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psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
April 24, 2018 - Review
The patient is in: patient involvement strategies for diagnostic error mitigation.
Citation Text:
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…
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psnet.ahrq.gov/issue/education-next-frontier-patient-safety-longitudinal-resident-curriculum-diagnostic-error
January 16, 2019 - Commentary
Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error.
Citation Text:
Ruedinger E, Olson M, Yee J, et al. Education for the Next Frontier in Patient Safety: A Longitudinal Resident Curriculum on Diagnostic Error. Am J Med Qua…
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psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
September 12, 2018 - Book/Report
Building a Better Delivery System: A New Engineering/Health Care Partnership.
Citation Text:
Building a Better Delivery System: A New Engineering/Health Care Partnership. Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Enginee…
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psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
April 12, 2019 - Commentary
The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking.
Citation Text:
Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…
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psnet.ahrq.gov/issue/clinical-reasoning-generative-artificial-intelligence-model-compared-physicians
November 13, 2024 - Study
Clinical reasoning of a generative artificial intelligence model compared with physicians.
Citation Text:
Cabral S, Restrepo D, Kanjee Z, et al. Clinical reasoning of a generative artificial intelligence model compared with physicians. JAMA Intern Med. 2024;184(5):581-583. doi:10.1…
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psnet.ahrq.gov/issue/impact-duty-hour-regulations-medical-students-education-views-key-clinical-faculty
May 20, 2019 - Study
Impact of duty hour regulations on medical students' education: views of key clinical faculty.
Citation Text:
Reed DA, Levine RB, Miller RG, et al. Impact of duty hour regulations on medical students' education: views of key clinical faculty. J Gen Intern Med. 2008;23(7):1084-9. …
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psnet.ahrq.gov/issue/understanding-context-specificity-effect-contextual-factors-clinical-reasoning
August 19, 2020 - Study
Understanding context specificity: the effect of contextual factors on clinical reasoning.
Citation Text:
Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:…
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - The Dropped Lung
Citation Text:
Heffner JR. The Dropped Lung. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/42151/psn-pdf
December 21, 2014 - Effect of the 2011 vs 2003 duty hour regulation-compliant
models on sleep duration, trainee education, and
continuity of patient care among internal medicine house
staff: a randomized trial.
December 21, 2014
Desai SV, Feldman LS, Brown L, et al. Effect of the 2011 vs 2003 Duty Hour Regulation–Compliant Models
on…
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psnet.ahrq.gov/innovations
February 26, 2025 - Innovations
The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - SPOTLIGHT CASE
Delay in Initiating Antibiotics Results in Fatal Error
Citation Text:
Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed?
Helen Haskell, MA | June 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Haskell H. Patient Advocacy in Patient Safety: Have Things Changed?. PSNet [internet]. Ro…
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psnet.ahrq.gov/node/35151/psn-pdf
March 29, 2007 - Identifying and Preventing Medication Errors.
March 29, 2007
Institute of Medicine; IOM
https://psnet.ahrq.gov/issue/identifying-and-preventing-medication-errors
The Institute of Medicine was directed by Congress to conduct a comprehensive study on medication
safety and quality. This web site disseminates informat…
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - Failed Interpretation of Screening Tool: Delayed Treatment
Citation Text:
Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - One Toxic Drug Is Not Like Another
February 1, 2011
Holmboe ES. One Toxic Drug Is Not Like Another. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
Case Objectives
Distinguish between the three distinct regulatory processes of board certification, medical licensure,
and credential…
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psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
July 14, 2010 - Study
Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.
Citation Text:
Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. P…
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psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons
January 04, 2010 - Study
The impact of the 80-hour resident workweek on surgical residents and attending surgeons.
Citation Text:
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…
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psnet.ahrq.gov/issue/impact-regionalized-care-concordance-plan-and-preventable-adverse-events-general-medicine
November 16, 2022 - Study
Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services.
Citation Text:
Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine service…
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psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency
April 29, 2015 - Study
Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital.
Citation Text:
Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emerge…
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psnet.ahrq.gov/issue/i-made-mistake-narrative-analysis-experienced-physicians-stories-preventable-error
September 26, 2016 - Study
“I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error.
Citation Text:
Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(…