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361. 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

362. 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

363. 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

364. 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

365. 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

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44065/psn-pdf
     July 16, 2015 - Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. … Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. … https://psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals … Clinician use of clinical guidelines is known to be less than optimal. … According to this review, evidence indicates that nurse utilization of computerized clinical guidelines

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46666/psn-pdf
     March 28, 2018 - Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care … Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care … https://psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors … - outpatient-care This retrospective study found that clinicians who had access to a commercial clinical … The authors conclude that online clinical decision support from this platform improved diagnosis.

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45956/psn-pdf
     March 15, 2017 - Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective … Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective … https://psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill … - children This autopsy study demonstrated significant discrepancies between clinical and postmortem … These results demonstrate the importance of autopsy as an educational tool for clinical teams to improve

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43146/psn-pdf
     August 12, 2014 - Computerised provider order entry combined with clinical decision support systems to improve medication … Computerised provider order entry combined with clinical decision support systems to improve medication … https://psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support- systems-improve … This narrative review found that while computerized provider order entry combined with clinical decision … support systems effectively prevented medication prescribing errors, there was no clear effect on clinical

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35975/psn-pdf
     June 14, 2011 - A root cause analysis of clinical error: confronting the disjunction between formal rules and situated … clinical activity. … A root cause analysis of clinical error: confronting the disjunction between formal rules and situated … clinical activity. … https://psnet.ahrq.gov/issue/root-cause-analysis-clinical-error-confronting-disjunction-between-formal-rules

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42800/psn-pdf
     July 03, 2016 - A study of the role of salient distracting clinical features. … A study of the role of salient distracting clinical features. … https://psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features … Internal medicine residents made more diagnostic errors during complex clinical cases when a salient … https://psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42052/psn-pdf
     December 21, 2014 - Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical … Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical … psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory- computerized-clinical … A mandatory computerized clinical decision support tool improved deep vein thrombosis (DVT) prophylaxis … psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40281/psn-pdf
     August 25, 2011 - Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: … Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: … https://psnet.ahrq.gov/issue/effects-clinical-pharmacist-service-health-related-quality-life-and-prescribing … - drugs Integration of clinical pharmacists into prescribing decisions on an inpatient medical service … https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review https

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41191/psn-pdf
     March 21, 2012 - Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic … Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic … https://psnet.ahrq.gov/issue/reviewing-impact-computerized-provider-order-entry-clinical-outcomes-quality … systematic reviews that were designed to measure the impact of computerized provider order entry on clinical … https://psnet.ahrq.gov/issue/reviewing-impact-computerized-provider-order-entry-clinical-outcomes-quality-systematic

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45854/psn-pdf
     July 12, 2017 - The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce … caregivers' emotional responses after a clinical error. … The Second Victim Phenomenon After a Clinical Error: The Design and Evaluation of a Website to Reduce … Caregivers’ Emotional Responses After a Clinical Error. … https://psnet.ahrq.gov/issue/second-victim-phenomenon-after-clinical-error-design-and-evaluation-website

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43843/psn-pdf
     February 11, 2015 - Impact of a clinical decision support system for high-alert medications on the prevention of prescription … Impact of a clinical decision support system for high-alert medications on the prevention of prescription … https://psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention … - prescription-errors This before-and-after study found that clinical decision support reduced medication … This work supports the use of clinical decision support for high-risk medications.

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44748/psn-pdf
     August 19, 2016 - Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical … Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical … https://psnet.ahrq.gov/issue/beyond-clinical-engagement-pragmatic-model-quality-improvement- interventions-aligning … https://psnet.ahrq.gov/issue/beyond-clinical-engagement-pragmatic-model-quality-improvement-interventions-aligning … https://psnet.ahrq.gov/issue/beyond-clinical-engagement-pragmatic-model-quality-improvement-interventions-aligning

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46578/psn-pdf
     April 29, 2018 - Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. … Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. … https://psnet.ahrq.gov/issue/clinical-decision-support-alert-malfunctions-analysis-and-empirically-derived … - taxonomy Clinical decision support (CDS) includes electronic alerts that can prevent errors. … https://psnet.ahrq.gov/issue/framework-evaluating-appropriateness-clinical-decision-support-alerts-and-responses

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38379/psn-pdf
     April 30, 2014 - Clinical information technologies and inpatient outcomes: a multiple hospital study. … Clinical information technologies and inpatient outcomes: a multiple hospital study. … https://psnet.ahrq.gov/issue/clinical-information-technologies-and-inpatient-outcomes-multiple-hospital … Prior studies in this area have found improvements in clinical outcomes associated with computerized … This study, conducted at 41 Texas hospitals, provides support for IT's clinical benefits.

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37912/psn-pdf
     September 25, 2008 - Association of a clinical knowledge support system with improved patient safety, reduced complications … Association of a clinical knowledge support system with improved patient safety, reduced complications … https://psnet.ahrq.gov/issue/association-clinical-knowledge-support-system-improved-patient-safety- … reduced-complications This study discovered that hospitals providing access to a popular clinical knowledge … https://psnet.ahrq.gov/issue/association-clinical-knowledge-support-system-improved-patient-safety-reduced-complications