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psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
August 13, 2014 - Study
Managing clinical failure: a complex adaptive system perspective. … Managing clinical failure: a complex adaptive system perspective. … The investigators interviewed clinicians and managers to assess how knowledge is captured in a clinical … Managing clinical failure: a complex adaptive system perspective. … August 13, 2014
American College of Endocrinology and American Association of Clinical
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psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
November 10, 2017 - Book/Report
Patient Safety: Investigating and Reporting Serious Clinical Incidents … Citation Text:
Patient Safety: Investigating and Reporting Serious Clinical Incidents. Kelsey R. … mistakes that result in patient harm and describes how to conduct a root cause analysis to investigate clinical … Cite
Citation
Citation Text:
Patient Safety: Investigating and Reporting Serious Clinical … April 12, 2017
Leading Health Care Transformation: A Primer for Clinical Leaders.
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psnet.ahrq.gov/issue/clinical-reasoning-curriculum-medical-students-interim-analysis
March 02, 2022 - Study
A clinical reasoning curriculum for medical students: an interim analysis. … A clinical reasoning curriculum for medical students: an interim analysis. … Teaching clinical reasoning to medical students is a key strategy for reducing diagnostic errors. … A clinical reasoning curriculum for medical students: an interim analysis. … November 11, 2020
Clinical reasoning as a core competency.
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psnet.ahrq.gov/issue/clinical-handover-critical-communications
February 18, 2015 - Special or Theme Issue
Clinical Handover: Critical Communications. … Citation Text:
Clinical Handover: Critical Communications. … Linkedin
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Clinical
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psnet.ahrq.gov/issue/pharmacovigilance-using-clinical-notes
April 24, 2018 - Study
Pharmacovigilance using clinical notes. … Pharmacovigilance using clinical notes. … Pharmacovigilance using clinical notes.
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psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
November 06, 2015 - Commentary
Classic
Clinical decision support in the era … Clinical Decision Support in the Era of Artificial Intelligence. … Clinical decision support on the front line of care harbors both potential benefits and barriers to … Clinical Decision Support in the Era of Artificial Intelligence. … June 25, 2018
Unintended adverse consequences of a clinical decision support system:
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psnet.ahrq.gov/issue/cranky-comments-detecting-clinical-decision-support-malfunctions-through-free-text-override
April 29, 2018 - Study
Cranky comments: detecting clinical decision support malfunctions through free-text … Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. … This observational study investigated whether override comments for clinical decision rules could be … Investigators discovered that malfunctions were prevalent in clinical decision support. … A past WebM&M commentary recommended employing human factors engineering to make clinical decision
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psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems-improvement
November 23, 2016 - Commentary
Practising open disclosure: clinical incident communication and systems … Practising Open Disclosure: clinical incident communication and systems improvement. … This article provides background on the emergence of apology as a response to clinical error and describes … Practising Open Disclosure: clinical incident communication and systems improvement. … formal rules and situated clinical activity.
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psnet.ahrq.gov/issue/read-back-improves-information-transfer-simulated-clinical-crises
March 12, 2017 - Study
Read-back improves information transfer in simulated clinical crises. … Read-back improves information transfer in simulated clinical crises. … Read-backs are widely recommended in order to improve communication of critical clinical information. … This simulation study found that anesthesiologists who immediately read back clinical data during simulated … Read-back improves information transfer in simulated clinical crises.
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses
Yan Xiao, PhD; Colin F. … Video to Improve Patient Safety: Clinical and Educational Uses. PSNet [internet]. … Video to Improve Patient Safety: Clinical and Educational Uses. PSNet [internet]. … What makes video so unique as a medium for clinical and educational use? … Video to Improve Patient Safety: Clinical and Educational Uses. PSNet [internet].
