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psnet.ahrq.gov/node/49686/psn-pdf
May 01, 2013 - Don't Use That Port: Insert a PICC
May 1, 2013
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
The Case
A 48-year-old woman receiving neoadjuvant therapy for breast cancer was admitted to the hospital with
fever and abdominal pain. A comp…
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psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - A Painful Dilemma
June 1, 2012
Davison SN. A Painful Dilemma. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/painful-dilemma
The Case
A 47-year-old woman with end-stage renal disease due to polycystic kidney disease was admitted with
fever. She was taking propoxyphene or hydrocodone at home for pain. She h…
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psnet.ahrq.gov/web-mm/rapid-mis-strep
February 01, 2004 - Rapid Mis-St(r)ep
Citation Text:
Kaplan EL. Rapid Mis-St(r)ep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - Add-on Case and the Missing Checklist
August 1, 2017
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
The Case
A 65-year-old woman was admitted for evaluation of abdominal pain and weight loss. Based on diagnostic
data and ima…
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psnet.ahrq.gov/node/49601/psn-pdf
April 01, 2010 - Nosy Business
April 1, 2010
Orlandi RR. Nosy Business. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/nosy-business
The Case
A 59-year-old man with a history of idiopathic thrombocytopenic purpura (ITP) presented to the emergency
department (ED) with epistaxis (a "nose bleed"). He reported no previous h…
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psnet.ahrq.gov/issue/crowdsourcing-diagnosis-exploring-accuracy-size-and-type-group-diagnosis-experimental-study
October 27, 2021 - Study
Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study.
Citation Text:
Sherbino J, Sibbald M, Norman GR, et al. Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study…
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psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised
September 23, 2020 - Study
Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment.
Citation Text:
Kämmer JE, Schauber SK, Hautz SC, et al. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Med Educ. 2021;55(10):1172-1…
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psnet.ahrq.gov/node/38730/psn-pdf
June 24, 2009 - Errors in clinical reasoning: causes and remedial
strategies.
June 24, 2009
Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860.
doi:10.1136/bmj.b1860.
https://psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
This commentary analyzes how cogniti…
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psnet.ahrq.gov/node/37141/psn-pdf
October 04, 2011 - Fallacious reasoning and complexity as root causes of
clinical inertia.
October 4, 2011
Miles RW. Fallacious reasoning and complexity as root causes of clinical inertia. J Am Med Dir Assoc.
2007;8(6):349-54.
https://psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
The author d…
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psnet.ahrq.gov/issue/examining-diagnostic-justification-abilities-fourth-year-medical-students
December 21, 2014 - Study
Examining the diagnostic justification abilities of fourth-year medical students.
Citation Text:
Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students. Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff.
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psnet.ahrq.gov/node/40802/psn-pdf
January 01, 2012 - Nurses' clinical reasoning: processes and practices of
medication safety.
December 15, 2011
Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health
Res. 2012;22(1):3-16. doi:10.1177/1049732311420448.
https://psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes…
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psnet.ahrq.gov/node/39896/psn-pdf
July 03, 2014 - Effect of availability bias and reflective reasoning on
diagnostic accuracy among internal medicine residents.
July 3, 2014
Mamede S, Van Gog T, Van den Berge K, et al. Effect of availability bias and reflective reasoning on
diagnostic accuracy among internal medicine residents. JAMA. 2010;304(11):1198-1203.
doi:1…
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psnet.ahrq.gov/node/47196/psn-pdf
October 17, 2018 - Adaptive expertise in medical decision making.
October 17, 2018
Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808.
doi:10.1080/0142159X.2018.1484898.
https://psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
Clinical reasoning is a complex process that can be i…
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psnet.ahrq.gov/issue/managing-risks-organizational-accidents
May 13, 2011 - Book/Report
Classic
Managing the Risks of Organizational Accidents.
Citation Text:
Managing the Risks of Organizational Accidents. Reason JT. Aldershot, Hants, England: Ashgate: 1997. ISBN: 9781840141047
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psnet.ahrq.gov/node/46507/psn-pdf
October 11, 2017 - Outcomes in two Massachusetts hospital systems give
reason for optimism about communication-and-resolution
programs.
October 11, 2017
Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason
For Optimism About Communication-And-Resolution Programs. Health Aff (Millwood). 201…
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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/34759/psn-pdf
July 13, 2016 - Human Error.
July 13, 2016
Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690.
https://psnet.ahrq.gov/issue/human-error
Despite writing almost nothing specifically on health care, clinical psychologist James Reason has
influenced modern thinking about medical errors more than any other…
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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/45398/psn-pdf
August 15, 2016 - Incorporating indications into medication ordering—time
to enter the age of reason.
August 15, 2016
Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter
the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp1603964.
https://psnet.ahrq.gov/issue/inco…
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psnet.ahrq.gov/node/39454/psn-pdf
October 04, 2017 - The Human Contribution: Unsafe Acts, Accidents and
Heroic Recoveries.
October 4, 2017
Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023.
https://psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
The British psychologist James Reason’s insights into the nature of hum…