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psnet.ahrq.gov/node/41060/psn-pdf
September 06, 2013 - Flaws in clinical reasoning: a common cause of
diagnostic error.
September 6, 2013
Wellbery C. Flaws in clinical reasoning: a common cause of diagnostic error. Am Fam Physician.
2011;84(9):1042-8.
https://psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error
Through an illustrative case repo…
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psnet.ahrq.gov/node/46297/psn-pdf
March 21, 2018 - Reasons for computerised provider order entry (CPOE)-
based inpatient medication ordering errors: an
observational study of voided orders.
March 21, 2018
Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)-
based inpatient medication ordering errors: an observational s…
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psnet.ahrq.gov/node/36914/psn-pdf
March 21, 2017 - Reasons for after-hours calls by hospital floor nurses to
on-call physicians.
March 21, 2017
Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-
call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9.
https://psnet.ahrq.gov/issue/reasons-after-hours-call…
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psnet.ahrq.gov/node/46889/psn-pdf
October 13, 2018 - Evaluation of reasons why surgical residents exceeded
2011 duty hour requirements when offered flexibility.
October 13, 2018
Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011
Duty Hour Requirements When Offered Flexibility: A FIRST Trial Analysis. JAMA Surg. 2018;153…
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psnet.ahrq.gov/issue/retrievals
August 16, 2023 - One reason: doctors don't take them seriously.
May 31, 2023
Saving Moms.
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psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-care-advocates-say
August 09, 2023 - One reason: doctors don't take them seriously.
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psnet.ahrq.gov/node/42043/psn-pdf
February 13, 2013 - Reason's accident causation model: application to
adverse events in acute care.
February 13, 2013
Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in
acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22.
https://psnet.ahrq.gov/issue/reasons-…
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psnet.ahrq.gov/node/837202/psn-pdf
May 25, 2022 - Reasons for bias in ambulance clinicians' assessments of
non-conveyed patients: a mixed-methods study.
May 25, 2022
Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-
conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(1):79. doi:10.1186/s12873-022-
006…
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psnet.ahrq.gov/issue/relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm
April 30, 2014 - Study
Relating faults in diagnostic reasoning with diagnostic errors and patient harm.
Citation Text:
Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6.
Copy…
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psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
June 08, 2022 - Commentary
How insight contributes to diagnostic excellence.
Citation Text:
Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-315. doi:10.1515/dx-2022-0007.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML …
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psnet.ahrq.gov/node/867635/psn-pdf
February 26, 2025 - Diagnostic safety: needs assessment and informed
curriculum at an academic children's hospital.
February 26, 2025
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at
an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.…
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psnet.ahrq.gov/node/867132/psn-pdf
November 13, 2024 - Large language model influence on diagnostic reasoning:
a randomized clinical trial.
November 13, 2024
Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized
clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.2024.40969.
https://psnet.ahrq.g…
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psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics
September 14, 2022 - Commentary
Classic
Good and bad reasons: the Swiss cheese model and its critics.
Citation Text:
Larouzee J, Le Coze J-C. Good and bad reasons: the Swiss cheese model and its critics. Safety Sci. 2020;126:104660. doi:10.1016/j.ssci.2020.104660.
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…
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psnet.ahrq.gov/node/50572/psn-pdf
October 23, 2019 - Five reasons for optimism on World Patient Safety Day.
October 23, 2019
Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day.
Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8.
https://psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day
…
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psnet.ahrq.gov/issue/cancer-drug-shortages-are-creating-dire-circumstances-some-patients
September 21, 2022 - One reason: doctors don't take them seriously.
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psnet.ahrq.gov/node/60799/psn-pdf
August 12, 2020 - Good and bad reasons: the Swiss cheese model and its
critics.
August 12, 2020
Larouzee J, Le Coze J-C. Good and bad reasons: the Swiss cheese model and its critics. Safety Sci.
2020;126:104660. doi:10.1016/j.ssci.2020.104660.
https://psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics
Thi…
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psnet.ahrq.gov/node/43393/psn-pdf
July 30, 2014 - Effectiveness of the surgical safety checklist in correcting
errors: a literature review applying Reason's Swiss
cheese model.
July 30, 2014
Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a
literature review applying Reason's Swiss cheese model. AORN J…
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psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
October 23, 2019 - August 20, 2018
Outcomes in two Massachusetts hospital systems give reason for optimism
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psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
January 29, 2020 - One reason: doctors don't take them seriously.
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psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars
March 03, 2021 - One reason: doctors don't take them seriously.