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9981. 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

9982. 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

9983. 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

9984. 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

9985. 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

9986. 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

9987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35272/psn-pdf
      June 29, 2009 - Clinical cognition and biomedical informatics: issues of patient safety. … Clinical cognition and biomedical informatics: Issues of patient safety. … https://psnet.ahrq.gov/issue/clinical-cognition-and-biomedical-informatics-issues-patient-safety The … issues related to cognition in nursing practice and how these might be applied to design effective clinical … https://psnet.ahrq.gov/issue/clinical-cognition-and-biomedical-informatics-issues-patient-safety

9988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34879/psn-pdf
      February 03, 2011 - Missing clinical information during primary care visits. … Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. … https://psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits This survey of … 253 primary care clinicians revealed that important clinical information was missing in nearly 1 in … https://psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits

9989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36344/psn-pdf
      February 17, 2011 - Clinical problem-solving. Lost in transcription. … Clinical problem-solving. Lost in transcription. N Engl J Med. 2006;355(14):1487-91. … https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription This case involves an iatrogenic … underscore the importance of including medical error in the differential diagnosis when unexpected clinical … https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription https://psnet.ahrq.gov//#iatrogenic

9990. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36097/psn-pdf
      July 12, 2006 - Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. … https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be- strengthened … This government report found that the clinical laboratory survey process is flawed, allowing safety … https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened … https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened

9991. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35062/psn-pdf
      June 22, 2009 - Blurring the boundaries: scenario-based simulation in a clinical setting.   … Blurring the boundaries: scenario-based simulation in a clinical setting. … https://psnet.ahrq.gov/issue/blurring-boundaries-scenario-based-simulation-clinical-setting This study … explored the feasibility of using scenario-based simulation for clinical procedures training, providing … https://psnet.ahrq.gov/issue/blurring-boundaries-scenario-based-simulation-clinical-setting

9992. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36911/psn-pdf
      September 01, 2011 - Managing clinical failure: a complex adaptive system perspective. … Managing clinical failure: a complex adaptive system perspective. … https://psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective The investigators … interviewed clinicians and managers to assess how knowledge is captured in a clinical setting.  … https://psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective

9993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42523/psn-pdf
      October 08, 2013 - Patient safety in clinical research articles. … Patient safety in clinical research articles. … https://psnet.ahrq.gov/issue/patient-safety-clinical-research-articles This commentary recommends including … information in clinical articles on how to apply research results to patient safety to help drive improvement … https://psnet.ahrq.gov/issue/patient-safety-clinical-research-articles https://psnet.ahrq.gov/issue/organising-manuscript-reporting-quality-improvement-or-patient-safety-research

9994. 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

9995. 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

9996. 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

9997. 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

9998. 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

9999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43292/psn-pdf
      January 07, 2015 - Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted … Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted … https://psnet.ahrq.gov/issue/clinical-decision-support-atypical-orders-detection-and-warning-atypical … https://psnet.ahrq.gov/issue/clinical-decision-support-atypical-orders-detection-and-warning-atypical-medication-orders … https://psnet.ahrq.gov/issue/clinical-decision-support-systems-could-be-modified-reduce-alert-fatigue-while-still

10000. 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