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psnet.ahrq.gov/node/47126/psn-pdf
May 16, 2018 - Unintended adverse consequences of a clinical decision
support system: two cases. … Unintended adverse consequences of a clinical decision support system: two cases. … https://psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases … Clinical decision support systems may have unintended negative effects on care. … ://psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
https://psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
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psnet.ahrq.gov/node/35120/psn-pdf
November 03, 2015 - Clinical impact associated with corrected results in
clinical microbiology testing. … Clinical impact associated with corrected results in clinical
microbiology testing. … https://psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing … https://psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing
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psnet.ahrq.gov/node/47601/psn-pdf
December 21, 2018 - Clinical decision support in the era of artificial
intelligence. … Clinical Decision Support in the Era of Artificial Intelligence. … https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
Clinical decision … https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
https://psnet.ahrq.gov … /issue/health-it-and-clinical-decision-support-systems
https://psnet.ahrq.gov/issue/recommendations-improve-usability-drug-drug-interaction-clinical-decision-support-alerts
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psnet.ahrq.gov/node/47701/psn-pdf
January 16, 2019 - Cranky comments: detecting clinical decision support
malfunctions through free-text override reasons … Cranky comments: detecting clinical decision support malfunctions
through free-text override reasons … https://psnet.ahrq.gov/issue/cranky-comments-detecting-clinical-decision-support-malfunctions-through … This observational study investigated whether override
comments for clinical decision rules could be … Investigators
discovered that malfunctions were prevalent in clinical decision support.
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psnet.ahrq.gov/node/45897/psn-pdf
August 20, 2018 - Clinical reasoning education at US medical schools:
results from a national survey of internal medicine … Clinical Reasoning Education at US Medical Schools: Results
from a National Survey of Internal Medicine … https://psnet.ahrq.gov/issue/clinical-reasoning-education-us-medical-schools-results-national-survey- … Researchers
sought to characterize clinical reasoning educational programs at United States medical … The authors
suggest that additional resources should be dedicated to teaching clinical reasoning in
-
psnet.ahrq.gov/node/45678/psn-pdf
October 11, 2017 - Is there a role for patients and their relatives in escalating
clinical deterioration in hospital? … Is there a role for patients and their relatives in escalating clinical
deterioration in hospital? … https://psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital … examined whether patient and family member activation of rapid response teams
improved recognition of clinical … capacity with frequent activations, but they did activate rapid response to
convey concerns beyond clinical
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psnet.ahrq.gov/node/34736/psn-pdf
October 24, 2017 - Medical Problem Solving: An Analysis of Clinical
Reasoning.
October 24, 2017
Elstein AS, ed. … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
Clinical reasoning … Considering the
fundamental importance of clinical reasoning, the topic has received surprisingly little … The authors also provide an excellent overview of theoretic models relevant to the study of clinical … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
-
psnet.ahrq.gov/node/37210/psn-pdf
December 19, 2011 - Effects of an integrated clinical information system on
medication safety in a multi-hospital setting … Effects of an integrated clinical information system on
medication safety in a multi-hospital setting … https://psnet.ahrq.gov/issue/effects-integrated-clinical-information-system-medication-safety-multi-hospital … -
setting
This study found that integration of clinical information system technology decreased selected … medication
errors and improved drug monitoring through the use of clinical decision support alerts.
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015258-aders-final-report-2007.pdf
January 01, 2007 - Timeliness of clinical information results was estimated by a chart audit. … A total of 222 records with clinical results were reviewed. … The mean
time to receive clinical information was 73 hours (S.D. = 113). … • Overall satisfaction with handling clinical information. … efficiency since implementation of the EMR and clinical messaging services.
-
psnet.ahrq.gov/node/42611/psn-pdf
September 25, 2013 - The proportion of clinically relevant alarms decreases as
patient clinical severity decreases in intensive … The proportion of clinically relevant alarms decreases as patient clinical
severity decreases in intensive … https://psnet.ahrq.gov/issue/proportion-clinically-relevant-alarms-decreases-patient-clinical-severity … majority of alarms in the intensive care unit were clinically irrelevant, especially for patients whose
clinical … https://psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
-
psnet.ahrq.gov/node/42194/psn-pdf
April 24, 2013 - Drug errors and related interventions reported by United
States clinical pharmacists: The American College … of
Clinical Pharmacy Practice-Based Research Network
medication error detection, amelioration and … Drug errors and related interventions reported by United States
clinical pharmacists: the American College … https://psnet.ahrq.gov/issue/drug-errors-and-related-interventions-reported-united-states-clinical- … pharmacists-american
This analysis of voluntary error reports submitted by clinical pharmacists found
-
psnet.ahrq.gov/node/41500/psn-pdf
May 10, 2013 - First year nursing students' viewpoints about
compromised clinical safety. … First year nursing students' viewpoints about compromised
clinical safety. … https://psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety … First-year nursing students reported considerable clinical uncertainty and exposure to unsafe clinical … https://psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety
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psnet.ahrq.gov/node/44429/psn-pdf
May 10, 2016 - Teaching Clinical Reasoning.
