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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - A narrow view of patient safety is if you, for example, give the wrong medicines to someone and they … If you just saw that in a clinic setting, often providers would say, oh, you're not adhering to medicines
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psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
July 05, 2017 - Review
Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics.
Citation Text:
Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Clin Chem Lab Med. 2009;…
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psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
November 03, 2021 - Book/Report
Classic
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences.
Citation Text:
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Helmreich RL, Merritt AC. Brookfi…
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
January 26, 2022 - Toolkit
Reducing Adverse Drug Events Related to Opioids Implementation Guide.
Citation Text:
Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
Copy Citation
…
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psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
November 18, 2013 - Study
Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine.
Citation Text:
Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic…
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psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking
July 03, 2014 - Study
Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases.
Citation Text:
Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…
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psnet.ahrq.gov/issue/effect-availability-bias-and-reflective-reasoning-diagnostic-accuracy-among-internal-medicine
March 12, 2014 - Study
Classic
Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.
Citation Text:
Mamede S, Van Gog T, Van den Berge K, et al. Effect of availability bias and reflective reasoning on diagnostic accuracy a…
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psnet.ahrq.gov/node/34711/psn-pdf
February 18, 2011 - The Institute of Medicine report on medical errors—could
it do harm?
February 18, 2011
Brennan TA. The Institute of Medicine report on medical errors--could it do harm? N Engl J Med.
2002;342(15):1123-1125. doi:10.1056/nejm200004133421510.
https://psnet.ahrq.gov/issue/institute-medicine-report-medical-errors-could…
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psnet.ahrq.gov/node/36605/psn-pdf
January 14, 2011 - Drug-related hospitalizations in a tertiary care internal
medicine service of a Canadian hospital: a prospective
study.
January 14, 2011
Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service
of a Canadian hospital: a prospective study. Pharmacotherapy. 2006;2…
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psnet.ahrq.gov/node/36738/psn-pdf
August 02, 2011 - Barriers and motivators for making error reports from
family medicine offices: a report from the American
Academy of Family Physicians National Research
Network (AAFP NRN).
August 2, 2011
Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from family medicine
offices: a report f…
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psnet.ahrq.gov/node/46871/psn-pdf
July 14, 2018 - Understanding diagnostic safety in emergency medicine:
a case?by?case review of closed ED malpractice claims.
July 14, 2018
Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case-
by-case review of closed ED malpractice claims. J Healthc Risk Manag. 2018;38(1):48-53.
…
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psnet.ahrq.gov/node/60911/psn-pdf
September 16, 2020 - Prevalence and characterisation of diagnostic error
among 7-day all-cause hospital medicine readmissions: a
retrospective cohort study.
September 16, 2020
Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all-
cause hospital medicine readmissions: a retrospectiv…
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - In Conversation with…Pat Croskerry, MD, PhD
June 1, 2010
Also Read an Essay
Citation Text:
In Conversation with…Pat Croskerry, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.…
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psnet.ahrq.gov/node/42377/psn-pdf
June 26, 2013 - Simulation in Maternal Fetal Medicine.
June 26, 2013
Goffman D, ed. Semin Perinatol. 2013;37(3):139-204.
https://psnet.ahrq.gov/issue/simulation-maternal-fetal-medicine
Articles in this special issue discuss how simulation can enhance teamwork, identify system issues, and
improve patient outcomes in obstetr…
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psnet.ahrq.gov/node/35796/psn-pdf
March 22, 2006 - Healing Words: The Power of Apology in Medicine. 2nd
edition.
March 22, 2006
Woods MS. Oakbrook Terrace IL: Joint Commission Resources; 2007.
https://psnet.ahrq.gov/issue/healing-words-power-apology-medicine
The author proposes a straightforward approach and practical advice on apologizing to patien…
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psnet.ahrq.gov/node/33978/psn-pdf
December 18, 2008 - Identification errors in pathology and laboratory
medicine.
December 18, 2008
Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med.
2004;24(4):979-96, vii.
https://psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
This article examines how i…
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psnet.ahrq.gov/node/38683/psn-pdf
November 03, 2012 - Errors in Laboratory Medicine and Patient Safety.
November 3, 2012
Plebani M, ed. Clinica Chimica Acta. 2009;404(1):1-86.
https://psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety
This collection of papers presented at an international conference on laboratory medicine focuses on
efforts to reduce…
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psnet.ahrq.gov/node/35388/psn-pdf
February 24, 2011 - Preventing communication errors in telephone medicine.
February 24, 2011
Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med.
2005;20(10):959-63.
https://psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
The authors use case scenarios to illustrate po…
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psnet.ahrq.gov/node/36749/psn-pdf
July 26, 2011 - Diagnostic errors and reflective practice in medicine.
July 26, 2011
Mamede S, Schmidt HG, Rikers RMJP. Diagnostic errors and reflective practice in medicine. J Eval Clin
Pract. 2006;13(1). doi:10.1111/j.1365-2753.2006.00638.x.
https://psnet.ahrq.gov/issue/diagnostic-errors-and-reflective-practice-medicine
The aut…
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psnet.ahrq.gov/node/60347/psn-pdf
January 01, 2021 - Patient safety education 20 years after the Institute of
Medicine report: results from a cross-sectional national
survey.
May 20, 2020
Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report:
results from a cross-sectional national survey. J Patient Saf. 2021;17(…