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psnet.ahrq.gov/node/37367/psn-pdf
May 26, 2011 - Reasons provided by prescribers when overriding
drug–drug interaction alerts.
May 26, 2011
Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug
interaction alerts. Am J Manag Care. 2007;13(10):573-578.
https://psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overridi…
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psnet.ahrq.gov/node/43917/psn-pdf
November 03, 2015 - Underlying reasons associated with hospital readmission
following surgery in the United States.
November 3, 2015
Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following
surgery in the United States. JAMA. 2015;313(5):483-495. doi:10.1001/jama.2014.18614.
https://psnet.a…
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psnet.ahrq.gov/node/45209/psn-pdf
June 29, 2016 - Raising awareness of cognitive biases during diagnostic
reasoning.
June 29, 2016
van Geene K, de Groot E, Erkelens C, et al. Raising awareness of cognitive biases during diagnostic
reasoning. Perspect Med Educ. 2016;5(3):182-5. doi:10.1007/s40037-016-0274-4.
https://psnet.ahrq.gov/issue/raising-awareness-cognitive…
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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - We've been interacting about
and trying to find out the reason for that. … sounds like you believe that indication-based prescribing
would help a little bit, but for whatever reason … conversation-gordon-schiff-md
https://psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason … https://psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason
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psnet.ahrq.gov/node/42890/psn-pdf
February 06, 2014 - The etiology of diagnostic errors: a controlled trial of
System 1 versus System 2 reasoning.
February 6, 2014
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/ACM.0000000000000105.
https://ps…
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psnet.ahrq.gov/node/46619/psn-pdf
March 07, 2018 - Diagnostic error in stroke — reasons and proposed
solutions.
March 7, 2018
Bakradze E, Liberman AL. Diagnostic Error in Stroke-Reasons and Proposed Solutions. Curr Atheroscler
Rep. 2018;20(2):11. doi:10.1007/s11883-018-0712-3.
https://psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
Sto…
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psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication
January 07, 2015 - Study
Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system.
Citation Text:
Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …
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psnet.ahrq.gov/node/49793/psn-pdf
May 01, 2017 - Lehman, MD
https://psnet.ahrq.gov/web-mm/hemolysis-holdup
Hemolysis is the most common reason for … Take-Home Points
Hemolysis is the most common reason for blood specimen rejection by clinical laboratories
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - actions of
clinicians when incidents occur, often using an algorithm such as that advanced by James Reason … Reason J. Managing the Risks of Organizational Accidents. Aldershot, UK: Ashgate; 1998.
3.
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psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during-covid-19
February 09, 2022 - Study
Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic.
Citation Text:
Coen M, Sader J, Junod-Perron N, et al. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Inter…
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psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts
April 27, 2010 - Study
Reasons provided by prescribers when overriding drug–drug interaction alerts.
Citation Text:
Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug interaction alerts. Am J Manag Care. 2007;13(10):573-578.
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…
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psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach
October 29, 2014 - Study
Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach.
Citation Text:
Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13…
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psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - You cannot learn how to
reason on sparse data that way. … The way I reason through the step-by-step process I go through when I'm working up a
patient is simply … It was
to look at the greatest chess players in the universe and see how they reason. … SN: One reason is that, in medicine, attending physicians have a lot of expertise.
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psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - Reason described how
such slips are often associated with practitioners being in "automatic mode," during … Reason J. Human Error. New York, NY: Cambridge University Press; 1990. ISBN: 0521314194.
10.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - non-existent transfer of information
Reception
Misinterpretation or late arrival of proper information
Reason … Reason JT. Managing the Risks of Organizational Accidents.
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psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
November 02, 2022 - Commentary
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure.
Citation Text:
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2…
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psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - Most cited
"convenience" as the major reason for their care, as well as confidence in their own diagnostic … That is no longer allowed at my hospital, and now I understand
for good reason. … policy was
actually in effect in the author's own hospital, he writes, "and now I understand for good reason
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psnet.ahrq.gov/node/60975/psn-pdf
September 30, 2020 - Evidence on Use of Clinical Reasoning Checklists for
Diagnostic Error Reduction.
September 30, 2020
Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
AHRQ Publication No. 20-0040-3-EF.
https://psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic…
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psnet.ahrq.gov/issue/evaluation-reasons-why-surgical-residents-exceeded-2011-duty-hour-requirements-when-offered
September 02, 2020 - Study
Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility.
Citation Text:
Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011 Duty Hour Requirements When Offered Flexibility: A FIRST Tri…
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psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
February 27, 2019 - Review
Educational agenda for diagnostic error reduction.
Citation Text:
Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622.
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