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psnet.ahrq.gov/node/35982/psn-pdf
September 17, 2010 - analyzed medication errors submitted to a national database to assess whether they
were true errors, the reasons
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psnet.ahrq.gov/node/35788/psn-pdf
March 05, 2008 - full-disclosure-and-apology-idea-whose-time-has-come
The author discusses disclosure and apology and explains ethical and clinical reasons
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psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
February 21, 2024 - This report examines reasons for 31 incidents of retained surgical swabs reported in the United Kingdom
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psnet.ahrq.gov/node/865708/psn-pdf
May 01, 2024 - association-between-nurse-staffing-and-quality-care-emergency-departments-systematic-review
https://psnet.ahrq.gov/issue/nurse-work-environment-and-its-impact-reasons-missed-care-safety-climate-and-job-satisfaction
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psnet.ahrq.gov/node/37053/psn-pdf
July 31, 2008 - The authors posit several reasons for this finding, including the
possibility that EHRs were not implemented
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psnet.ahrq.gov/node/41436/psn-pdf
October 19, 2012 - assessment-service
This study discovered that child protection cases and prescribing errors were the most common reasons
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psnet.ahrq.gov/node/40064/psn-pdf
July 08, 2013 - hygiene initiative utilized techniques to examine hand hygiene processes and identified
the most common reasons
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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/node/50711/psn-pdf
January 01, 2020 - found that of
patients who were return ED visits and admitted to the ICU, 44% (223 cases) returned for reasons
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psnet.ahrq.gov/node/854820/psn-pdf
October 25, 2023 - Future research may explore reasons for
low/late completions or focus on high-risk medications, as those
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psnet.ahrq.gov/node/836774/psn-pdf
March 23, 2022 - patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-
analysis-using
This mixed-method study explored the reasons
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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/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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psnet.ahrq.gov/issue/preventing-home-medication-errors
September 15, 2021 - This podcast highlights common reasons for medication mistakes at home and how they can be avoided .
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psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients
September 20, 2023 - This article examines current efforts to develop AI applications for health care and the reasons for
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psnet.ahrq.gov/node/47353/psn-pdf
October 03, 2018 - This
commentary explores reasons for the lack of evidence regarding the effect of biases on decision
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psnet.ahrq.gov/node/41152/psn-pdf
June 19, 2012 - This mixed-methods study explored the reasons for variability in the quality
of nursing shift change
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psnet.ahrq.gov/node/44806/psn-pdf
February 03, 2016 - workarounds, ethical implications associated with their presence, potential negative consequences, and
reasons
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psnet.ahrq.gov/node/46461/psn-pdf
November 01, 2017 - This review explores reasons clinicians remain
reluctant to disclose error, such as shame, insufficient
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psnet.ahrq.gov/node/38114/psn-pdf
June 29, 2011 - issue/analysis-overridden-alerts-drug-drug-interaction-detection-system
https://psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts