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psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
July 29, 2020 - Commentary
Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.
Citation Text:
Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…
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psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
October 19, 2022 - Study
Risk of mistaken DNR orders.
Citation Text:
Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z.
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psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
October 19, 2022 - Commentary
Enhanced time out: an improved communication process.
Citation Text:
Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014.
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psnet.ahrq.gov/issue/role-information-technology-healthcare-communications-efficiency-and-patient-safety
October 19, 2022 - Commentary
The role of information technology in healthcare communications, efficiency, and patient safety: application and results.
Citation Text:
Prince SB, Herrin DM. The role of information technology in healthcare communications, efficiency, and patient safety: application and res…
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psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-consequences-medical-error
July 31, 2024 - Commentary
The Perruche case and the issue of compensation for the consequences of medical error.
Citation Text:
Costich JF. The Perruche case and the issue of compensation for the consequences of medical error. Health Policy (New York). 2006;78(1):8-16.
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psnet.ahrq.gov/issue/matts-story-learning-heartbreak
August 07, 2024 - Commentary
Matt's story: learning from heartbreak.
Citation Text:
Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657. doi:10.1093/intqhc/mzy076.
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psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
September 29, 2017 - Newspaper/Magazine Article
Administrative compensation for medical injuries: lessons from three foreign systems.
Citation Text:
Mello MM, Kachalia A, Studdert DM. Administrative compensation for medical injuries: lessons from three foreign systems. Issue brief (Commonwealth Fund). 2011;1…
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psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes
March 28, 2012 - Newspaper/Magazine Article
Doctors fear criminalization of medical mistakes.
Citation Text:
Doctors fear criminalization of medical mistakes. Sorrel AL. American Medical News. November 27, 2006.
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psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help
July 20, 2016 - Newspaper/Magazine Article
Why doctors still offer treatments that may not help.
Citation Text:
Why doctors still offer treatments that may not help. Frakt A. New York Times. August 26, 2019.
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psnet.ahrq.gov/issue/consent-required-publication-medical-errors
March 18, 2011 - Commentary
Is consent required for publication of medical errors?
Citation Text:
Weisbaum K, Hyland S, Bernstein M. Is consent required for publication of medical errors? Healthc Q. 2005;8(4):66-9.
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psnet.ahrq.gov/web-mm/language-barrier
February 28, 2024 - Language Barrier
Citation Text:
Flores G. Language Barrier. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/issue/patient-safety-and-adverse-events
July 20, 2022 - Special or Theme Issue
Patient Safety and Adverse Events.
Citation Text:
Patient Safety and Adverse Events. Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In: Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISB…
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psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation
September 11, 2019 - Commentary
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Citation Text:
Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for…
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psnet.ahrq.gov/issue/evaluation-inpatient-admissions-and-potential-antimicrobial-and-analgesic-dosing-errors
September 23, 2020 - Study
Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children.
Citation Text:
Miller JL, Johnson PN, Harrison DL, et al. Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight chi…
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psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions
June 15, 2022 - Newspaper/Magazine Article
CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers.
Citation Text:
CMS proposal to suppress hospital safety data angers advocates — agency says COVID dis…
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psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
March 09, 2022 - Review
"First, know thyself": cognition and error in medicine.
Citation Text:
Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8.
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psnet.ahrq.gov/issue/effectiveness-random-and-focused-review-detecting-surgical-pathology-error
August 04, 2021 - Study
Effectiveness of random and focused review in detecting surgical pathology error.
Citation Text:
Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5…
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psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
October 20, 2021 - Commentary
Cleaning up the discharge process: a number of components—and personnel—are crucial to success.
Citation Text:
Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…
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psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective
July 31, 2019 - Study
Potential medical adverse events associated with death: a forensic pathology perspective.
Citation Text:
Sakai K, Takatsu A, Shigeta A, et al. Potential medical adverse events associated with death: a forensic pathology perspective. International Journal for Quality in Health Car…
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psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
January 08, 2020 - Commentary
Cognitive testing of older clinicians prior to recredentialing.
Citation Text:
Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665.
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