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psnet.ahrq.gov/node/43726/psn-pdf
September 01, 2016 - study found
alert overrides occurred most frequently in the emergency department, and the most common reason
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psnet.ahrq.gov/issue/clinical-reasoning-generative-artificial-intelligence-model-compared-physicians
November 13, 2024 - Study
Clinical reasoning of a generative artificial intelligence model compared with physicians.
Citation Text:
Cabral S, Restrepo D, Kanjee Z, et al. Clinical reasoning of a generative artificial intelligence model compared with physicians. JAMA Intern Med. 2024;184(5):581-583. doi:10.1…
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psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
February 06, 2019 - Recommendations include that patients know the reason they are taking each medication, speak up if any
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psnet.ahrq.gov/node/843329/psn-pdf
February 01, 2023 - one year, all EN orders were
barcode scanned and nearly all were documented as given or included a reason
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psnet.ahrq.gov/node/865708/psn-pdf
May 01, 2024 - Given the most frequently endorsed reason for missed
nursing care is understaffing, and that a quarter
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psnet.ahrq.gov/node/46443/psn-pdf
September 27, 2017 - Fear of malpractice was cited as a
major reason for overtreatment.
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psnet.ahrq.gov/glossary/active-error-or-active-failure
September 13, 2021 - Anonymous (not verified)
The terms active and latent as applied to errors were coined by Reason
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psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
March 01, 2023 - Review
Diagnostic error in stroke — reasons and proposed solutions.
Citation Text:
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.
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Format:
DOI Google Schola…
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psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
August 25, 2021 - Commentary
Errors in clinical reasoning: causes and remedial strategies.
Citation Text:
Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XM…
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - SPOTLIGHT CASE
A Missed Bowel Perforation - the Importance of Diagnostic Reasoning
Citation Text:
Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
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psnet.ahrq.gov/node/38013/psn-pdf
March 09, 2009 - physicians frequently did not document or address symptoms that
patients had identified as the primary reason
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psnet.ahrq.gov/node/42684/psn-pdf
September 24, 2016 - observation to determine that nurses' decisions whether
to interrupt other nurses' work depended on the reason
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psnet.ahrq.gov/node/73214/psn-pdf
May 05, 2021 - Patients reported
lack of understanding of the reason for deprescribing, and providers reported concerns
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - March 28, 2005
Reason JT. Aldershot, Hants, England: Ashgate: 1997.
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - I started
to read them and discovered James Reason and Jens Rasmussen and all those people. … RW: What went through your mind as you first read Rasmussen and Reason? … I happen to think it will, but I don't think that's the reason to do it. … transparency, and apology are just
as important for the doctor as for the patient.But the primary reason … There's no
reason why we cannot have that level of perfection in every hospital.
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psnet.ahrq.gov/node/43685/psn-pdf
April 15, 2016 - One potential reason for these
diagnostic errors was that children were much more likely to present
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psnet.ahrq.gov/node/41392/psn-pdf
July 02, 2014 - James Reason as a framework to
describe and categorize observed team-based errors.
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psnet.ahrq.gov/node/46085/psn-pdf
July 12, 2017 - error—particularly failure to diagnose
congenital and developmental abnormalities—was the most common reason
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psnet.ahrq.gov/node/45506/psn-pdf
November 30, 2016 - indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
https://psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason
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psnet.ahrq.gov/node/38207/psn-pdf
January 15, 2009 - at six Australian
hospitals found that nurses' general concern about a patient was the most common reason