-
psnet.ahrq.gov/node/47620/psn-pdf
January 16, 2019 - Factors underlying suboptimal diagnostic performance in
physicians under time pressure.
January 16, 2019
ALQahtani DA, Rotgans JI, Mamede S, et al. Factors underlying suboptimal diagnostic performance in
physicians under time pressure. Med Educ. 2018;52(12):1288-1298. doi:10.1111/medu.13686.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/37689/psn-pdf
April 16, 2008 - Resident uncertainty in clinical decision making and
impact on patient care: a qualitative study.
April 16, 2008
Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on
patient care: a qualitative study. Qual Saf Health Care. 2008;17(2):122-6. doi:10.1136/qshc.2007.0…
-
psnet.ahrq.gov/node/41394/psn-pdf
December 29, 2014 - An adverse event screening tool based on routinely
collected hospital-acquired diagnoses.
December 29, 2014
Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected
hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10.1093/intqhc/mzs007.
https://p…
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psnet.ahrq.gov/node/44070/psn-pdf
September 09, 2015 - Communication of vital signs at emergency department
handoff: opportunities for improvement.
September 9, 2015
Venkatesh AK, Curley D, Chang Y, et al. Communication of Vital Signs at Emergency Department Handoff:
Opportunities for Improvement. Ann Emerg Med. 2015;66(2):125-30.
doi:10.1016/j.annemergmed.2015.02.025…
-
psnet.ahrq.gov/node/33934/psn-pdf
March 02, 2011 - A hospitalization from hell: a patient's perspective on
quality.
March 2, 2011
Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-
39.
https://psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality
The author shares the unique perspectives of…
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psnet.ahrq.gov/node/37098/psn-pdf
October 04, 2011 - How residents think and make medical decisions:
implications for education and patient safety.
October 4, 2011
Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for
education and patient safety. Am Surg. 2007;73(6):548-553; discussion 553-4.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/842774/psn-pdf
January 18, 2023 - ER doctors misdiagnose patients with unusual
symptoms.
January 18, 2023
Abelson R. New York Times. December 15, 2022.
https://psnet.ahrq.gov/issue/er-doctors-misdiagnose-patients-unusual-symptoms
Emergency department safety is challenged by factors such as production pressure, burnout, and
overcrowding. This news…
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psnet.ahrq.gov/node/838083/psn-pdf
September 14, 2022 - A pause in pediatrics: implementation of a pediatric
diagnostic time-out.
September 14, 2022
Yale SC, Cohen SS, Kliegman RM, et al. A pause in pediatrics: implementation of a pediatric diagnostic
time-out. Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010.
https://psnet.ahrq.gov/issue/pause-pediatrics-…
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psnet.ahrq.gov/node/44058/psn-pdf
July 03, 2016 - Metric units and the preferred dosing of orally
administered liquid medications.
July 3, 2016
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015-
0072.
https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
Accident…
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psnet.ahrq.gov/node/73546/psn-pdf
July 28, 2021 - A tragic death shows how ERs fail patients who struggle
with addiction.
July 28, 2021
Pattani A. Health Shots. National Public Radio. July 14, 2021.
https://psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction
Patients with substance abuse disorders face challenges to safe…
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psnet.ahrq.gov/node/46322/psn-pdf
August 02, 2017 - Sophisticated digital aids could help determine what ails
you.
August 2, 2017
Maron DF. Scientific American. July 21, 2017.
https://psnet.ahrq.gov/issue/sophisticated-digital-aids-could-help-determine-what-ails-you
Clinical decision support systems are a key strategy to improve diagnostic accuracy. This magazine a…
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psnet.ahrq.gov/node/47997/psn-pdf
May 08, 2019 - Blind spots in the science of safety.
May 8, 2019
Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979.
doi:10.1016/S0140-6736(19)30441-6.
https://psnet.ahrq.gov/issue/blind-spots-science-safety
Safety sciences offer methods to enhance processes and develop organizational cul…
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psnet.ahrq.gov/node/43527/psn-pdf
September 24, 2014 - The morbidity and mortality conference in PICUs in the
United States: a national survey.
September 24, 2014
Cifra CL, Bembea MM, Fackler JC, et al. The morbidity and mortality conference in PICUs in the United
States: a national survey. Crit Care Med. 2014;42(10):2252-7. doi:10.1097/CCM.0000000000000505.
https://p…
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psnet.ahrq.gov/node/74244/psn-pdf
May 30, 2019 - Racial and ethnic differences in the experience and
treatment of noncancer pain.
May 30, 2019
Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of
noncancer pain. Pain Manag. 2019;9(3):317-334. doi:10.2217/pmt-2018-0030.
https://psnet.ahrq.gov/issue/racial-and-eth…
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psnet.ahrq.gov/node/43759/psn-pdf
September 29, 2017 - Patients' expectations of the benefits and harms of
treatments, screening, and tests: a systematic review.
September 29, 2017
Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and
tests: a systematic review. JAMA Intern Med. 2015;175(2):274-286.
doi:10.1001/jamainte…
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psnet.ahrq.gov/node/73894/psn-pdf
February 22, 2022 - Achieving Excellence in Cancer Diagnosis: Proceedings
of a Workshop—in Brief.
February 22, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National
Academies Press; 2022.
https://psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis
Diagnostic errors remain an o…
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psnet.ahrq.gov/node/837155/psn-pdf
November 15, 2022 - Advancing Diagnostic Excellence for Older Adults:
Proceedings of a Workshop in Brief.
November 15, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National
Academies Press; 2022. ISBN 9780309696333.
https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-ol…
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psnet.ahrq.gov/node/35766/psn-pdf
March 02, 2011 - Unexpected hypoglycemia in a critically ill patient.
March 2, 2011
Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6.
https://psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
This case study shares the experiences of a patient who suffered a medicati…
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psnet.ahrq.gov/node/839824/psn-pdf
November 09, 2022 - Improving diagnostic decision support through deliberate
reflection: a proposal.
November 9, 2022
Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal.
Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062.
https://psnet.ahrq.gov/issue/improving-diagnostic-de…
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psnet.ahrq.gov/node/865345/psn-pdf
March 27, 2024 - The limits of clinician vigilance as an AI safety bulwark.
March 27, 2024
Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark.
JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620.
https://psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
Human…