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psnet.ahrq.gov/node/45765/psn-pdf
April 05, 2017 - Clinical reasoning in the context of active decision
support during medication prescribing.
April 5, 2017
Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during
medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.ijmedinf.2016.09.004.
https://psne…
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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/39224/psn-pdf
August 11, 2015 - Diagnostic error and clinical reasoning.
August 11, 2015
Norman GR, Eva KW. Diagnostic error and clinical reasoning. Med Educ. 2010;44(1):94-100.
doi:10.1111/j.1365-2923.2009.03507.x.
https://psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning
This article reviews evidence on the cognitive origins of diag…
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psnet.ahrq.gov/issue/clinical-reasoning-context-active-decision-support-during-medication-prescribing
February 14, 2024 - Study
Clinical reasoning in the context of active decision support during medication prescribing.
Citation Text:
Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.…
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psnet.ahrq.gov/issue/provider-implicit-bias-bringing-awareness-clinical-practice
November 30, 2016 - One reason: doctors don't take them seriously.
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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/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/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/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/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/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/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/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/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/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/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/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/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/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…