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psnet.ahrq.gov/issue/patient-and-caregiver-perspectives-causes-and-prevention-ambulatory-adverse-events
November 24, 2021 - Study
Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study.
Citation Text:
Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitati…
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psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
April 08, 2018 - Study
Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain.
Citation Text:
Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…
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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/issue/role-knowledge-and-reasoning-processes-predictors-resident-physicians-susceptibility
March 18, 2020 - Study
Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment.
Citation Text:
Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processe…
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - Unaware that any of the medications were duplicates, she thought she was taking exactly what her physician … 2003
Perspective
Establishing a Safety Culture: Thinking
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - Some examples include simulation training, morbidity and mortality reviews, critical thinking training
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - This cognitive shortcut enables rapid decisions with negligible analysis but at the cost of critical … thinking and potential performance errors.
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psnet.ahrq.gov/perspective/update-safety-culture
January 22, 2020 - Update on Safety Culture
Allan Frankel, MD, and Michael Leonard, MD | August 22, 2013
View more articles from the same authors.
Citation Text:
Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/node/33880/psn-pdf
May 01, 2019 - Safety in the Prehospital Emergency Medical Services
Setting
May 1, 2019
Patterson DP, Yealy DM. Safety in the Prehospital Emergency Medical Services Setting. PSNet [internet].
2019.
https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
Perspective
Emergency medical services (E…
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psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - They can also decrease team member anxiety, build confidence, improve response times, enhance critical … thinking skills, and improve teamwork. 12 Mock interventions should be based on the American Heart
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - Review how to balance systems thinking with individual accountability in health care. … I thought you would want know the final diagnosis."
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - Her primary care provider decided to prescribe chlorthalidone 50 mg daily for the edema, thinking it
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psnet.ahrq.gov/node/49444/psn-pdf
May 01, 2004 - Lack of objectivity on the part of patient or provider
Under- or over-treatment related to "wishful thinking
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - Rotating shift work disrupts sleep, causes fatigue, and creates
problems with thinking, memory, and
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psnet.ahrq.gov/node/49694/psn-pdf
October 01, 2013 - B and her children were distraught after experiencing 20 minutes of
thinking that their beloved husband
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psnet.ahrq.gov/node/49595/psn-pdf
December 01, 2009 - Superficial thinking. AJR Am J Roentgenol. 2008;190:W318. [Available at]
9.
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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - When things go badly, clinicians
may later be asked what they were thinking by starting vasopressors
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psnet.ahrq.gov/node/49479/psn-pdf
April 01, 2005 - Therefore, thinking that the patient’s glycemic control had improved, he
discontinued the QID glucose
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - In thinking about this case, one can imagine an improved
EHR that alerted team members of both the fact
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - the importance of understanding failure to rescue, the patient’s role in care escalation, and systems thinking