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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39868/psn-pdf
     February 04, 2011 - Review: bringing patient safety to the forefront through structured computerisation during clinical … Review: bringing patient safety to the forefront through structured computerisation during clinical … psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation- during-clinical … This review explores handoff methods in the clinical setting, discusses risks for adverse events in … psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38396/psn-pdf
     January 02, 2017 - A practical framework for patient care teams to prospectively identify and mitigate clinical hazards … A practical framework for patient care teams to prospectively identify and mitigate clinical hazards … //psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate- clinical-hazards … describes a structured approach to identify and address medical risks that might arise from changes in clinical … https://psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39899/psn-pdf
     October 06, 2010 - Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. … Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. … https://psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical- … https://psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice … https://psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42012/psn-pdf
     February 06, 2013 - Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. … Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. … https://psnet.ahrq.gov/issue/quality-outpatient-clinical-notes-stakeholder-definition-derived-through … administrators provided their perspectives regarding the characteristics of high quality outpatient clinical … https://psnet.ahrq.gov/issue/quality-outpatient-clinical-notes-stakeholder-definition-derived-through-qualitative-research

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42306/psn-pdf
     May 29, 2013 - Do team processes really have an effect on clinical performance? A systematic literature review. … Do team processes really have an effect on clinical performance? A systematic literature review. … https://psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic- literature-review … teamwork training studies found that training programs do improve teamwork behaviors and may also enhance clinical … https://psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37393/psn-pdf
     June 13, 2011 - Clinical information transfer and medication reconciliation in patients transferred from the pediatric … Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric … https://psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred … - pediatric This study of nursing handoffs found frequent errors in communication of clinical information … https://psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40152/psn-pdf
     January 19, 2011 - Reducing clinical errors in cancer education: interpreter training. … Reducing clinical errors in cancer education: interpreter training. … https://psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-education-interpreter-training Untrained … Prior research has shown that interpreters improve clinical care for patients with limited English proficiency … /issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41709/psn-pdf
     September 26, 2012 - The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working … The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working … https://psnet.ahrq.gov/issue/effect-clinical-history-accuracy-electrocardiograph-interpretation-among … - doctors-working This observational study highlights the framing effect of a suggestive clinical history … https://psnet.ahrq.gov/issue/effect-clinical-history-accuracy-electrocardiograph-interpretation-among-doctors-working

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45055/psn-pdf
     December 04, 2016 - Analysis of clinical decision support system malfunctions: a case series and survey. … Analysis of clinical decision support system malfunctions: a case series and survey. … https://psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey … Investigators analyzed clinical decision support system malfunctions and surveyed chief medical informatics … The authors suggest that clinical decision support requires more robust testing and monitoring to reach

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37745/psn-pdf
     May 07, 2008 - Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled … Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing … https://psnet.ahrq.gov/issue/clinical-outcomes-home-based-medication-reconciliation-program-after- discharge-skilled … This controlled trial used clinical pharmacists to identify and intervene on medication discrepancies … Prior research in this area has also documented the value of clinical pharmacists in preventing medication

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39385/psn-pdf
     March 23, 2011 - Health service accreditation as a predictor of clinical and organisational performance: a blinded, random … Health service accreditation as a predictor of clinical and organisational performance: a blinded, random … https://psnet.ahrq.gov/issue/health-service-accreditation-predictor-clinical-and-organisational-performance … regulatory organizations was associated with a positive safety culture, but was not associated with clinical … https://psnet.ahrq.gov/issue/health-service-accreditation-predictor-clinical-and-organisational-performance-blinded-random

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39085/psn-pdf
     November 11, 2009 - Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement … Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement … https://psnet.ahrq.gov/issue/integrating-ethics-and-patient-safety-role-clinical-ethics-consultants-quality … - improvement The authors suggest a systems-oriented framework for clinical ethics consultation as … https://psnet.ahrq.gov/issue/integrating-ethics-and-patient-safety-role-clinical-ethics-consultants-quality-improvement

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40362/psn-pdf
     April 13, 2011 - Role of clinical context in residents' physical examination diagnostic accuracy. … Role of clinical context in residents' physical examination diagnostic accuracy. … https://psnet.ahrq.gov/issue/role-clinical-context-residents-physical-examination-diagnostic-accuracy … Providing a brief clinical scenario increased internal medicine residents' diagnostic accuracy for … https://psnet.ahrq.gov/issue/role-clinical-context-residents-physical-examination-diagnostic-accuracy

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35760/psn-pdf
     July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. … Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. … https://psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex- clinical-systems … found several common characteristics in the organizational cultures, including collaboration, strong clinical … https://psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41498/psn-pdf
     December 31, 2014 - Standard practices for computerized clinical decision support in community hospitals: a national survey … Standard practices for computerized clinical decision support in community hospitals: a national survey … https://psnet.ahrq.gov/issue/standard-practices-computerized-clinical-decision-support-community- hospitals-national-survey … This survey of hospitals with clinical decision support system (CDSS) experience found that customization … https://psnet.ahrq.gov/issue/standard-practices-computerized-clinical-decision-support-community-hospitals-national-survey

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37032/psn-pdf
     May 27, 2011 - Effects of computerized physician order entry and clinical decision support systems on medication safety … Effects of computerized physician order entry and clinical decision support systems on medication safety … https://psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support … ) systems hold the promise of potentially reducing medication errors, especially when coupled with clinical … studies found were not adequately powered to determine the effects on adverse drug events requiring clinical

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37923/psn-pdf
     July 23, 2008 - Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. … Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. … https://psnet.ahrq.gov/issue/unit-based-clinical-pharmacists-prevention-serious-medication-errors-pediatric … In this controlled trial, clinical pharmacists were deployed in the intensive care unit (ICU) and general … https://psnet.ahrq.gov/issue/unit-based-clinical-pharmacists-prevention-serious-medication-errors-pediatric-inpatients

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41008/psn-pdf
     December 27, 2014 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. … https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication- … Based on lessons learned from facilities that have implemented the Medications at Transitions and Clinical … https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation … https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38694/psn-pdf
     June 10, 2009 - Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. … Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. … https://psnet.ahrq.gov/issue/clinical-staging-error-prostate-cancer-localization-and-relevance-undetected … https://psnet.ahrq.gov/issue/clinical-staging-error-prostate-cancer-localization-and-relevance-undetected-tumour-areas … https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41648/psn-pdf
     September 30, 2012 - Using an objective structured clinical examination to test adherence to Joint Commission National Patient … Using an Objective Structured Clinical Examination to test adherence to Joint Commission National Patient … https://psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint- commission-national … An objective structured clinical examination provided an effective assessment of trainee adherence … https://psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national