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Total Results: 1,588 records

Showing results for "chart".

101. Screening for medication errors using an outlier detection system. | PSNet
     psnet.ahrq.gov/issue/screening-medication-errors-using-outlier-detection-system
     December 18, 2019 - They then chose 300 charts from the 15,693 resulting alerts. … The charts were reviewed using a coding system to evaluate the utility of the alerts generated. … About 75% of the chart-reviewed alerts created by the screening system identified possible medication

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45256/psn-pdf
     July 01, 2017 - Applied use of safety event occurrence control charts of harm and non-harm events: a case study. … Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. … https://psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm- events-case-study … https://psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study … https://psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study

103. A trigger tool to identify adverse events in the intensive care unit.  | PSNet
     psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
     April 08, 2011 - This study describes the use of a focused chart review method centered around identification of triggers … Non-physician reviewers at 54 hospitals screened charts for evidence of 23 clinical events, such as chest … If any of these triggers were present, the relevant portion of the chart was reviewed using methodology

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38292/psn-pdf
     May 21, 2009 - The effect on medication errors of pharmacists charting medication in an emergency department. May 21, 2009 Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9. doi:10.1007/s11096-008-9271-y. https…

105. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
     May 01, 2012 - identification of harm• Active real time surveillance is quite resource intensive• Unfocused review of charts … is also resource intensive• Retrospective review of charts challenging if poor/incomplete documentation … specificity and very good sensitivity • Requires training• Resource intensive: IHI recommends 20 charts … do so)• Retrospective review of charts challenging if poor/incomplete documentation … to review a similar sample of hospital discharges using highly trained outside reviewers to review charts

106. In Conversation With…David C. Classen, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
     May 01, 2012 - to review a similar sample of hospital discharges using highly trained outside reviewers to review charts … identification of harm• Active real time surveillance is quite resource intensive• Unfocused review of charts … is also resource intensive• Retrospective review of charts challenging if poor/incomplete documentation … specificity and very good sensitivity • Requires training• Resource intensive: IHI recommends 20 charts … do so)• Retrospective review of charts challenging if poor/incomplete documentation

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850678/psn-pdf
     June 14, 2023 - This protocol includes an initial review of the patient’s chart and corresponding follow-up with the … If triggered, the virtual quality nurse consultant conducts a review of the patient’s chart to determine … If the score and review of the chart confirm signs of potential clinical deterioration, the virtual … been over 90%.7 The virtual quality nurse consultants report significant clinical findings from the chart … The virtual quality nurse consultant is responsible for reviewing the chart to make sure the request

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60168/psn-pdf
     March 25, 2020 - incorrect patient documentation on the EKG caused EKG results to be uploaded to the wrong patients’ charts … from a patient in the medical intensive care unit (MICU) but had been recorded in the wrong patient chart … of 14 wrong orders were placed per day at one major urban academic center.2 The prevalence of wrong chart … For example, documentation of an EKG showing atrial fibrillation in the wrong patient chart could result … Documentation of a normal EKG in the wrong chart may have unintended consequences as well.

109. Relationship between medication errors and adverse drug events. | PSNet
     psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events
     May 27, 2011 - Medication errors were identified by self-report, nurse chart review, and medication sheet review. … Adverse drug events (ADEs) or potential ADEs were identified by spontaneous reporting and daily chart

110. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet
     psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change
     December 15, 2011 - found that estimated adverse event rates varied between use of AHRQ Patient Safety Indicators and chart … Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart

111. The effect on medication errors of pharmacists charting medication in an emergency department. | PSNet
     psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department
     November 16, 2022 - Study The effect on medication errors of pharmacists charting medication in an emergency department. Citation Text: Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…

112. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. | PSNet
     psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
     April 11, 2011 - study used methodology similar to a prior study in adult intensive care unit patients to develop a chart-based … Through an expert consensus process, 17 triggers were identified and used to screen charts from 15 NICUs … Use of this chart-based review process may help identify specific patient populations at high risk for

113. Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
     June 14, 2017 - The ability to use administrative data to measure patient safety is critical, because chart review is … This systematic review found that PSIs and HACs have not been adequately validated compared to chart

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47070/psn-pdf
     June 25, 2018 - Time out—charting a path for improving performance measurement. June 25, 2018 MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. https://psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-me…

115. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet
     psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records
     September 29, 2017 - Study Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Citation Text: Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33593/psn-pdf
     June 15, 2024 - Examples of Safety Measurement Strategies Measurement Strategies Advantages Disadvantages Retrospective Chart … Efficiency improved by focusing chart reviews on cases identified by a reliable trigger tool or software … Retrospective chart review using trigger tools or well-defined specific adverse events is often used … understanding-patient-safety-third-edition https://psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45356/psn-pdf
     May 09, 2017 - They then chose 300 charts from the 15,693 resulting alerts. … The charts were reviewed using a coding system to evaluate the utility of the alerts generated. … About 75% of the chart- reviewed alerts created by the screening system identified possible medication

118. Analyzing diagnostic errors in the acute setting: a process-driven approach. | PSNet
     psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach
     December 07, 2022 - Patient Safety Innovations The e-Autopsy/e-Biopsy: A Systematic Chart … December 16, 2020 A blinded, prospective study of error detection during physician chart

119. Measurement of Patient Safety | PSNet
     psnet.ahrq.gov/primer/measurement-patient-safety
     September 15, 2024 - Examples of Safety Measurement Strategies Measurement Strategies Advantages Disadvantages Retrospective Chart … Efficiency improved by focusing chart reviews on cases identified by a reliable trigger tool or software … Retrospective chart review using trigger tools or well-defined specific adverse events is often used … Patient Safety Innovations The e-Autopsy/e-Biopsy: A Systematic Chart

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73298/psn-pdf
     May 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. May 19, 2021 National Academies of Sciences, Engineering, and Medicine. Washington DC:  National Academies Press; 2021. ISBN: 9780309685061.  https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he…