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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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/…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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-…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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