May 10, 2016
Trowbridge RL Jr, Rencic JJ, Durning SJ, eds. … https://psnet.ahrq.gov/issue/teaching-clinical-reasoning
Diagnostic errors are often attributed to clinicians … This publication provides instructional
methods to help educators improve how they teach clinical reasoning … https://psnet.ahrq.gov/issue/clinical-reasoning-toolkit
https://psnet.ahrq.gov/issue/clinical-reasoning-toolkit … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
-
psnet.ahrq.gov/node/38069/psn-pdf
March 10, 2011 - Evaluating clinical decision support systems: monitoring
CPOE order check override rates in the Department … Evaluating clinical decision support systems: monitoring CPOE order
check override rates in the Department … https://psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check … discovered that override rates of potentially critical adverse drug events remain problematic
despite a clinical … call for greater
qualitative research to understand the interactions between these systems and the clinical
-
psnet.ahrq.gov/node/43728/psn-pdf
February 14, 2015 - Development and testing of an objective structured
clinical exam (OSCE) to assess socio-cultural dimensions … Development and testing of an objective structured clinical
exam (OSCE) to assess socio-cultural dimensions … https://psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess- … This suggests that safety culture cases could be added to existing clinical
examinations in patient … https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
-
psnet.ahrq.gov/node/36433/psn-pdf
February 10, 2011 - Effects of computer-based clinical decision support
systems on physician performance and patient outcomes … Effects of Computer-Based Clinical Decision Support Systems on
Physician Performance and Patient Outcomes … Increasing adoption of clinical decision support systems (CDSS) has been suggested to positively impact … While the findings
demonstrate improvements in clinical performance for drug dosing, preventive care … , and other defined
aspects of clinical practice, the impact of CDSS on patient outcomes is limited,
-
psnet.ahrq.gov/node/46722/psn-pdf
March 20, 2018 - Nurses' clinical reasoning practices that support safe
medication administration: an integrative review … Nurses' clinical reasoning practices that support safe medication administration: An
integrative review … https://psnet.ahrq.gov/issue/nurses-clinical-reasoning-practices-support-safe-medication-administration … -
integrative-review
Clinical reasoning is a core skill that can affect the safety of medication administration … This review
highlights nurse clinical reasoning use across the spectrum of medication delivery, including
-
effectivehealthcare.ahrq.gov/sites/default/files/han.pdf
December 26, 2012 - Slide 1: Conceptual, methodological, and ethical problems
in communicating
uncertainty
in clinical … Outcomes Research and Evaluation
Maine Medical
Center
Slide 2: Communicating
uncertainty in clinical … o Meaning and nature of uncertainty in clinical evidence
• Methodological: How should we communicate … o Benefits and harms of communicating uncertainty in clinical practice
Slide 5: Uncertainty
• Main … evidence: exemplars
• Clinical prediction models (CPMs)
o “…provide the evidence-‐based input
-
hcup-us.ahrq.gov/db/vars/prccsr_aaannn/nrdnote.jsp
August 01, 2015 - Classifications Software Refined (CCSR): ICD-10-PCS Procedure Classification within Clinical Domain … CCSR categories are organized by clinical domain. … domain (i.e., there is a CCSR 001 for each clinical domain). … The value of AAA indicates the clinical domain. … The value of nnn indicates the specific category within the clinical domain.
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
September 22, 2010 - data
The bottom line
Data for Monitoring Clinical Performance
Claims Data – from HCFA Mortality … Reports and
HealthGrades.com to HCUP Quality and Patient
Safety Indicators
Clinical Data – from APACHE … Data
Manual
Automated
D
at
a
C
ol
le
ct
io
n
Claims Data
Clinical Data
Efficient Use of … Clinical Data
Hemoglobin FEV1
Albumin Mental
Status
Cost to Collect
HighLow
Analytic
Power
Low … Slide Number 1
Overview
Data for Monitoring Clinical Performance
Claims Data Versus Clinical Data