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psnet.ahrq.gov/node/46129/psn-pdf
September 28, 2017 - Missed diagnosis of cardiovascular disease in outpatient
general medicine: insights from malpractice claims data.
September 28, 2017
Quinn GR, Ranum D, Song E, et al. Missed Diagnosis of Cardiovascular Disease in Outpatient General
Medicine: Insights from Malpractice Claims Data. Jt Comm J Qual Patient Saf. 2017;43…
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psnet.ahrq.gov/node/46165/psn-pdf
July 26, 2017 - Transferring aviation practices into clinical medicine for
the promotion of high reliability.
July 26, 2017
Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for
the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;88(5):487-491.
doi:10.3357/AMHP.4736…
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psnet.ahrq.gov/node/45989/psn-pdf
June 07, 2017 - Radiologic safety events within a pediatric emergency
medicine network.
June 7, 2017
Blumberg SM, Mahajan P, O?Connell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency
Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684.
https://psnet.ahrq.gov/issue/radiologic-s…
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psnet.ahrq.gov/node/867683/psn-pdf
March 05, 2025 - Ambulatory medication errors and adverse events
involved in medicine-related malpractice cases from 2011
to 2021.
March 5, 2025
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-
related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117.
doi:10…
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psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
August 07, 2024 - Newspaper/Magazine Article
Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors.
Citation Text:
Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors. ISMP Safe Medici…
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psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
July 18, 2018 - Book/Report
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.
Citation Text:
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine. Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012.
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psnet.ahrq.gov/node/34645/psn-pdf
December 23, 2008 - How do patients want physicians to handle mistakes? A
survey of internal medicine patients in an academic
setting.
December 23, 2008
Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of
internal medicine patients in an academic setting. Arch Intern Med. 1996;156(22):2565-9…
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psnet.ahrq.gov/node/36025/psn-pdf
March 28, 2011 - Understanding diagnostic errors in medicine: a lesson
from aviation.
March 28, 2011
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation.
Qual Saf Health Care. 2006;15(3):159-64.
https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
T…
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psnet.ahrq.gov/node/48020/psn-pdf
July 17, 2019 - 'I think this medicine actually killed my wife': patient and
family perspectives on shared decision-making to
optimize medications and safety.
July 17, 2019
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family
perspectives on shared decision-making to optimize …
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psnet.ahrq.gov/node/73366/psn-pdf
June 09, 2021 - Medicine self-administration errors in the older adult
population: a systematic review.
June 9, 2021
Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: a systematic review.
Res Social Adm Pharm. 2021;17(11):1877-1886. doi:10.1016/j.sapharm.2021.03.008.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/44874/psn-pdf
July 11, 2017 - Establishing an ambulatory medicine quality and safety
oversight structure: leveraging the fractal model.
July 11, 2017
Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight
Structure: Leveraging the Fractal Model. Acad Med. 2016;91(7):962-6.
doi:10.1097/ACM.0000000…
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psnet.ahrq.gov/node/60986/psn-pdf
January 01, 2021 - Organisational crisis resource management: leading an
academic department of emergency medicine through the
COVID-19 pandemic.
October 7, 2020
Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic
department of emergency medicine through the COVID-19 pandemic. BMJ Lea…
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psnet.ahrq.gov/node/45041/psn-pdf
September 28, 2016 - Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: a systematic review and
suggested taxonomy.
September 28, 2016
Bhamidipati S, Elliott DJ, Justice EM, et al. Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: A systematic review and suggested …
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psnet.ahrq.gov/node/43713/psn-pdf
December 03, 2014 - Laboratory medicine handoff gaps experienced by
primary care practices: a report from the Shared
Networks of Collaborative Ambulatory Practices and
Partners (SNOCAP).
December 3, 2014
West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care
practices: A report from the sh…
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psnet.ahrq.gov/node/857456/psn-pdf
December 06, 2023 - When mistakes multiply: how inadequate responses to
medical mishaps erode trust in American medicine.
December 6, 2023
Schlesinger M, Grob R. When mistakes multiply: how inadequate responses to medical mishaps erode
trust in American medicine. Hastings Cent Rep. 2023;53(S2):s22-s32. doi:10.1002/hast.1520.
https://…
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psnet.ahrq.gov/node/38579/psn-pdf
February 18, 2011 - Transitions of Care Consensus Policy Statement
American College of Physicians-Society of General
Internal Medicine-Society of Hospital Medicine-American
Geriatrics Society-American College of Emergency
Physicians-Society of Academic Emergency Medicine.
February 18, 2011
Snow V, Beck D, Budnitz T, et al. Transitio…
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psnet.ahrq.gov/node/73107/psn-pdf
April 07, 2021 - Crisis checklists in emergency medicine: another step
forward for cognitive aids.
April 7, 2021
Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids.
BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203.
https://psnet.ahrq.gov/issue/crisis-checklists-em…
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psnet.ahrq.gov/node/867528/psn-pdf
January 15, 2025 - Developing and evaluating large language model-
generated emergency medicine handoff notes.
January 15, 2025
Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated
emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723.
doi:10.1001/jamanetworkopen.2024.48723.
…
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psnet.ahrq.gov/node/39116/psn-pdf
April 30, 2014 - Diagnostic error in medicine: analysis of 583 physician-
reported errors.
April 30, 2014
Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors.
Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/archinternmed.2009.333.
https://psnet.ahrq.gov/issue/diagnostic-err…
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psnet.ahrq.gov/node/40578/psn-pdf
July 06, 2011 - Implementing the 2009 Institute of Medicine
recommendations on resident physician work hours,
supervision, and safety.
July 6, 2011
Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on
resident physician work hours, supervision, and safety. Nat Sci Sleep. 2011;3:47-8…