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psnet.ahrq.gov/node/38178/psn-pdf
October 29, 2008 - Documentation of clinical review and vital signs after
major surgery.
October 29, 2008
McGain F, Cretikos MA, Jones D, et al. Documentation of clinical review and vital signs after major surgery.
Med J Aust. 2008;189(7):380-3.
https://psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-s…
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psnet.ahrq.gov/node/39530/psn-pdf
March 22, 2011 - Surgical adverse outcome reporting as part of routine
clinical care.
March 22, 2011
Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical
care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458.
https://psnet.ahrq.gov/issue/surgical-adverse-outcom…
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psnet.ahrq.gov/node/37391/psn-pdf
February 15, 2011 - Implementation of medication error reporting through
Med Safe Tool: the clinical pharmacists and the inpatient
nursing staff collaborative approach.
February 15, 2011
Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe
Tool. J Patient Saf. 2008;3(4). doi:10.1097/pts.…
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psnet.ahrq.gov/node/43949/psn-pdf
November 17, 2016 - Clinical criteria to screen for inpatient diagnostic errors: a
scoping review.
November 17, 2016
Shenvi EC, El-Kareh R. Clinical criteria to screen for inpatient diagnostic errors: a scoping review.
Diagnosis (Berl). 2015;2(1):3-19. doi:10.1515/dx-2014-0047.
https://psnet.ahrq.gov/issue/clinical-criteria-screen-in…
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psnet.ahrq.gov/node/47435/psn-pdf
November 07, 2018 - Cognitive bias in clinical medicine.
November 7, 2018
O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-
232. doi:10.4997/JRCPE.2018.306.
https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
Cognitive biases can lead to unnecessary treatment and de…
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psnet.ahrq.gov/node/45899/psn-pdf
March 15, 2017 - Patient Safety: Investigating and Reporting Serious
Clinical Incidents.
March 15, 2017
Kelsey R. CRC Press: Boca Raton, FL; 2017. ISBN: 9781498781169.
https://psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
Research is increasingly focusing on patient safety in primary ca…
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psnet.ahrq.gov/node/43818/psn-pdf
January 21, 2015 - A report on 15 years of clinical negligence claims in
rhinology.
January 21, 2015
Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J
Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118.
https://psnet.ahrq.gov/issue/report-15-years-clinical-negligence-c…
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psnet.ahrq.gov/node/43833/psn-pdf
February 04, 2015 - Sterile compounding: clinical, legal, and regulatory
implications for patient safety.
February 4, 2015
Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications
for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191.
https://psnet.ahrq.gov/issue/ster…
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psnet.ahrq.gov/node/73991/psn-pdf
October 20, 2021 - Digital Clinical Safety Strategy
October 20, 2021
NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021.
https://psnet.ahrq.gov/issue/digital-clinical-safety-strategy
Digital clinical technologies hold promise for care improvement while contributing to potential failures due to
th…
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psnet.ahrq.gov/node/72652/psn-pdf
January 20, 2021 - Textbook of Patient Safety and Clinical Risk Management.
January 20, 2021
Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN
9783030594022.
https://psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
Foundations and practical exp…
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psnet.ahrq.gov/node/41098/psn-pdf
March 04, 2015 - Automated identification of extreme-risk events in clinical
incident reports.
March 4, 2015
Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J
Am Med Inform Assoc. 2012;19(e1):e110-8.
https://psnet.ahrq.gov/issue/automated-identification-extreme-risk-event…
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psnet.ahrq.gov/node/37663/psn-pdf
July 31, 2008 - Reliability of the assessment of preventable adverse drug
events in daily clinical practice.
July 31, 2008
van Doormaal J, Mol PGM, van den Bemt PMLA, et al. Reliability of the assessment of preventable
adverse drug events in daily clinical practice. Pharmacoepidemiol Drug Saf. 2008;17(7):645-54.
doi:10.1002/pds.1…
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psnet.ahrq.gov/node/38592/psn-pdf
April 29, 2009 - The teaching of a structured tool improves the clarity and
content of interprofessional clinical communication.
April 29, 2009
Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of
interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40.
…
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psnet.ahrq.gov/node/40966/psn-pdf
November 30, 2011 - Toward safer practice in otology: a report on 15 years of
clinical negligence claims.
November 30, 2011
Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical
negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.22136.
https://psnet.ahrq.gov/iss…
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/citation/fall
January 01, 2023 - Fall risk management using clinical decision support in a rural nursing-led primary care practice.
Citation
Schentrup D, Middlemas A, Shear K, Bjarnadottir RI, Lucero RJ. Fall risk management using clinical decision support in a rural nursing-led primary care practice. J Am Assoc Nurse Pract. 2022 Aug…
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/development
January 01, 2023 - Development of a perioperative medication-related clinical decision support tool to prevent medication errors: An analysis of user feedback.
Citation
Nanji KC, Garabedian PM, Shaikh SD, Langlieb ME, Boxwala A, Gordon WJ, Bates DW. Development of a perioperative medication-related clinical decision su…
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-collaborative-diet-goal-setting-primary-care/citation/clinical
January 01, 2023 - User-centered design of a clinical tool for shared decision-making about diet in primary care.
Citation
Tierney WM, Henning JM, Altillo BS, Rosenthal M, Nordquist E, Copelin K, Li J, Enriquez C, Lange J, Larson D, Burgermaster M. User-centered design of a clinical tool for shared decision-making about…
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psnet.ahrq.gov/node/43525/psn-pdf
July 16, 2015 - Clinical handovers between prehospital and hospital
staff: literature review.
July 16, 2015
Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature
review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165.
https://psnet.ahrq.gov/issue/clinical-hando…
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digital.ahrq.gov/ahrq-funded-projects/scaling-equipped-clinical-decision-support/final-report
January 01, 2023 - Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support - Final Report
Citation
Vandenberg A. Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support - Final Report. (Prepared by Emory University under Grant No. R18 HS026877). Rockville, MD: Agency for Healthcare Research and Quality, 2022.
PDF
fi…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-current-state-and/citation/challenges
January 01, 2023 - Challenges and opportunities for advancing patient-centered clinical decision support: findings from a horizon scan.
Citation
Dullabh P, Sandberg SF, Heaney-Huls K, Hovey LS, Lobach DF, Boxwala A, Desai PJ, Berliner E, Dymek C, Harrison MI, Swiger J, Sittig DF. Challenges and opportunities for advanci…