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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Wrong Route for Nutrients
July 1, 2008
Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrong-route-nutrients
The Case
An 82-year-old man living in a skilled nursing facility (SNF) had not been eating or drinking well for about 6
months. He had lost weight and d…
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psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - Building a Safety Program Using Principles of Resilience
Engineering
June 1, 2019
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety Program Using Principles of Resilience Engineering.
PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
Persp…
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Looking for Meds in All the Wrong Places
October 1, 2012
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
The Case
A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She
went to t…
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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - Safety and Medical Education
January 1, 2014
Ranji SR. Safety and Medical Education. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/safety-and-medical-education
Annual Perspective 2014
As the patient safety field has grown, so too has the appreciation for the need to improve safety in medical
educatio…
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - Never Events
Citation Text:
Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - 90” OME or “carefully justify a
decision (to do so) based on individualized assessment of benefits and … Prescriber order entry systems with clinical decision support should
suggest alternatives that do not
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psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
February 04, 2018 - February 4, 2018
Medication-related clinical decision support in computerized provider … Preventability of adverse drug events involving multiple drugs using publicly available clinical decision … 27, 2011
Recommendations to improve the usability of drug–drug interaction clinical decision … September 1, 2016
A framework for evaluating the appropriateness of clinical decision … June 8, 2011
Computerized physician order entry with clinical decision support in the
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psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems
May 27, 2011 - Citation
Related Resources From the Same Author(s)
Medication-related clinical decision … An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation … between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision … Related Resources
Use of computerized physician order entry with clinical decision … December 21, 2022
Context-sensitive decision support (infobuttons) in electronic health
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psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
May 08, 2017 - Download Citation
Related Resources From the Same Author(s)
Context-sensitive decision … March 25, 2020
Future directions for diagnostic decision support. … Impact of a commercial order entry system on prescribing errors amenable to computerised decision … June 25, 2018
Unintended adverse consequences of a clinical decision support system: … May 16, 2018
Diagnostic accuracy of GPs when using an early-intervention decision support
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psnet.ahrq.gov/node/41118/psn-pdf
February 08, 2012 - Preventability of adverse drug events involving multiple
drugs using publicly available clinical decision … Preventability of adverse drug events involving multiple drugs
using publicly available clinical decision … inadvertent drug
duplication or drug–drug interaction could have been prevented through the use of existing decision
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psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - Not necessarily from a patient safety standpoint, but we have found that the decision of whether a line … So we like to be involved in the decision whether or not the line is actually removed.
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psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
February 24, 2022 - Dentistry and coronavirus (COVID-19) - moral decision-making. … September 30, 2020
The challenges and opportunities for shared decision making highlighted
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psnet.ahrq.gov/node/45035/psn-pdf
January 23, 2017 - https://psnet.ahrq.gov/issue/premature-closure-not-so-fast
Analyzing clinician decision making is increasingly … diagnostician about heuristics, dual process theory,
premature closure, and how to recognize biases in decision-making … https://psnet.ahrq.gov/issue/premature-closure-not-so-fast
https://psnet.ahrq.gov/issue/decision-making-trauma-settings-simulation-improve-diagnostic-skills
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psnet.ahrq.gov/node/45722/psn-pdf
November 15, 2017 - This commentary
explores the role of shared decision making in building patient and clinician relationships … patient-centred-diagnosis-sharing-diagnostic-decisions-patients-clinical-practice
https://psnet.ahrq.gov/issue/framework-encouraging-patient-engagement-medical-decision-making … psnet.ahrq.gov/issue/improving-diagnosis-health-care
https://psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - What's beginning to emerge actually is that, with respect to decision support in particular, it's not … RW: So talk a little bit about decision support. … to all kinds of human factors issues when you're delivering the decision support. … Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? … Is comprehensive drug decision support broken?
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psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events
June 14, 2017 - July 10, 2017
Medication-related clinical decision support alert overrides in inpatients … July 24, 2017
Evaluation of medication-related clinical decision support alert overrides … May 10, 2017
Evaluation of harm associated with high dose-range clinical decision support … April 7, 2019
Prospective evaluation of medication-related clinical decision support … View More
Related Resources
Debiasing health-related judgments and decision
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psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medication-use-older-adults
September 02, 2015 - Safety
March 29, 2023
The MedSafer Study: a controlled trial of an electronic decision … July 31, 2019
Prospective evaluation of medication-related clinical decision support … August 17, 2018
Clinical decision support for drug related events: moving towards better … April 27, 2011
Using computerized provider order entry and clinical decision support … July 21, 2010
Effect of computerized provider order entry with clinical decision support
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psnet.ahrq.gov/issue/computerised-prescribing-safer-medication-ordering-still-work-progress
October 13, 2018 - October 13, 2015
Analysis of clinical decision support system malfunctions: a case series … December 4, 2016
Clinical decision support alert malfunctions: analysis and empirically … June 5, 2018
Cranky comments: detecting clinical decision support malfunctions through … December 21, 2022
A machine learning-based clinical decision support system to identify … December 31, 2014
Decision support for sensible dosing in electronic prescribing systems
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psnet.ahrq.gov/issue/nursing-time-devoted-medication-administration-long-term-care-clinical-safety-and-resource
February 11, 2009 - Resources From the Same Author(s)
Effect of computerized provider order entry with clinical decision … February 11, 2009
Computerized clinical decision support during medication ordering for … Clinical application of a computerized system for physician order entry with clinical decision … May 27, 2011
Computerized physician order entry with clinical decision support in the … May 27, 2011
The effect of computerized physician order entry with clinical decision
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psnet.ahrq.gov/node/42656/psn-pdf
April 21, 2015 - technovigilance": an ethnographic case study of
secondary use of data from an electronic prescribing and
decision … technovigilance":
an ethnographic case study of secondary use of data from an electronic prescribing and decision … semi-structured interview data showed that implementation of an electronic
health record with prescribing and decision