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psnet.ahrq.gov/issue/nurse-work-environment-and-its-impact-reasons-missed-care-safety-climate-and-job-satisfaction
April 14, 2021 - Study
Nurse work environment and its impact on reasons for missed care, safety climate, and job satisfaction: a cross-sectional study.
Citation Text:
Dutra CK dos R, Guirardello E de B. Nurse work environment and its impact on reasons for missed care, safety climate, and job satisfaction…
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - Getting the Diagnosis Both Right and Wrong
September 25, 2019
Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
The Case
A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department…
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psnet.ahrq.gov/node/867185/psn-pdf
November 20, 2024 - Perception of medication safety-related behaviors among
different age groups: web-based cross-sectional study.
November 20, 2024
Lang Y, Chen K-Y, Zhou Y, et al. Perception of medication safety-related behaviors among different age
groups: web-based cross-sectional study. Interact J Med Res. 2024;13:e58635. doi:10.…
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psnet.ahrq.gov/issue/reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors
June 27, 2018 - Study
Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders.
Citation Text:
Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)-based inpatient medication orde…
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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/node/49475/psn-pdf
March 01, 2005 - For this
reason, it is common to include a small program called "DICOM reader" (7) on the disk. … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
The reason … Indeed, preventing such failures is one reason that IT is now being deployed.
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psnet.ahrq.gov/node/44000/psn-pdf
July 18, 2016 - Elucidating reasons for resident underutilization of
electronic adverse event reporting.
July 18, 2016
Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse
Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615574504.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/33627/psn-pdf
February 01, 2006 - minor errors in their care, especially if they are
injured.(3,4) Ironically, perhaps the most common reason … However, for an adverse event that
the patient is already aware of, there is every reason—both ethically
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Reason J. Human Error. 1990
Reason J. Human Error.
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - "(2) Missed care thus represents a form of health care underuse
which, argues safety expert James Reason … Reason J.
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psnet.ahrq.gov/node/838127/psn-pdf
September 21, 2022 - Opioid dependence and overdose after surgery: rate, risk
factors, and reasons.
September 21, 2022
Wylie JA, Kong L, Barth RJ. Opioid dependence and overdose after surgery: rate, risk factors, and
reasons. Ann Surg. 2022;276(3):e192-e198. doi:10.1097/sla.0000000000005546.
https://psnet.ahrq.gov/issue/opioid-depende…
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psnet.ahrq.gov/node/43845/psn-pdf
September 26, 2016 - Disrupting diagnostic reasoning: do interruptions,
instructions, and experience affect the diagnostic
accuracy and response time of residents and emergency
physicians?
September 26, 2016
Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instructions,
and experience affe…
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psnet.ahrq.gov/node/47385/psn-pdf
April 27, 2019 - Reasons for repeat rapid response team calls, and
associations with in-hospital mortality.
April 27, 2019
Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with
In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005.
h…
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psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
July 02, 2014 - Study
The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning.
Citation Text:
Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…
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psnet.ahrq.gov/issue/disrupting-diagnostic-reasoning-do-interruptions-instructions-and-experience-affect
February 06, 2014 - Study
Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians?
Citation Text:
Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instr…
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psnet.ahrq.gov/issue/perception-usability-and-implementation-metacognitive-mnemonic-check-cognitive-errors
September 02, 2020 - Study
Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting.
Citation Text:
Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in…
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psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review
April 08, 2020 - Review
Cognitive biases in internal medicine: a scoping review.
Citation Text:
Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review. Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120.
Copy Citation
Format:
DOI Go…
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psnet.ahrq.gov/node/41045/psn-pdf
July 02, 2014 - Relating faults in diagnostic reasoning with diagnostic
errors and patient harm.
July 2, 2014
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.
https://psnet.ahrq.gov/issue/relating-fau…
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psnet.ahrq.gov/webmm/submit-case
AHRQ may decline to review or accept a submission for any reason in its sole discretion.
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psnet.ahrq.gov/node/38730/psn-pdf
June 24, 2009 - Errors in clinical reasoning: causes and remedial
strategies.
June 24, 2009
Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860.
doi:10.1136/bmj.b1860.
https://psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
This commentary analyzes how cogniti…