-
psnet.ahrq.gov/node/43124/psn-pdf
August 02, 2015 - extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns
https://psnet.ahrq.gov/issue/questionable-hospital-chart-documentation-practices-physicians
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psnet.ahrq.gov/node/45574/psn-pdf
November 23, 2016 - Using expert chart review, this
retrospective study, Children's Safety Initiative-EMS (CSI-EMS), demonstrated
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psnet.ahrq.gov/node/45813/psn-pdf
January 18, 2017 - determined that data presented to board members
almost never included error bars or control lines on charts … The authors advocate for use of control charts by hospital boards in quality and safety assessment
and
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psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - the use of transfusions.(3
) In most inpatient anticoagulation services, the pharmacist provides a chart … kind of service can prevent many errors, it may not have prevented the
error in this case, since the chart … Enforcement of a no verbal order policy might have led
the cross-covering intern to look at the chart … Take-Home Points
When a medication, especially a high-risk one, is not ordered, the chart should be
-
psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - The resident glanced at the chart, asked the patient a few questions, and allowed him to
leave against … Decision-making
capacity
Assess the patient’s decision-making capacity
Document the capacity assessment in the chart … medications (arrange for dispensing of
medications to the patient, if possible)
Document the above in the chart … with the patient’s next-of-kin
regarding discharge AMA and follow-up plans
Document the above in the chart
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psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice
May 13, 2020 - In this study conducted in outpatient primary care clinics, chart review and patient surveys detected
-
psnet.ahrq.gov/node/44577/psn-pdf
October 21, 2015 - Improving patient safety in clinical oncology: applying
lessons from Normal Accident Theory.
October 21, 2015
Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons
From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891.
https://psn…
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psnet.ahrq.gov/node/34639/psn-pdf
March 02, 2011 - phases, starting with a sampling method in which 182 deaths from 12 hospitals were identified for
chart
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psnet.ahrq.gov/node/38690/psn-pdf
April 07, 2010 - seemingly necessary mechanism to care for patients when providers are in a
remote location from a chart
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psnet.ahrq.gov/node/37467/psn-pdf
January 01, 2009 - Investigators conducted chart
reviews for more than 4600 patients in 5 different intensive care units
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psnet.ahrq.gov/node/34690/psn-pdf
February 10, 2011 - the two hospitals, the authors prospectively identified actual and
potential ADEs by contemporaneous chart
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psnet.ahrq.gov/node/34103/psn-pdf
February 24, 2011 - incident reporting systems, autopsies and morbidity and
mortality conferences, malpractice claims, chart
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psnet.ahrq.gov/node/35551/psn-pdf
June 08, 2010 - require complex risk-adjustment
models and rely on more easily obtainable information from a medical chart
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - Fifty years ago, it was far truer that the org chart was a good representation of how work got done. … Meaning, those at the top of the organization (or the org chart) have a clear line of sight on what needs … RW : Are there any other industries that live in that box on your chart of complex service industries … AE : In the health care organizations I've studied, there are multiple org charts occupying the same … So physicians have one org chart.
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - Fifty years ago, it was far truer that the org chart was a good representation of how work got done. … RW : Are there any other industries that live in that box on your chart of complex service industries … RW : Talk a little bit about the overarching org chart and management leadership culture you found in … AE : In the health care organizations I've studied, there are multiple org charts occupying the same … So physicians have one org chart.
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - These recommendations were verbally communicated, but not documented in the chart. … patient with limited capacity, unfortunately, they failed to document and write orders for hospice in the chart … are communicated in informal discussions and may not be formally documented, which makes reliance on chart
-
psnet.ahrq.gov/node/49541/psn-pdf
August 21, 2007 - The following comprise the Universal Protocol:
Preoperative verification process (correct patient, chart … Confirm that the patient, chart, and x-ray (properly oriented) are correct and confirm which
tooth is … Points
Incorporate the preoperative verification process into clinical practice (correct patient, chart
-
psnet.ahrq.gov/node/49841/psn-pdf
September 01, 2018 - One such gap was appropriate chart documentation. … Before the first administration of a new
chemotherapy regimen, chart documentation of the treatment … Prior to chemotherapy administration, transparent chart documentation should be available, which
includes
-
psnet.ahrq.gov/node/34694/psn-pdf
February 10, 2011 - orders for
medications are reported daily to a clinical pharmacist, who investigates the report by chart
-
psnet.ahrq.gov/node/34703/psn-pdf
December 24, 2008 - studies because incompleteness and inaccuracy in medical records limit studies
based on retrospective chart