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Cognitive Errors ("Mistakes")
PATIENT SAFETY PRIMERS
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Mistakes:
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COMMENTARY
Delay in Initiating Antibiotics Leads to Fatal Error.
Bellini LM. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Pregnant with Danger.
Pearlman MD, Desmond JS. WebM&M [serial online]. May 2005.
COMMENTARY
Autopsy Revelation.
Shojania KG. AHRQ WebM&M [serial online]. March 2004.
STUDY
Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?
Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.
COMMENTARY
Missed Appendicitis.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
STUDY
Surgeon commitment to trauma care decreases missed injuries.
Lin YK, Lin CJ, Chan HM, et al. Injury. 2012 Nov 3; [Epub ahead of print].
STUDY
Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.
Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.
NEWSPAPER/MAGAZINE ARTICLE
Fallible medicine: responding to errors in emergency care.
Whitehead S. Emergency Medical Services. July 2007.
COMMENTARY
The Worst Headache.
Edlow JA. AHRQ WebM&M [serial online]. July 2004.
STUDY
The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.
Cruz MF, Edwards J, Dinh DM, Barnes EH. Med J Aust. 2012;197:161-165.
COMMENTARY
Crushing Chest Pain: A Missed Opportunity.
Graber M. AHRQ WebM&M [serial online]. January 2004.
COMMENTARY
Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs.
Ilgen JS, Humbert AJ, Kuhn G, et al. Acad Emerg Med. 2012;19:1454-1461.
COMMENTARY
X-ray Flip.
Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians.
McKenna M. Ann Emerg Med. 2011;58:A15-A17.
STUDY
Role of clinical context in residents' physical examination diagnostic accuracy.
Sibbald M, Panisko D, Cavalcanti RB. Med Educ. 2011;45:415-421.
STUDY
Misleading one detail: a preventable mode of diagnostic error?
Arzy S, Brezis M, Khoury S, Simon SR, Ben-Hur T. J Eval Clin Pract. 2009;15:804-806.
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.
COMMENTARY
One ACE Too Many
Juurlink DN. AHRQ WebM&M [serial online]. July 2006.
COMMENTARY
Getting to the Root of the Matter
Flanders SA, Saint S. AHRQ WebM&M [serial online]. June 2005.
STUDY
Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.
Haut ER, Lau BD, Kraenzlin FS, et al. Arch Surg. 2012;147:901-907.
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