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psnet.ahrq.gov/issue/third-wrong-sided-brain-surgery-ri-hospital
April 10, 2024 - One reason: doctors don't take them seriously.
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psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
July 08, 2020 - Study
On higher ground: ethical reasoning and its relationship with error disclosure.
Citation Text:
Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496.
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psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters
October 03, 2013 - observation to determine that nurses' decisions whether to interrupt other nurses' work depended on the reason
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psnet.ahrq.gov/issue/overtreatment-united-states
November 21, 2017 - Fear of malpractice was cited as a major reason for overtreatment.
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psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
December 15, 2021 - Study
Use of a structured approach and virtual simulation practice to improve diagnostic reasoning.
Citation Text:
Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…
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psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
January 24, 2024 - One reason: doctors don't take them seriously.
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psnet.ahrq.gov/issue/principles-practice-embedding-clinical-reasoning-longitudinal-curriculum-theme-medical-school
September 09, 2020 - Commentary
From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme.
Citation Text:
Singh M, Collins L, Farrington R, et al. From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a…
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psnet.ahrq.gov/node/41257/psn-pdf
April 22, 2012 - to understand and analyze safety incidents in clinical medicine were drawn from a well-known
James Reason
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psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
February 28, 2024 - Study
“I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists.
Citation Text:
Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. d…
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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/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
August 09, 2024 - One reason: doctors don't take them seriously.
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psnet.ahrq.gov/issue/covid-blindness
August 19, 2020 - May 27, 2020
COVID-19 — a reminder to reason
May 20, 2020
People
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psnet.ahrq.gov/issue/men-its-parkinsons-women-its-hysteria
March 03, 2021 - Cost is just one reason.
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psnet.ahrq.gov/issue/mothers-face-broken-addiction-treatment-system
January 25, 2023 - One reason: doctors don't take them seriously.
May 31, 2023
Saving Moms.
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psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
November 13, 2019 - Was their race a reason?
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psnet.ahrq.gov/issue/without-ounce-empathy-their-stories-show-dangers-being-black-and-pregnant
September 22, 2021 - One reason: doctors don't take them seriously.
May 31, 2023
Saving Moms.
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psnet.ahrq.gov/issue/saving-moms
April 26, 2023 - One reason: doctors don't take them seriously.
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psnet.ahrq.gov/issue/rates-and-characteristics-paid-malpractice-claims-among-us-physicians-specialty-1992-2014
December 19, 2014 - Diagnostic error was the overall most common reason for a claim, affirming the importance of improving
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psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department
April 25, 2016 - Adverse drug events (ADEs) are a common reason for emergency department (ED) visits in elderly patients
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psnet.ahrq.gov/issue/communication-and-shared-understanding-between-parents-and-resident-physicians-night
May 08, 2017 - physicians rated communication highly, there were differences in parent and physician understanding of the reason