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Grant > Government Resource
Rockville, MD: Agency for Healthcare Research and Quality; June 2008.
This announcement describes the 19 projects funded by the Agency for Healthcare Research and Quality in 2006 that studies the potential of simulation to improve patient safety.
Journal Article > Study
Lyell D, Magrabi F, Coiera E. Appl Clin Inform. 2019;10:66-76.
This simulation study compared medical students' performance of electronic prescribing with and without clinical decision support. Students were less likely to access outside references to verify that medications were safe when decision support was in place, even when the decision support was incorrect. The authors conclude that electronic prescribing should be redesigned to facilitate external verification of medication safety.
Journal Article > Review
Lynn LA. Patient Saf Surg. 2019;13:6.
Artificial intelligence (AI) technologies can improve the use of data in care delivery. This review recommends steps to enhance the use of AI in bedside care. The author highlights the need for clinicians to accept that AI tools will affect care processes and be trained to participate in AI integration on the front line.
Journal Article > Study
Artis KA, Bordley J, Mohan V, Gold JA. Crit Care Med. 2019;47:403-409.
Reporting complete patient information during clinical rounds is important for achieving an accurate diagnosis and informing clinical management. Prior research has shown that data is sometimes omitted or inaccurately communicated on rounds. This observational study compared patient data shared by trainees and medical students on ICU rounds to that contained within the electronic health record. Researchers analyzed photocopies of trainee and student notes as well as audio recordings of their oral presentations. For the 157 patient presentations included in the study, they found all contained data omissions and that other team members on rounds supplemented a minimal amount of data missing from student and trainee presentations. The authors recommend additional oversight and education of trainees with regard to data presented on rounds.
Journal Article > Commentary
Korenstein D. JAMA Intern Med. 2019;179:26-27.
Medical overuse can have negative ramifications for both patients and health care organizations. This commentary suggests that cognitive error is a key contributor to overuse. Rethinking evidence-based medicine education and improving physician skills in risk assessment and decision analysis can help reduce overuse. A PSNet perspective discussed medical overuse as a patient safety problem.