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psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
February 17, 2016 - Study
Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.
Citation Text:
Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. d…
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psnet.ahrq.gov/issue/prevalence-potentially-harmful-multidrug-interactions-medication-lists-elderly-ambulatory
May 27, 2011 - Study
Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients.
Citation Text:
Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021…
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psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients
November 03, 2015 - Study
Disclosing harmful mammography errors to patients.
Citation Text:
Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320.
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psnet.ahrq.gov/issue/collective-intelligence-meets-medical-decision-making-collective-outperforms-best-radiologist
August 17, 2016 - Study
Classic
Collective intelligence meets medical decision-making: the collective outperforms the best radiologist.
Citation Text:
Wolf M, Krause J, Carney PA, et al. Collective intelligence meets medical decision-making: the collective outperforms the best ra…
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psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
March 16, 2016 - Study
Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice.
Citation Text:
Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks id…
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psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - Study
Fatal flaws in clinical decision making.
Citation Text:
Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955.
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psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
October 16, 2012 - Review
Classic
Cognitive interventions to reduce diagnostic error: a narrative review.
Citation Text:
Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features
July 03, 2014 - Study
Why do doctors make mistakes? A study of the role of salient distracting clinical features.
Citation Text:
Mamede S, Van Gog T, Van den Berge K, et al. Why do doctors make mistakes? A study of the role of salient distracting clinical features. Acad Med. 2014;89(1):114-20. doi:10.10…
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psnet.ahrq.gov/issue/wisdom-through-adversity-learning-and-growing-wake-error
October 08, 2016 - Study
Wisdom through adversity: learning and growing in the wake of an error.
Citation Text:
Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006.
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psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
March 12, 2014 - Study
Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams.
Citation Text:
Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary C…
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psnet.ahrq.gov/issue/unintended-discontinuation-medication-following-hospitalisation-retrospective-cohort-study
September 05, 2018 - Study
Unintended discontinuation of medication following hospitalisation: a retrospective cohort study.
Citation Text:
Redmond P, McDowell R, Grimes TC, et al. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. BMJ Open. 2019;9(6):e024747. d…
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psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event-analysis-and
October 29, 2008 - Study
A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment.
Citation Text:
Bowie P, McKay J, Dalgetty E, et al. A qualitative study of why general practitioners may participate in significant event analysis and e…
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - The decision to request a second
report from the Institute of Medicine was definitely strategic, and … are requested by Congress and are funded through that mechanism, but they do some reports at the
request
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psnet.ahrq.gov/issue/boosting-medical-diagnostics-pooling-independent-judgments
June 21, 2016 - Study
Boosting medical diagnostics by pooling independent judgments.
Citation Text:
Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113.
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psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
February 15, 2011 - Study
Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study.
Citation Text:
Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed medications on…
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psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - Study
Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports.
Citation Text:
Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods a…
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psnet.ahrq.gov/issue/large-scale-organisational-intervention-improve-patient-safety-four-uk-hospitals-mixed-method
February 23, 2011 - Study
Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.
Citation Text:
Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. B…
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psnet.ahrq.gov/issue/diagnostic-concordance-among-pathologists-interpreting-breast-biopsy-specimens
July 13, 2016 - Study
Classic
Diagnostic concordance among pathologists interpreting breast biopsy specimens.
Citation Text:
Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA. 2015;313(11):1122-1132. do…
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psnet.ahrq.gov/issue/unrealized-potential-and-residual-consequences-electronic-prescribing-pharmacy-workflow
December 31, 2014 - Study
Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.
Citation Text:
Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the o…
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psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record
May 01, 2015 - Study
Classic
Exploring the sociotechnical intersection of patient safety and electronic health record implementation.
Citation Text:
Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…