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psnet.ahrq.gov/issue/pharmacists-perceptions-computerized-prescriber-order-entry-systems
June 29, 2011 - October 19, 2022
Underlying reasons associated with hospital readmission following surgery
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psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
February 18, 2011 - March 24, 2019
Reasons provided by prescribers when overriding drug–drug interaction
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psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
February 27, 2014 - December 16, 2009
For all the right reasons.
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psnet.ahrq.gov/issue/latest-results-first-trial
October 29, 2017 - July 14, 2021
Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements
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psnet.ahrq.gov/issue/attitudes-toward-medical-device-use-errors-and-prevention-adverse-events
September 24, 2016 - September 15, 2011
Reasons for after-hours calls by hospital floor nurses to on-call
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psnet.ahrq.gov/issue/effective-use-medication-related-decision-support-cpoe
May 26, 2011 - March 10, 2011
For all the right reasons.
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psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
November 18, 2015 - August 2, 2015
Reasons provided by prescribers when overriding drug–drug interaction
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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/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/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/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact-diagnostic-reasoning
September 14, 2022 - Study
Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study.
Citation Text:
Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an …
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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…
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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/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/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/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/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/issue/life-error-little-slips-big-disasters
October 04, 2017 - Book/Report
A Life in Error: From Little Slips to Big Disasters.
Citation Text:
A Life in Error: From Little Slips to Big Disasters. Reason J. Farnham Surrey, UK: Ashgate Publishing; 2013. ISBN: 9781472418418.
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psnet.ahrq.gov/issue/score-your-safety-culture
March 04, 2015 - Measurement Tool/Indicator
Score Your Safety Culture.
Citation Text:
Score Your Safety Culture. Reason J. Flight Safety Australia. 2001;5(1):40-41.
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