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psnet.ahrq.gov/node/60891/psn-pdf
September 09, 2020 - Using the NAM diagnostic process framework to teach
clinical reasoning in computerized case presentations to
251 medical students.
September 9, 2020
Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning
in computerized case presentations to 251 medical students. Di…
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psnet.ahrq.gov/node/47065/psn-pdf
June 20, 2018 - The complexity, diversity, and science of primary care
teams.
June 20, 2018
Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol.
2018;73(4):451-467. doi:10.1037/amp0000244.
https://psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams
Teamwork is …
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psnet.ahrq.gov/node/45657/psn-pdf
March 08, 2017 - The causes of errors in clinical reasoning: cognitive
biases, knowledge deficits, and dual process thinking.
March 8, 2017
Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases,
Knowledge Deficits, and Dual Process Thinking. Acad Med. 2017;92(1):23-30.
doi:10.1097/…
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psnet.ahrq.gov/node/865810/psn-pdf
May 08, 2024 - Reframing the morbidity and mortality conference: the
impact of a just culture.
May 8, 2024
Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just
culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224.
https://psnet.ahrq.gov/issue/reframing-mo…
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psnet.ahrq.gov/node/47271/psn-pdf
August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid
Epidemic.
August 8, 2018
National Academy of Medicine; Aspen Institute.
https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic
Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the
Un…
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psnet.ahrq.gov/node/74843/psn-pdf
February 16, 2022 - Association of adverse events in opioid addiction
treatment with quality measure for continuity of
pharmacotherapy.
February 16, 2022
Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure
for continuity of pharmacotherapy. J Healthc Qual. 2022;44(3):e38-e43.
d…
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psnet.ahrq.gov/node/47800/psn-pdf
June 26, 2019 - Error and Uncertainty in Diagnostic Radiology.
June 26, 2019
Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to
uncer…
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psnet.ahrq.gov/node/851885/psn-pdf
January 01, 2024 - When to err is inhuman: an examination of the influence
of artificial intelligence-driven nursing care on patient
safety.
August 2, 2023
Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of
artificial intelligence?driven nursing care on patient safety. Nurs Inq. 2024;31…
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psnet.ahrq.gov/node/854982/psn-pdf
November 01, 2023 - Adverse drug event prevention and detection in older
emergency department patients.
November 1, 2023
Koehl JL. Adverse drug event prevention and detection in older emergency department patients. Clin
Geriatr Med. 2023;39(4):635-645. doi:10.1016/j.cger.2023.04.008.
https://psnet.ahrq.gov/issue/adverse-drug-event-pr…
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psnet.ahrq.gov/node/45271/psn-pdf
August 10, 2016 - Patient identification and tube labelling—a call for
harmonisation.
August 10, 2016
van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for
harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015-
1089.
https://psnet.ah…
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psnet.ahrq.gov/node/46514/psn-pdf
October 18, 2017 - Comparison of clinical diagnoses and autopsy findings:
six-year retrospective study.
October 18, 2017
Marshall HS, Milikowski C. Comparison of clinical diagnoses and autopsy findings: six-year retrospective
study. Arch Pathol Lab Med. 2017;141(9):1262-1266. doi:10.5858/arpa.2016-0488-oa.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/836963/psn-pdf
April 20, 2022 - Investigating the impact of cognitive bias in nursing
documentation on decision-making and judgement.
April 20, 2022
Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision?
making and judgement. Int J Mental Health Nurs. 2022;31(4):897-907. doi:10.1111/inm.12997.
…
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psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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psnet.ahrq.gov/node/73658/psn-pdf
September 01, 2021 - Predicting self-intercepted medication ordering errors
using machine learning.
September 1, 2021
King CR, Abraham J, Fritz BA, et al. Predicting self-intercepted medication ordering errors using machine
learning. PLoS One. 2021;16(7):e0254358. doi:10.1371/journal.pone.0254358.
https://psnet.ahrq.gov/issue/predicti…
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psnet.ahrq.gov/node/61089/psn-pdf
January 01, 2021 - Cognitive bias impact on management of postoperative
complications, medical error, and standard of care.
November 4, 2020
Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative
complications, medical error, and standard of care. J Surg Res. 2021;258:47-53.
doi:10.1016/j…
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psnet.ahrq.gov/node/43172/psn-pdf
May 14, 2014 - Clinical clerkship students' perceptions of (un)safe
transitions for every patient.
May 14, 2014
Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for
Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/60630/psn-pdf
June 24, 2020 - Education is “predictably disappointing” and should
never be relied upon alone to improve safety.
June 24, 2020
ISMP Medication Safety Alert! Acute care edition. June 4, 2020;25(11):1-4.
https://psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-
improve-safety
Interven…
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psnet.ahrq.gov/node/38681/psn-pdf
June 03, 2009 - To Err Is Human — To Delay Is Deadly.
June 3, 2009
Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
https://psnet.ahrq.gov/issue/err-human-delay-deadly
The 10 years since the release of the Institute of Medicine's To Err Is Human report have yielded some
improvements in patient safety, but this Consumers …
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psnet.ahrq.gov/node/73701/psn-pdf
September 15, 2021 - Simulation-based education enhances patient safety
behaviors during central venous catheter placement.
September 15, 2021
Jagneaux T, Caffery TS, Musso MW, et al. Simulation-based education enhances patient safety behaviors
during central venous catheter placement. J Patient Saf. 2021;17(6):425-429.
doi:10.1097/pt…
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psnet.ahrq.gov/node/39732/psn-pdf
August 04, 2010 - A comparative resident site visit project: a novel
approach for implementing programmatic change in the
duty hours era.
August 4, 2010
Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach
for implementing programmatic change in the duty hours era. Acad Med. 2010;…