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psnet.ahrq.gov/node/46399/psn-pdf
October 11, 2017 - Diagnostic errors and diagnostic calibration.
October 11, 2017
Cifu AS. Diagnostic Errors and Diagnostic Calibration. JAMA. 2017;318(10):905-906.
doi:10.1001/jama.2017.11030.
https://psnet.ahrq.gov/issue/diagnostic-errors-and-diagnostic-calibration
Diagnostic error has gained recognition as a contributor to patien…
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psnet.ahrq.gov/node/47860/psn-pdf
June 30, 2019 - New mother number 14.
June 30, 2019
Sangarlangkarn A. Healthc (Amst). 2019;7:31-32.
https://psnet.ahrq.gov/issue/new-mother-number-14
Rigid adherence to protocols may detract from safety when unexpected critical events occur that require
deviation from the standard process. This commentary explores insights from a…
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Goal, which required hospitals to implement systems to enable
"healthcare staff members to directly request
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - 18
Data Transmission Outside of Medicine
Example: international ATM machine
An encrypted secure request
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - The ward nurse refused the request and the wife and daughter were escorted from the locked ward at 9:
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psnet.ahrq.gov/node/43183/psn-pdf
May 14, 2014 - Physician: 'I almost killed a patient' because of an
advance directive.
May 14, 2014
Betbeze P. HealthLeaders Media. May 2, 2014.
https://psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive
Reporting on how misinterpretation of advance directives and living wills can detract from patie…
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psnet.ahrq.gov/node/60756/psn-pdf
January 01, 2021 - Identifying and encouraging high-quality healthcare: an
analysis of the content and aims of patient letters of
compliment.
August 5, 2020
Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and
aims of patient letters of compliment. BMJ Qual Saf. 2021;30(6):484-4…
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psnet.ahrq.gov/node/60557/psn-pdf
January 01, 2021 - Implementing receiver-driven handoffs to the emergency
department to reduce miscommunication.
June 3, 2020
Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to
reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.1136/bmjqs-2019-010540.
https://psnet.…
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psnet.ahrq.gov/node/34726/psn-pdf
April 19, 2011 - How house officers cope with their mistakes.
April 19, 2011
Wu AW, Folkman S, McPhee SJ, et al. How house officers cope with their mistakes. West J Med.
1993;159(5):565-569.
https://psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
In this article, the authors report on how house officers cope with their…
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psnet.ahrq.gov/node/853434/psn-pdf
September 13, 2023 - Handling polypharmacy--a qualitative study using focus
group interviews with older patients, their relatives, and
healthcare professionals.
September 13, 2023
Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus
group interviews with older patients, their relatives, …
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psnet.ahrq.gov/node/856586/psn-pdf
November 29, 2023 - The complexities of communication at hospital discharge
of older patients: a qualitative study of healthcare
professionals' views.
November 29, 2023
Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older
patients: a qualitative study of healthcare professionals’ view…
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psnet.ahrq.gov/node/863213/psn-pdf
February 28, 2024 - Electronic medication reconciliation tools aimed at
healthcare professionals to support medication
reconciliation: a systematic review.
February 28, 2024
Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools
aimed at healthcare professionals to support medicatio…
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - He was unaware of any
request for dialysis catheter placement in this patient. … Upon further review, the
catheter placement request was for another patient on the same floor with the
-
psnet.ahrq.gov/node/60795/psn-pdf
August 12, 2020 - Hastened death due to disease burden and distress that
has not received timely, quality palliative care is a medical
error.
August 12, 2020
Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not
received timely, quality palliative care is a medical error. Med Hypotheses…
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psnet.ahrq.gov/node/74720/psn-pdf
February 02, 2022 - Improving medical residents’ self-assessment of their
diagnostic accuracy: does feedback help?
February 2, 2022
Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic
accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-200. doi:10.1007/s10459-021-10080…
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psnet.ahrq.gov/node/850165/psn-pdf
June 07, 2023 - Adolescents identifying errors and omissions in their
electronic health records: a national survey.
June 7, 2023
Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic
health records: a national survey. Stud Health Technol Inform. 2023;302:242-246. doi:10.3233/shti2…
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psnet.ahrq.gov/node/837743/psn-pdf
July 27, 2022 - The New Electronic Health Record’s Unknown Queue
Caused Multiple Events of Patient Harm.
July 27, 2022
Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-01137-204.
https://psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-
harm
Problems w…
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psnet.ahrq.gov/node/45018/psn-pdf
November 18, 2016 - Identifying risk in the use of tumor markers to improve
patient safety.
November 18, 2016
Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers
to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015-0760.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - that persists despite counseling
Dealing with Repeat Offenders
At UCSF Medical Center
Written request
-
psnet.ahrq.gov/issue/are-you-great-diagnostician
May 28, 2014 - Newspaper/Magazine Article
Are you a great diagnostician?
Citation Text:
Yasgur BS.
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April 10, 2013
Yasgur BS.
Highl…