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9501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45024/psn-pdf
      December 19, 2017 - Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational … Leveraging a Redesigned Morbidity and Mortality Conference That Incorporates the Clinical and Educational … https://psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates- clinical-and … outlines how a hospital designed a new M&M model, implemented it system-wide, and tracked related clinical … https://psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and

9502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47256/psn-pdf
      October 03, 2018 - Does the perception of severity of medical error differ between varying levels of clinical seniority … Does the perception of severity of medical error differ between varying levels of clinical seniority … https://psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical … seniority Little is known about how the perceived severity of a medical error may differ by level of clinical … https://psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority

9503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42744/psn-pdf
      September 01, 2016 - Physicians' responses to clinical decision support on an intensive care unit—comparison of four different … Physicians' responses to clinical decision support on an intensive care unit--comparison of four different … https://psnet.ahrq.gov/issue/physicians-responses-clinical-decision-support-intensive-care-unit-comparison … This study found that pop-up alerts appeared to be the most effective mechanism for presenting clinical … https://psnet.ahrq.gov/issue/physicians-responses-clinical-decision-support-intensive-care-unit-comparison-four-different

9504. 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.

9505. 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//#

9506. 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

9507. 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

9508. 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

9509. 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

9510. 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

9511. 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

9512. 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

9513. 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

9514. 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

9515. 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

9516. 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

9517. 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

9518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37927/psn-pdf
      March 10, 2011 - A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. … A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. … https://psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory … https://psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring … https://psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring

9519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38852/psn-pdf
      April 04, 2011 - Effect of clinical pharmacists on care in the emergency department: a systematic review. … Effect of clinical pharmacists on care in the emergency department: a systematic review. … https://psnet.ahrq.gov/issue/effect-clinical-pharmacists-care-emergency-department-systematic-review … Clinical pharmacists effectively prevent medication errors in the inpatient setting, but their role … https://psnet.ahrq.gov/issue/effect-clinical-pharmacists-care-emergency-department-systematic-review

9520. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47415/psn-pdf
      December 05, 2018 - Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? … Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? … https://psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical … - decision-making Cognitive biases can affect clinical decision making. … https://psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making