AHRQ Patient Safety Network

The Collection > Cognitive Errors ("Mistakes")

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•Device-related Complications (8)

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Cognitive Errors ("Mistakes")

Approach to Improving Safety

•Quality Improvement Strategies (54)

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1 - 20 of 238

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COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

COMMENTARY

Missed TB.

FitzGerald JM, Menzies D. AHRQ WebM&M [serial online]. May 2004.

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.

COMMENTARY

Novel Drug Misuse.

Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

Acquaviva K, Haskell H, Johnson J. J Prof Nurs. 2013;29:95-101.

NEWSPAPER/MAGAZINE ARTICLE

Anger management courses are a new tool for dealing with out-of-control doctors.

Boodman SG. Washington Post. March 4, 2013.

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.

NEWSPAPER/MAGAZINE ARTICLE

The short life and lonely death of Sabrina Seelig.

Hartocollis A. New York Times. July 28, 2012.

NEWSPAPER/MAGAZINE ARTICLE

MRI safety 10 years later.

Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29.

COMMENTARY

"Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist?

Benbadis SR. Neurology. 2013;80(suppl 1):S47-S51.

STUDY

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012;27:1416-1423.

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.

NEWSPAPER/MAGAZINE ARTICLE

Fatal error sparks debate over punitive measures.

Fernandez J. Drug Topics. May 7, 2007.

REVIEW

Overconfidence as a cause of diagnostic error in medicine.

Berner ES, Graber ML. Am J Med. 2008;121(suppl 1):S2-S23.

COMMENTARY

Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study.

Samenow CP, Worley LLM, Neufeld R, Fishel T, Swiggart W. Acad Med. 2013;88:117-123.

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.

COMMENTARY

Don't Push.

Meltzer HY. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:498-499.

STUDY

Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians.

Davidenko JM, Snyder LS. J Electrocardiol. 2007;40:450-457.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

Yasgur BS. Medscape Business of Medicine. March 27, 2013.

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