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psnet.ahrq.gov/node/44493/psn-pdf
September 19, 2016 - interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/842773/psn-pdf
January 01, 2009 - In this
small study, five clinicians in a gynecology practice used Lean methods to redesign the workflow … Although two clinicians dropped out of the study, the
remaining three improved Pap test quality and
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psnet.ahrq.gov/node/43990/psn-pdf
April 22, 2015 - This qualitative study found that clinicians generally prefer to fix and forget safety problems
rather … This behavior is problematic in that it likely leads to clinicians developing
workarounds instead of
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psnet.ahrq.gov/node/45934/psn-pdf
March 01, 2017 - evolving-role-medical-scribe-variation-and-implications-organizational-
effectiveness-and
The use of scribes, nonclinical staff who aid clinicians … This qualitative study used interviews with
clinicians, administrators, and scribes to develop a sociotechnical
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - Clinicians are also reacting to well-documented EMR implementation and usability difficulties, which … patients supersedes HIT protocols.( 5 ) Hence clinicians, for example, will reach into one patient's … But interoperability could also create a river of information that would flood clinicians with massive … Instead of blaming clinicians' character flaws for the tepid adoption of EMRs, vendors should look to … It illustrates the caring and professionalism of dedicated clinicians—despite, or in addition to, the
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psnet.ahrq.gov/node/49843/psn-pdf
October 01, 2018 - In the end, clinicians realized that the patient had initially been misdiagnosed with sepsis and that … Clinicians must consider the four broad causes of shock: hypovolemic, cardiogenic (e.g., acute
https … Studies have also shown
that these alerts lead clinicians to more frequently order lactate, chest radiographs … Finally, clinicians have not reliably embraced these alerts. … In one study, only one-third of clinicians felt that
sepsis alerts were useful and one-quarter felt
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psnet.ahrq.gov/node/49619/psn-pdf
February 01, 2011 - The Commentary
https://psnet.ahrq.gov/web-mm/paradoxical-pulse
Clinicians are often reassured by the … The clinical examination of the cardiovascular system is challenging to trainees and experienced clinicians … The clinicians were also falsely reassured by negative physical exam findings. … Knowing that this patient had a large pericardial effusion that was at risk of progressing, the clinicians … Clinicians must be aware that the heuristic of, a patient who "looks fine" therefore must "be fine,"
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psnet.ahrq.gov/issue/physicians-needs-coping-emotional-stressors-case-peer-support
September 09, 2008 - September 9, 2008
Artificial intelligence versus clinicians: systematic review of design … October 28, 2020
View More
Related Resources
Peer support for clinicians … November 8, 2013
Coordinating care across diseases, settings, and clinicians: a key role
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psnet.ahrq.gov/issue/national-emergency-department-safety-study-study-rationale-and-design
June 16, 2009 - From the Same Author(s)
The safety of emergency care systems: results of a survey of clinicians … July 6, 2022
Artificial intelligence versus clinicians: systematic review of design, … April 21, 2021
A program to provide clinicians with feedback on their diagnostic performance
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psnet.ahrq.gov/node/47545/psn-pdf
December 19, 2018 - https://psnet.ahrq.gov/issue/dental-patient-safety-foundation
https://psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support-program … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/46060/psn-pdf
October 31, 2017 - psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-
maryland
Clinicians … do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/45106/psn-pdf
August 16, 2017 - go-between-study-simulation-study-comparing-traffic-lights-and-sbar-tools-means-communication
https://psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians … https://psnet.ahrq.gov/primer/communication-between-clinicians
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psnet.ahrq.gov/node/37092/psn-pdf
August 21, 2008 - Clinicians who had completed simulation training in these
procedures were more likely to carry out appropriate … evaluation and monitoring during and after sedation
than clinicians who had received standard training
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psnet.ahrq.gov/node/45145/psn-pdf
January 08, 2018 - day-intervention-promote-patient-and-family-
involvement-care
This study reports on efforts to enhance communication between clinicians … A rapid-change project resulted in significant improvement in patient
perceptions of communication—clinicians
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psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - Parents also did not consistently inform clinicians of ameliorable ADEs when they occurred,
leading … the authors to conclude that communication between clinicians and parents around the issue of
medication
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psnet.ahrq.gov/web-mm/two-pills-same-drug
May 27, 2011 - annually.( 5 ) The majority of potential ADEs occur during ordering.( 6 ) In most U.S. hospitals, clinicians … Clinicians may also fail to add required corollary orders or to check for known allergies or drug interactions … Clinicians can then make corrections before the order is finalized and further steps are taken to administer … For example, clinicians may have a set of expectations about the processing and outcome of routine, free-form … Automated algorithms alerting clinicians that a compound drug contains duplicates of currently active
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - consider alternative diagnoses after the initial impression is formed
To combat premature closure, clinicians … caseID=297
10
Anchoring Bias
Anchoring bias is the tendency for clinicians to stick with the initial … proposed that awareness of cognitive biases and their contribution to diagnostic errors might help clinicians … ClinicalReasoning
20
System-Based Improvements (2)
Manual or automated decision support can help clinicians … stick with initial impressions even as new information becomes available
Anchoring could be reduced if clinicians
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - Because TSOACs have only had FDA approval for 2–3 years, many clinicians may be unfamiliar with their … TSOACs vary by their pharmacokinetics
and elimination half-lives, and clinicians may not be aware of … TSOACs now have black-box warnings
informing clinicians that thromboembolism risk increases with abrupt … Clinicians may inappropriately order coagulation
tests that do not correlate with TSOAC effect. … Promoting awareness of new guidelines and updating medical knowledge among clinicians
is certainly a
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - Nowadays, visits to the radiology reading room are perceived "by non-radiology clinicians as a 'waste … In order to review the films in a timely manner, clinicians often had to visit the radiology department … In this age of digital imaging, clinicians rarely visit the radiology department for consultations or … Clinicians who order radiology studies need to understand the importance of providing enough medical … However, since in-person or telephone conversations are not always feasible between busy clinicians,
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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - Third, while it is important for clinicians to take steps to root out personal gender bias, they should … In cases like this one, avoiding gender-based error depends on clinicians’ individual efforts to factor … Furthermore, clinicians interact differently with patients they believe to be somatizing than they do … Clinicians responsible for assessing patients with recurrent palpitations should consider ambulatory … Clinicians should remain aware that the presence of panic or anxiety does not favor the diagnosis of