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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/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/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/web-mm/techno-trip
May 01, 2005 - For this reason, it is common to include a small program called "DICOM reader" ( 7 ) on the disk. … The reason for these qualitative differences in failures with IT can be traced to the nature of IT itself … Indeed, preventing such failures is one reason that IT is now being deployed.
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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/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors-and-successes
January 15, 2025 - Study
Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes.
Citation Text:
Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):…
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psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
February 06, 2019 - October 5, 2022
Including the reason for use on prescriptions sent to pharmacists: scoping
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psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-tool
May 27, 2011 - December 19, 2018
Outcomes in two Massachusetts hospital systems give reason for optimism
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psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
October 03, 2011 - 18, 2019
Incorporating indications into medication ordering—time to enter the age of reason
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psnet.ahrq.gov/issue/think-twice-effects-diagnostic-accuracy-returning-case-reflect-upon-initial-diagnosis
June 08, 2022 - Study
Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis.
Citation Text:
Mamede S, Hautz WE, Berendonk C, et al. Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis. Acad Med. 2…
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psnet.ahrq.gov/node/838137/psn-pdf
September 21, 2022 - How insight contributes to diagnostic excellence.
September 21, 2022
Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-
315. doi:10.1515/dx-2022-0007.
https://psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
Improving diagnostic reasoning skil…
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psnet.ahrq.gov/node/38954/psn-pdf
September 16, 2009 - For all the right reasons.
September 16, 2009
Hagland M.
https://psnet.ahrq.gov/issue/all-right-reasons
This article discusses approaching computerized provider order entry (CPOE) implementation from a
patient safety perspective and shares success stories from numerous US hospitals.
https://psnet.ahrq.gov/issue/a…
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psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
October 29, 2014 - Commentary
Reason's accident causation model: application to adverse events in acute care.
Citation Text:
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.
…
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psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
March 21, 2017 - Study
Reasons for after-hours calls by hospital floor nurses to on-call physicians.
Citation Text:
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.
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F…
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons
January 10, 2018 - Review
Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model.
Citation Text:
Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying …
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psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
February 24, 2010 - Study
Reasons for not reporting patient safety incidents in general practice: a qualitative study.
Citation Text:
Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general practice: a qualitative study. Scand J Prim Health Care. 2012;30(4):199-2…
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psnet.ahrq.gov/issue/influence-perceived-difficulty-cases-student-osteopaths-diagnostic-reasoning-cross-sectional
February 03, 2011 - Study
Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study.
Citation Text:
Noyer AL, Esteves JE, Thomson OP. Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study. Chiropr…
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psnet.ahrq.gov/node/60278/psn-pdf
April 29, 2020 - Assessing patient safety in a pediatric telemedicine
setting: a multi-methods study.
April 29, 2020
Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine
setting: a multi-methods study. BMC Med Inform Decis Mak. 2020;20(1). doi:10.1186/s12911-020-1074-7.
https://ps…
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psnet.ahrq.gov/node/45413/psn-pdf
September 21, 2016 - A piece of my mind. Snakes on a dock.
September 21, 2016
Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179.
https://psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
Storytelling has been advocated as a strategy to teach and augment awareness in patient safety. In this
commentary, the…
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psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
February 14, 2017 - Review
Cognitive diagnostic error in internal medicine.
Citation Text:
Van den Berge K, Mamede S. Cognitive diagnostic error in internal medicine. Eur J Intern Med. 2013;24(6):525-9. doi:10.1016/j.ejim.2013.03.006.
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