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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35120/psn-pdf
     November 03, 2015 - Clinical impact associated with corrected results in clinical microbiology testing. … Clinical impact associated with corrected results in clinical microbiology testing. … https://psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing … https://psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45678/psn-pdf
     October 11, 2017 - Is there a role for patients and their relatives in escalating clinical deterioration in hospital? … Is there a role for patients and their relatives in escalating clinical deterioration in hospital? … https://psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital … examined whether patient and family member activation of rapid response teams improved recognition of clinical … capacity with frequent activations, but they did activate rapid response to convey concerns beyond clinical

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34736/psn-pdf
     October 24, 2017 - Medical Problem Solving: An Analysis of Clinical Reasoning. October 24, 2017 Elstein AS, ed. … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning Clinical reasoning … Considering the fundamental importance of clinical reasoning, the topic has received surprisingly little … The authors also provide an excellent overview of theoretic models relevant to the study of clinical … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37210/psn-pdf
     December 19, 2011 - Effects of an integrated clinical information system on medication safety in a multi-hospital setting … Effects of an integrated clinical information system on medication safety in a multi-hospital setting … https://psnet.ahrq.gov/issue/effects-integrated-clinical-information-system-medication-safety-multi-hospital … - setting This study found that integration of clinical information system technology decreased selected … medication errors and improved drug monitoring through the use of clinical decision support alerts.

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42194/psn-pdf
     April 24, 2013 - Drug errors and related interventions reported by United States clinical pharmacists: The American College … of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and … Drug errors and related interventions reported by United States clinical pharmacists: the American College … https://psnet.ahrq.gov/issue/drug-errors-and-related-interventions-reported-united-states-clinical- … pharmacists-american This analysis of voluntary error reports submitted by clinical pharmacists found

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42611/psn-pdf
     September 25, 2013 - The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive … The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive … https://psnet.ahrq.gov/issue/proportion-clinically-relevant-alarms-decreases-patient-clinical-severity … majority of alarms in the intensive care unit were clinically irrelevant, especially for patients whose clinical … https://psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43728/psn-pdf
     February 14, 2015 - Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions … Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions … https://psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess- … This suggests that safety culture cases could be added to existing clinical examinations in patient … https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36433/psn-pdf
     February 10, 2011 - Effects of computer-based clinical decision support systems on physician performance and patient outcomes … Effects of Computer-Based Clinical Decision Support Systems on Physician Performance and Patient Outcomes … Increasing adoption of clinical decision support systems (CDSS) has been suggested to positively impact … While the findings demonstrate improvements in clinical performance for drug dosing, preventive care … , and other defined aspects of clinical practice, the impact of CDSS on patient outcomes is limited,

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46722/psn-pdf
     March 20, 2018 - Nurses' clinical reasoning practices that support safe medication administration: an integrative review … Nurses' clinical reasoning practices that support safe medication administration: An integrative review … https://psnet.ahrq.gov/issue/nurses-clinical-reasoning-practices-support-safe-medication-administration … - integrative-review Clinical reasoning is a core skill that can affect the safety of medication administration … This review highlights nurse clinical reasoning use across the spectrum of medication delivery, including

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38069/psn-pdf
     March 10, 2011 - Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department … Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department … https://psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check … discovered that override rates of potentially critical adverse drug events remain problematic despite a clinical … call for greater qualitative research to understand the interactions between these systems and the clinical

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40785/psn-pdf
     May 04, 2012 - A framework for evaluating the appropriateness of clinical decision support alerts and responses. … A framework for evaluating the appropriateness of clinical decision support alerts and responses. … https://psnet.ahrq.gov/issue/framework-evaluating-appropriateness-clinical-decision-support-alerts-and … - responses Increasing adoption of clinical decision support systems (CDSS) is driven by evidence that … This study developed a framework to assess the clinical appropriateness of alerts, and applied the framework

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46864/psn-pdf
     August 17, 2018 - Prospective evaluation of medication-related clinical decision support over-rides in the intensive care … Prospective evaluation of medication-related clinical decision support over-rides in the intensive care … https://psnet.ahrq.gov/issue/prospective-evaluation-medication-related-clinical-decision-support-over-rides … - intensive-care Clinical decision support systems in electronic health records (EHRs) aim to avert … A recent WebM&M commentary recommends employing human factors engineering to make clinical decision

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44429/psn-pdf
     May 10, 2016 - Teaching Clinical Reasoning. May 10, 2016 Trowbridge RL Jr, Rencic JJ, Durning SJ, eds. … https://psnet.ahrq.gov/issue/teaching-clinical-reasoning Diagnostic errors are often attributed to clinicians … This publication provides instructional methods to help educators improve how they teach clinical reasoning … https://psnet.ahrq.gov/issue/clinical-reasoning-toolkit https://psnet.ahrq.gov/issue/clinical-reasoning-toolkit … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41500/psn-pdf
     May 10, 2013 - First year nursing students' viewpoints about compromised clinical safety. … First year nursing students' viewpoints about compromised clinical safety. … https://psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety … First-year nursing students reported considerable clinical uncertainty and exposure to unsafe clinical … https://psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44444/psn-pdf
     September 02, 2015 - Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. … Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. … https://psnet.ahrq.gov/issue/clinical-communities-johns-hopkins-medicine-emerging-approach-quality- … improvement Forming clinical communities that commit to shared goals can augment quality improvement … This commentary describes the development of 14 clinical communities as a way to support institutional

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42351/psn-pdf
     June 19, 2013 - Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population … Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Risk, Ambulatory Population … https://psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk … - ambulatory The Patient Safety and Clinical Pharmacy Services Collaborative aims to improve the care … Systematic changes that integrated patient safety and clinical pharmacy services resulted in improvements

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41303/psn-pdf
     March 11, 2013 - Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. … Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. … https://psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue … This Swiss survey identifies key organizational factors that help hospitals establish a comprehensive clinical … https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38801/psn-pdf
     March 04, 2011 - Computerized clinical decision support during medication ordering for long-term care residents with … Computerized clinical decision support during medication ordering for long- term care residents with … https://psnet.ahrq.gov/issue/computerized-clinical-decision-support-during-medication-ordering-long-term … - care-residents This study discovered that clinical decision support built within a CPOE system can … https://psnet.ahrq.gov/issue/computerized-clinical-decision-support-during-medication-ordering-long-term-care-residents

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867771/psn-pdf
     January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit. … Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit. … https://psnet.ahrq.gov/issue/community-acquired-pneumonia-clinical-decision-support-implementation- … toolkit Clinical decision support (CDS) alerts can signal the existence of conditions that degrade care … https://psnet.ahrq.gov/issue/community-acquired-pneumonia-clinical-decision-support-implementation-toolkit

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41370/psn-pdf
     September 01, 2016 - Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled … Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled … https://psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings … - randomized Clinical decision support systems (CDSS) are being applied widely in patient safety, most … This study of an alert within an electronic medical record designed to encourage participation in a clinical