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1501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40747/psn-pdf
      September 07, 2011 - Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. September 7, 2011 Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Clin Med (Lond). 2011;11(4):317-321. https://psnet.ahrq.g…

1502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39486/psn-pdf
      May 05, 2010 - Understanding handling of drug safety alerts: a simulation study. May 5, 2010 van der Sijs H, van Gelder T, Vulto A, et al. Understanding handling of drug safety alerts: a simulation study. Int J Med Inform. 2010;79(5). doi:10.1016/j.ijmedinf.2010.01.008. https://psnet.ahrq.gov/issue/understanding-handling-drug-sa…

1503. In Conversation With… Gordon Schiff, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
      February 26, 2025 - RW : I guess that leads to a concern: if you think about what health systems have done to address other

1504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33861/psn-pdf
      July 01, 2018 - RW: I guess that leads to a concern: if you think about what health systems have done to address other

1505. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
      January 01, 2024 - partnership involving patients, their families, clinicians, and other members of the health care team that leads

1506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49807/psn-pdf
      October 01, 2017 - concluded that the patient's symptoms were likely benign positional vertigo (a common condition that leads

1507. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet
      psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
      June 28, 2023 - 2021 WebM&M Cases Lack of Sepsis Recognition Leads

1508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74104/psn-pdf
      November 24, 2021 - Examining the meaning of the language used to communicate the nursing hand-off. November 24, 2021 Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand?off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175. https://psnet.ahrq.gov/issue/examining-meaning-la…

1509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45750/psn-pdf
      February 01, 2017 - Cognitive biases associated with medical decisions: a systematic review. February 1, 2017 Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138. https://psnet.ahrq.gov/issue/cognitive-biases-associated-medical-de…

1510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44938/psn-pdf
      September 28, 2017 - Walking the tightrope: communicating overdiagnosis in modern healthcare. September 28, 2017 McCaffery KJ, Jansen J, Scherer LD, et al. Walking the tightrope: communicating overdiagnosis in modern healthcare. BMJ. 2016;352:i348. doi:10.1136/bmj.i348. https://psnet.ahrq.gov/issue/walking-tightrope-communicating-over…

1511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46026/psn-pdf
      May 03, 2017 - Key principles in quality and safety in radiology. May 3, 2017 Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. https://psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology This review s…

1512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34726/psn-pdf
      April 19, 2011 - How house officers cope with their mistakes. April 19, 2011 Wu AW, Folkman S, McPhee SJ, et al. How house officers cope with their mistakes. West J Med. 1993;159(5):565-569. https://psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes In this article, the authors report on how house officers cope with their…

1513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43890/psn-pdf
      April 22, 2015 - Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. April 22, 2015 Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/j.jacr.2014.09.031. https://psnet…

1514. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851195/psn-pdf
      July 05, 2023 - Clinician factors associated with delayed diagnosis of appendicitis. July 5, 2023 Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119. https://psnet.ahrq.gov/issue/clinician-factors-ass…

1515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72601/psn-pdf
      January 01, 2021 - Increasing physician reporting of diagnostic learning opportunities. December 23, 2020 Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. https://psnet.ahrq.gov/issue/increasing-physician-reporting…

1516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43657/psn-pdf
      November 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. November 26, 2014 American Society of Health-System Pharmacists https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w…

1517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34637/psn-pdf
      March 02, 2011 - Risk management: extreme honesty may be the best policy. March 2, 2011 Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967. https://psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy This article reviews a humanistic risk management…

1518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41554/psn-pdf
      January 03, 2017 - Using root cause analysis to reduce falls with injury in community settings. January 3, 2017 Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt Comm J Qual Patient Saf. 2012;38(8):366-374. https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-inj…

1519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46167/psn-pdf
      June 07, 2017 - Identifying patients with sepsis on the hospital wards. June 7, 2017 Bhattacharjee P, Edelson DP, Churpek MM. Identifying Patients With Sepsis on the Hospital Wards. Chest. 2016;151(4). doi:10.1016/j.chest.2016.06.020. https://psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards Undiagnosed sepsis can l…

1520. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35669/psn-pdf
      July 08, 2008 - Problem doctors: is there a system-level solution? July 8, 2008 Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107- 15. https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution This commentary discusses the current systemwide limitations in measur…