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The Collection
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Cognitive Errors ("Mistakes")
PATIENT SAFETY PRIMERS
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Mistakes:
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Cognitive Errors ("Mistakes")
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REVIEW
Cognitive interventions to reduce diagnostic error: a narrative review.
Graber ML, Kissam S, Payne VL, et al. BMJ Qual Saf. 2012 21:535-557.
BOOK/REPORT
Health IT and Patient Safety: Building Safer Systems for Better Care.
Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122.
REVIEW
Accountability for medical error: moving beyond blame to advocacy.
Bell SK, Delbanco T, Anderson-Shaw L, McDonald TB, Gallagher TH. Chest. 2011;140:519-526.
STUDY
Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.
Mamede S, van Gog T, van den Berge K, et al. JAMA. 2010;304:1198-1203.
STUDY
Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.
Gandhi TK, Kachalia A, Thomas EJ, et al. Ann Intern Med. 2006;145:488-496.
REVIEW
Changes in rates of autopsy-detected diagnostic errors over time: a systematic review.
Shojania KG, Burton EC, McDonald KM, Goldman L. JAMA. 2003;289:2849-2856.
COMMENTARY
Error in medicine.
Leape LL. JAMA. 1994;272:1851-1857.
STUDY
Cognitive errors in diagnosis: instantiation, classification, and consequences.
Kassirer JP, Kopelman RI. Am J Med. 1989;86:433-441.
STUDY
The high cost of low-frequency events: the anatomy and economics of surgical mishaps.
Couch NP, Tilney NL, Rayner AA, Moore FD. N Engl J Med. 1981;304:634-637.
STUDY
The importance of cognitive errors in diagnosis and strategies to minimize them.
Croskerry P. Acad Med. 2003;78:775-780.
STUDY
Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam.
Sibbald M, de Bruin AB, Cavalcanti RB, van Merrienboer JJ. BMJ Qual Saf. 2013;22:333-338.
REVIEW
Teaching medical error disclosure to physicians-in-training: a scoping review.
Stroud L, Wong BM, Hollenberg E, Levinson W. Acad Med. 2013 Apr 24; [Epub ahead of print].
STUDY
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank.
Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qual Saf. 2013 Apr 22; [Epub ahead of print].
STUDY
Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?
Sibbald M, De Bruin ABH, van Merrienboer JJG. Adv Health Sci Educ Theory Pract. 2013 Apr 27; [Epub ahead of print].
STUDY
Outside case review of surgical pathology for referred patients: the impact on patient care.
Swapp RE, Aubry MC, Salomão DR, Cheville JC. Arch Pathol Lab Med. 2013;137:233-240.
STUDY
Uncharted territory: measuring costs of diagnostic errors outside the medical record.
Schwartz A, Weiner SJ, Weaver F, et al. BMJ Qual Saf. 2012;21:918-924.
STUDY
Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.
Sarkar U, Bonacum D, Strull W, et al. BMJ Qual Saf. 2012;21:641-648.
STUDY
Relating faults in diagnostic reasoning with diagnostic errors and patient harm.
Zwaan L, Thijs A, Wagner C, van der Wal G, Timmermans DR. Acad Med. 2012;87:149-156.
COMMENTARY
Checklists to reduce diagnostic errors.
Ely JW, Graber ML, Croskerry P. Acad Med. 2011;86:307-313.
STUDY
Predictors of misunderstanding pediatric liquid medication instructions.
Bailey SC, Pandit AU, Yin S, et al. Fam Med. 2009;41:715-721.
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