node/34765/psn-pdf
January 04, 2017 - how systems often conspire to create their own
problems by failing to understand and improve their internal … safety, such as Leape’s classic 1994 Journal
of the American Medical Association commentary, Error in Medicine … fifth-discipline-art-practice-learning-organization-revised-updated-edition
https://psnet.ahrq.gov/issue/error-medicine