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psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
October 27, 2021 - August 19, 2020
Incoming interns recognize inadequate physical examination as a cause
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psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
September 07, 2022 - June 27, 2011
Failure to recognize newly identified aortic dilations in a health care
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psnet.ahrq.gov/issue/principles-practice-embedding-clinical-reasoning-longitudinal-curriculum-theme-medical-school
September 09, 2020 - February 23, 2022
Handshake antimicrobial stewardship as a model to recognize and prevent
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psnet.ahrq.gov/issue/diagnostic-time-out-improve-differential-diagnosis-pediatric-abdominal-pain
February 10, 2021 - September 14, 2022
Handshake antimicrobial stewardship as a model to recognize and prevent
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psnet.ahrq.gov/issue/peer-review-comments-augment-diagnostic-error-characterization-and-departmental-quality
September 02, 2020 - August 17, 2022
Handshake antimicrobial stewardship as a model to recognize and prevent
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psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
October 13, 2021 - February 23, 2022
Incoming interns recognize inadequate physical examination as a cause
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psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases-delay-critical
November 30, 2022 - April 21, 2021
Handshake antimicrobial stewardship as a model to recognize and prevent
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psnet.ahrq.gov/issue/rapid-response-teams-and-failure-rescue-one-communitys-experience
March 14, 2022 - Resources
Hospital nurses and physicians' experiences practicing patient safety work to recognize
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psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
August 24, 2022 - June 24, 2020
Handshake antimicrobial stewardship as a model to recognize and prevent
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psnet.ahrq.gov/issue/medical-students-experiences-medical-errors-analysis-medical-student-essays
June 22, 2022 - August 26, 2020
Incoming interns recognize inadequate physical examination as a cause
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Recognize that free intraperitoneal fluid identified on imaging without a history of ascites is abnormal … Simply put, the clinical team failed to entertain an adequate differential diagnosis and did not recognize … Unfortunately, the clinician failed to recognize that the results of the ultrasound did not explain the … The Importance of Free Fluid
The initial clinician in this case failed to recognize that the ultrasound
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psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
June 25, 2018 - February 7, 2024
Exploration of ward-based nurses' perspectives on their preparedness to recognize
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psnet.ahrq.gov/node/49731/psn-pdf
April 01, 2015 - As most OR fires are on-the-patient fires, OR personnel need to recognize that the risk of ignition and … All OR personnel must recognize the fire triad in the OR (i.e., oxidizer, ignition source, and fuel), … While most OR fires are on-the-patient fires, OR personnel should also recognize the fire triad to
prevent
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psnet.ahrq.gov/node/49775/psn-pdf
November 01, 2016 - provide
necessary decision support.(3,11) Clinician involvement could have been helpful in this case to recognize … Ultimately, the failure to recognize
and maintain decision support that had been provided in the paper … Some of these errors can be difficult for end-users to recognize, and CPOE may fail to protect against
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psnet.ahrq.gov/node/49494/psn-pdf
January 01, 2006 - In
considering this question, it is important to recognize that it is essential that physicians in training … striving to create an environment where young physicians are comfortable asking for help and willing to
recognize … We need an environment
in which young physicians are comfortable asking for help, are willing to recognize
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psnet.ahrq.gov/web-mm/missing-point-eye-injury
March 01, 2005 - medicine (EM) providers must able to perform an appropriate eye-focused history and physical examination, recognize … retinal detachment and vitreous hemorrhage.( 2 ) Emergency medicine providers must be able to quickly recognize … medicine providers must able to perform an appropriate eye-focused history and physical examination, recognize
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psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
December 16, 2011 - May 21, 2019
Incoming interns recognize inadequate physical examination as a cause of
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psnet.ahrq.gov/issue/pediatric-safety
March 08, 2015 - December 21, 2022
Incoming interns recognize inadequate physical examination as a cause
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psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during
September 11, 2024 - 2021
Hospital nurses and physicians' experiences practicing patient safety work to recognize
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - .
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Consequences
Failure to recognize gaps in competence can result in patient harm
This case highlights … pubmed/12809456
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Take-Home Points
All physicians must learn to question their own abilities and recognize