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psnet.ahrq.gov/node/60527/psn-pdf
May 27, 2020 - The flaw of medicine: addressing racial and gender
disparities in critical care.
May 27, 2020
Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in
critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.2020.01.011.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/42290/psn-pdf
May 22, 2013 - Safety in Numbers: Evidence-based Development of a
Medicine Management Learning Tool.
May 22, 2013
Holland K, ed. Nurse Educ Pract. 2013;13(2):e1-e87.
https://psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-
learning-tool
Articles in this special issue outline the developm…
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psnet.ahrq.gov/node/39432/psn-pdf
April 08, 2011 - The response of the APPD, CoPS and AAP to the Institute
of Medicine report on resident duty hours.
April 8, 2011
Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of
Medicine report on resident duty hours. Pediatrics. 2010;125(4):786-790. doi:10.1542/peds.2009-2149.
ht…
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psnet.ahrq.gov/node/35419/psn-pdf
February 15, 2010 - College of American Pathologists Special Topic
Symposium on Error in Pathology and Laboratory
Medicine—Practical Lessons for the Pathologist.
February 15, 2010
Sirota RL, Zarbo RJ, eds. Arch Pathol Lab Med. 2005;129(10):1226–1276.
https://psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-e…
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psnet.ahrq.gov/node/865588/psn-pdf
April 17, 2024 - Inattentional blindness in medicine.
April 17, 2024
Hults CM, Ding Y, Xie GG, et al. Inattentional blindness in medicine. Cogn Res Princ Implic. 2024;9(1):18.
doi:10.1186/s41235-024-00537-x.
https://psnet.ahrq.gov/issue/inattentional-blindness-medicine
Inattentional blindness occurs when a person is focused so int…
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psnet.ahrq.gov/node/38812/psn-pdf
April 12, 2011 - Management of test results in family medicine offices.
April 12, 2011
Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam
Med. 2009;7(4):343-51. doi:10.1370/afm.961.
https://psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
This study evaluated co…
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psnet.ahrq.gov/node/41293/psn-pdf
June 01, 2012 - Developing an action plan for patient radiation safety in
adult cardiovascular medicine.
June 1, 2012
Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult
cardiovascular medicine: proceedings from the Duke University Clinical Research Institute/American
College o…
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psnet.ahrq.gov/node/44143/psn-pdf
April 15, 2016 - "First, know thyself": cognition and error in medicine.
April 15, 2016
Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol.
2016;53(2):169-175. doi:10.1007/s00592-015-0762-8.
https://psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
Cognition …
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psnet.ahrq.gov/node/72611/psn-pdf
December 23, 2020 - Improving Diagnosis in Medicine Act of 2020.
December 23, 2020
116th Congress 2d session. December 10, 2020.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
The strengthening of diagnostic error research and processes can strategically ensure lasting diagnostic
improvement. The ‘‘Improving Diagn…
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psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
May 08, 2019 - Study
How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?
Citation Text:
Chu D, Xiao J, Shah P, et al. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?…
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psnet.ahrq.gov/issue/results-enhanced-clinic-handoff-and-resident-education-resident-patient-ownership-and-patient
March 28, 2018 - Study
Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety.
Citation Text:
Pincavage A, Dahlstrom M, Prochaska M, et al. Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety.…
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psnet.ahrq.gov/issue/barriers-accessing-nighttime-supervisors-national-survey-internal-medicine-residents
October 12, 2022 - Study
Barriers to accessing nighttime supervisors: a national survey of internal medicine residents.
Citation Text:
Catalanotti JS, O’Connor AB, Kisielewski M, et al. Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. J Gen Intern Med. 2021;36…
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psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
February 14, 2024 - Study
Classic
The attributes of medical event reporting systems.
Citation Text:
Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicin…
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psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
August 04, 2021 - Tools/Toolkit
Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence.
Citation Text:
Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. Houston TX; Baylor College of Medicine: 2022.
Copy Citation
Save
Save to your l…
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psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
May 31, 2006 - Special or Theme Issue
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons for the Pathologist.
Citation Text:
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Pra…
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psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking-medicine
September 11, 2019 - Book/Report
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine.
Citation Text:
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. Howard J. Cham, Switzerland: Springer Nature Switzerland; 2019. ISBN: 9…
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psnet.ahrq.gov/node/46937/psn-pdf
March 14, 2018 - Resident shift handoff strategies in US internal medicine
residency programs.
March 14, 2018
Wray CM, Chaudhry S, Pincavage A, et al. Resident Shift Handoff Strategies in US Internal Medicine
Residency Programs. JAMA. 2016;316(21):2273-2275. doi:10.1001/jama.2016.17786.
https://psnet.ahrq.gov/issue/resident-shift-…
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psnet.ahrq.gov/node/836871/psn-pdf
April 06, 2022 - The spectrum of harm associated with modern medicine.
April 6, 2022
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-
667. doi:10.1007/s11606-021-06997-x.
https://psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
Interest in harm resulting from medical…
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psnet.ahrq.gov/node/837336/psn-pdf
June 08, 2022 - Automated identification of diagnostic labelling errors in
medicine.
June 8, 2022
Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine.
Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039.
https://psnet.ahrq.gov/issue/automated-identification-diagnostic-labe…
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psnet.ahrq.gov/node/47485/psn-pdf
January 09, 2019 - System-related and cognitive errors in laboratory
medicine.
January 9, 2019
Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-
196. doi:10.1515/dx-2018-0085.
https://psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
Problems managing …