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3021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34879/psn-pdf
      February 03, 2011 - Missing clinical information during primary care visits. … Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. … https://psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits This survey of … 253 primary care clinicians revealed that important clinical information was missing in nearly 1 in … https://psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits

3022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36344/psn-pdf
      February 17, 2011 - Clinical problem-solving. Lost in transcription. … Clinical problem-solving. Lost in transcription. N Engl J Med. 2006;355(14):1487-91. … https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription This case involves an iatrogenic … underscore the importance of including medical error in the differential diagnosis when unexpected clinical … https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription https://psnet.ahrq.gov//#iatrogenic

3023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36097/psn-pdf
      July 12, 2006 - Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. … https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be- strengthened … This government report found that the clinical laboratory survey process is flawed, allowing safety … https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened … https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened

3024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35062/psn-pdf
      June 22, 2009 - Blurring the boundaries: scenario-based simulation in a clinical setting.   … Blurring the boundaries: scenario-based simulation in a clinical setting. … https://psnet.ahrq.gov/issue/blurring-boundaries-scenario-based-simulation-clinical-setting This study … explored the feasibility of using scenario-based simulation for clinical procedures training, providing … https://psnet.ahrq.gov/issue/blurring-boundaries-scenario-based-simulation-clinical-setting

3025. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36911/psn-pdf
      September 01, 2011 - Managing clinical failure: a complex adaptive system perspective. … Managing clinical failure: a complex adaptive system perspective. … https://psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective The investigators … interviewed clinicians and managers to assess how knowledge is captured in a clinical setting.  … https://psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective

3026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42523/psn-pdf
      October 08, 2013 - Patient safety in clinical research articles. … Patient safety in clinical research articles. … https://psnet.ahrq.gov/issue/patient-safety-clinical-research-articles This commentary recommends including … information in clinical articles on how to apply research results to patient safety to help drive improvement … https://psnet.ahrq.gov/issue/patient-safety-clinical-research-articles https://psnet.ahrq.gov/issue/organising-manuscript-reporting-quality-improvement-or-patient-safety-research

3027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38403/psn-pdf
      February 11, 2009 - Frequency, types, and potential clinical significance of medication-dispensing errors. … Frequency, types, and potential clinical significance of medication- dispensing errors. … https://psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing … https://psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors … https://psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors

3028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42356/psn-pdf
      July 22, 2013 - Clinical supervisors: are they the key to making care safer? … Clinical supervisors: are they the key to making care safer? … https://psnet.ahrq.gov/issue/clinical-supervisors-are-they-key-making-care-safer This commentary discusses … the need to educate clinical supervisors on patient safety competencies to ensure trainees observe … https://psnet.ahrq.gov/issue/clinical-supervisors-are-they-key-making-care-safer https://psnet.ahrq.gov

3029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39660/psn-pdf
      September 24, 2016 - The impact of interruptions on clinical task completion. … The impact of interruptions on clinical task completion. … https://psnet.ahrq.gov/issue/impact-interruptions-clinical-task-completion This study of emergency physicians … found that interruptions while performing clinical tasks were common and often resulted in the task … https://psnet.ahrq.gov/issue/impact-interruptions-clinical-task-completion https://psnet.ahrq.gov/issue

3030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38862/psn-pdf
      August 12, 2009 - Resilience in healthcare and clinical handover. … Resilience in healthcare and clinical handover. … https://psnet.ahrq.gov/issue/resilience-healthcare-and-clinical-handover This commentary introduces … resilience and shares insights on how it can be applied in health care by describing its application in the clinical … https://psnet.ahrq.gov/issue/resilience-healthcare-and-clinical-handover https://psnet.ahrq.gov/issue

3031. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35813/psn-pdf
      April 06, 2011 - Simulation based teamwork training for emergency department staff: does it improve clinical team performance … Simulation based teamwork training for emergency department staff: does it improve clinical team performance … psnet.ahrq.gov/issue/simulation-based-teamwork-training-emergency-department-staff-does-it- improve-clinical-team … previously described with an intervention focused on putting participants through a series of simulated clinical … /psnet.ahrq.gov/issue/simulation-based-teamwork-training-emergency-department-staff-does-it-improve-clinical-team

3032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42682/psn-pdf
      January 01, 2015 - Review article: improving the hospital clinical handover between paramedics and emergency department … Review article: Improving the hospital clinical handover between paramedics and emergency department … https://psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and … https://psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and-emergency … https://psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and-emergency

3033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47886/psn-pdf
      April 24, 2019 - Clinical impact of intraoperative electronic health record downtime on surgical patients. … Clinical impact of intraoperative electronic health record downtime on surgical patients. … https://psnet.ahrq.gov/issue/clinical-impact-intraoperative-electronic-health-record-downtime-surgical … - patients Providing safe and timely clinical care to patients is increasingly dependent on the presence … https://psnet.ahrq.gov/issue/clinical-impact-intraoperative-electronic-health-record-downtime-surgical-patients

3034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43292/psn-pdf
      January 07, 2015 - Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted … Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted … https://psnet.ahrq.gov/issue/clinical-decision-support-atypical-orders-detection-and-warning-atypical … https://psnet.ahrq.gov/issue/clinical-decision-support-atypical-orders-detection-and-warning-atypical-medication-orders … https://psnet.ahrq.gov/issue/clinical-decision-support-systems-could-be-modified-reduce-alert-fatigue-while-still

3035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47415/psn-pdf
      December 05, 2018 - Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? … Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? … https://psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical … - decision-making Cognitive biases can affect clinical decision making. … https://psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making

3036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38852/psn-pdf
      April 04, 2011 - Effect of clinical pharmacists on care in the emergency department: a systematic review. … Effect of clinical pharmacists on care in the emergency department: a systematic review. … https://psnet.ahrq.gov/issue/effect-clinical-pharmacists-care-emergency-department-systematic-review … Clinical pharmacists effectively prevent medication errors in the inpatient setting, but their role … https://psnet.ahrq.gov/issue/effect-clinical-pharmacists-care-emergency-department-systematic-review

3037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37927/psn-pdf
      March 10, 2011 - A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. … A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. … https://psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory … https://psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring … https://psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring

3038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34939/psn-pdf
      June 16, 2011 - The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical … The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical … psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial- clinical-units … This study targeted more than 20 clinical units to determine the impact of EWRs on perceived safety … //psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units

3039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38778/psn-pdf
      March 04, 2011 - solution to prevent medication errors and improve patient outcomes, particularly when combined with clinical … //psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome … //psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome … https://psnet.ahrq.gov/issue/clinical-information-technologies-and-inpatient-outcomes-multiple-hospital-study … https://psnet.ahrq.gov/issue/effects-computerized-clinical-decision-support-systems-practitioner-performance-and-patient

3040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40711/psn-pdf
      August 24, 2011 - Clinical and safety impact of an inpatient pharmacist- directed anticoagulation service. … Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. … https://psnet.ahrq.gov/issue/clinical-and-safety-impact-inpatient-pharmacist-directed-anticoagulation … https://psnet.ahrq.gov/issue/clinical-and-safety-impact-inpatient-pharmacist-directed-anticoagulation-service … https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review https