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psnet.ahrq.gov/issue/impact-clinical-decision-support-therapeutic-interchanges-hospital-discharge-medication
July 29, 2020 - Study
Impact of clinical decision support therapeutic interchanges on hospital discharge … Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions … Clinical decision support (CDS) tools are intended to enhance care decision and delivery processes … Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions … October 19, 2022
Renal medication-related clinical decision support (CDS) alerts and
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psnet.ahrq.gov/issue/computerised-clinical-decision-support-systems-improve-medication-safety-long-term-care-homes
May 17, 2023 - Review
Computerised clinical decision support systems to improve medication safety … Computerised clinical decision support systems to improve medication safety in long-term care homes: … Computerised clinical decision support systems to improve medication safety in long-term care homes: … March 18, 2020
Artificial intelligence, bias and clinical safety. … February 20, 2019
Improving medication-related clinical decision support.
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psnet.ahrq.gov/issue/perception-usability-and-implementation-metacognitive-mnemonic-check-cognitive-errors
September 02, 2020 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical … Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical … found the checklist to be applicable and usable, and the authors conclude that it should be tested in a clinical … Same Author(s)
Understanding context specificity: the effect of contextual factors on clinical … March 18, 2013
Clinical reasoning in the wild: premature closure during the COVID-19
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psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention
December 16, 2020 - Commentary
Clinical decision support for drug related events: moving towards better … Clinical decision support for drug related events: Moving towards better prevention. … Clinical decision support for drug related events: Moving towards better prevention. … September 29, 2010
Clinical practice guideline: safe medication use in the ICU. … June 25, 2018
Unintended adverse consequences of a clinical decision support system:
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psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
February 22, 2017 - Review
The effectiveness of nurse education and training for clinical alarm response … The effectiveness of nurse education and training for clinical alarm response and management: a systematic … Managing alarms in clinical settings is a patient safety challenge for nurses. … practice settings can help nurses manage clinical alarms safely. … September 2, 2020
Clinical outcomes associated with medication regimen complexity in
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psnet.ahrq.gov/issue/clinical-reasoning-assessment-methods-scoping-review-and-practical-guidance
August 15, 2018 - Review
Clinical reasoning assessment methods: a scoping review and practical guidance … Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. … Skill assessments are necessary to identify biases and behaviors that detract from effective clinical … , in simulated clinical situations, and on the front line. … Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance.
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psnet.ahrq.gov/issue/medicines-shadowside-revisiting-clinical-iatrogenesis
September 08, 2021 - Special or Theme Issue
Medicine's Shadowside: Revisiting Clinical Iatrogenesis. … Citation Text:
Medicine's Shadowside: Revisiting Clinical Iatrogenesis. Varley E, Varma S, eds. … Cite
Citation
Citation Text:
Medicine's Shadowside: Revisiting Clinical … June 8, 2022
Patient Safety Primers
Debriefing for Clinical
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psnet.ahrq.gov/issue/clinical-errors-and-medical-negligence
March 01, 2023 - Review
Clinical errors and medical negligence. … Clinical errors and medical negligence. … Clinical errors and medical negligence.
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psnet.ahrq.gov/issue/pulse-oximeters-medical-purposes-non-clinical-and-clinical-performance-testing-labeling-and
January 22, 2025 - Press Release/Announcement
Pulse oximeters for medical purposes - non-clinical and … clinical performance testing, labeling, and premarket submission recommendations. … Citation Text:
Pulse oximeters for medical purposes - non-clinical and clinical performance testing … and clinical performance testing, labeling, and premarket submission recommendations. … View More
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Hospitals
Medicine
Nurse Care
Clinical
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psnet.ahrq.gov/issue/renal-medication-related-clinical-decision-support-cds-alerts-and-overrides-inpatient-setting
May 20, 2020 - Study
Renal medication-related clinical decision support (CDS) alerts and overrides … Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting … Clinical decision support (CDS) alerts can improve patient safety , and prior research suggests that … Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting … September 1, 2016
Computerized clinical decision support during medication ordering for