An electronic clinical decision support system for prescribing in the emergency department used tiered alerts with higher and lower urgency information in order to avoid alert fatigue.

This piece uses a graphic novel format to depict a story of a diagnostic error that resulted in a patient’s death. The attention-grabbing design is an innovative method for demonstrating the context and emotional aspects related to an adverse event. The story implicitly illustrates the hidden curriculum of medical training that often rewards trainee autonomy and places retrospective blame on individuals. The final frame closes with the author reflecting on how this adverse event had a lasting effect on his psyche - a well-recognized phenomenon known as the second victim of a medical error. A prior AHRQ WebM&M perspective explored many issues related to diagnostic errors.