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481. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43779/psn-pdf
     May 28, 2015 - Debriefing in the emergency department after clinical events: a practical guide. … Debriefing in the Emergency Department After Clinical Events: A Practical Guide. … https://psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide Performing … debriefs after clinical events is a critical learning and process improvement opportunity for teams … https://psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide https

482. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46467/psn-pdf
     October 18, 2017 - The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. … , 2017 Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National Collaborative for Improving the Clinical … https://psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient … https://psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety … https://psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety

483. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49850/psn-pdf
     January 01, 2019 - purpose, which include facilitating standard clinical workflows (e.g., hospital admission, transfer, … Order sets are a form of clinical decision support and can contribute to patient harm when not properly … To optimize clinical decision support, the order set should have been designed to provide guidance as … https://psnet.ahrq.gov//#references Brian Clay, MD Health Sciences Clinical Professor of Medicine, … Transfusing wisely: clinical decision support improves blood transfusion practices.

484. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45701/psn-pdf
     December 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. … Clinical decision support for drug related events: Moving towards better prevention. … https://psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention … This commentary discusses how organizations are using clinical decision support systems to track problems … https://psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention

485. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44753/psn-pdf
     April 12, 2019 - A vignette study to assess recognition of cognitive biases in clinical case workups. … A vignette study to assess recognition of cognitive biases in clinical case workups. … https://psnet.ahrq.gov/issue/bias-eye-beholder-vignette-study-assess-recognition-cognitive-biases-clinical … - case-workups Providing eight ambiguous clinical vignettes to generalist physician members of the … https://psnet.ahrq.gov/issue/bias-eye-beholder-vignette-study-assess-recognition-cognitive-biases-clinical-case-workups

486. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47509/psn-pdf
     December 21, 2018 - Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study … Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study … https://psnet.ahrq.gov/issue/prevalence-and-predictors-delayed-clinical-diagnosis-type-2-diabetes- longitudinal-cohort … https://psnet.ahrq.gov/issue/prevalence-and-predictors-delayed-clinical-diagnosis-type-2-diabetes-longitudinal-cohort … https://psnet.ahrq.gov/issue/prevalence-and-predictors-delayed-clinical-diagnosis-type-2-diabetes-longitudinal-cohort

487. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46656/psn-pdf
     February 07, 2018 - Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect … Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect … https://psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are- clinical-diagnoses … https://psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses … https://psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses

488. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44992/psn-pdf
     December 21, 2016 - Evaluating the effect of distractions in the operating room on clinical decision-making and patient … Evaluating the effect of distractions in the operating room on clinical decision-making and patient … https://psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and … The majority of residents made at least one unsafe clinical decision while trying to multitask, further … https://psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and-patient-safety

489. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74184/psn-pdf
     May 05, 2017 - Systematic review of the impact of physician implicit racial bias on clinical decision making. … Systematic review of the impact of physician implicit racial bias on clinical decision making. … https://psnet.ahrq.gov/issue/systematic-review-impact-physician-implicit-racial-bias-clinical-decision-making … Findings suggest that, while physicians demonstrate an implicit bias towards white patients, their clinical … https://psnet.ahrq.gov/issue/systematic-review-impact-physician-implicit-racial-bias-clinical-decision-making

490. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45765/psn-pdf
     April 05, 2017 - Clinical reasoning in the context of active decision support during medication prescribing. … Clinical reasoning in the context of active decision support during medication prescribing. … https://psnet.ahrq.gov/issue/clinical-reasoning-context-active-decision-support-during-medication- prescribing … The authors found that providers engaged in complex clinical reasoning prior to declining an alert, … https://psnet.ahrq.gov/issue/clinical-reasoning-context-active-decision-support-during-medication-prescribing

491. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40616/psn-pdf
     July 13, 2011 - Clinical decision support and malpractice risk. July 13, 2011 Greenberg MD, Ridgely MS. … Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1). doi:10.1001/jama.2011.929. … https://psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk This commentary discusses … liabilities associated with clinical decision support systems and describes how to improve them and … https://psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk https://psnet.ahrq.gov//#

492. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35932/psn-pdf
     October 03, 2017 - Injury to research volunteers—the clinical-research nightmare. … Injury to research volunteers--the clinical-research nightmare. … https://psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare The authors discuss … a high-profile clinical trial incident and how transparency and sharing of lessons learned can minimize … https://psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare

493. 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

494. 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

495. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39224/psn-pdf
     August 11, 2015 - Diagnostic error and clinical reasoning. August 11, 2015 Norman GR, Eva KW. … Diagnostic error and clinical reasoning. Med Educ. 2010;44(1):94-100. … https://psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning This article reviews evidence on … the cognitive origins of diagnostic errors and examines theories regarding both clinical reasoning … https://psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning https://psnet.ahrq.gov/primer/diagnostic-errors

496. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36128/psn-pdf
     September 29, 2010 - Clinical risk management and patient safety education for nurses: a critique. … Clinical risk management and patient safety education for nurses: a critique. … https://psnet.ahrq.gov/issue/clinical-risk-management-and-patient-safety-education-nurses-critique The … authors argue for a new, evidence-based approach to training nurses in clinical risk management. … https://psnet.ahrq.gov/issue/clinical-risk-management-and-patient-safety-education-nurses-critique

497. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39363/psn-pdf
     March 10, 2010 - Clinical nurse specialists as leaders in rapid response. March 10, 2010 Jenkins SD, Lindsey PL. … Clinical nurse specialists as leaders in rapid response. … https://psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response This commentary discusses … background literature on rapid response teams (RRTs) and describes a role for clinical nurse specialists … https://psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response https://psnet.ahrq.gov

498. 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

499. 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

500. 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