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psnet.ahrq.gov/issue/4-actions-reduce-medical-errors-us-hospitals
July 24, 2024 - Patient Safety Innovations
The e-Autopsy/e-Biopsy: A Systematic Chart
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psnet.ahrq.gov/issue/do-emergency-physicians-attribute-drug-related-emergency-department-visits-medication-related
April 22, 2011 - errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart
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psnet.ahrq.gov/issue/prevalence-error-prone-abbreviations-used-medication-prescribing-hospitalised-patients-multi
July 06, 2011 - May 4, 2010
Impact of a standard medication chart on prescribing errors: a before-and-after
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psnet.ahrq.gov/issue/effect-clinical-pharmacist-led-training-programme-intravenous-medication-errors-controlled
March 04, 2011 - Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart
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psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
March 11, 2011 - September 23, 2020
Comparison of computerized surveillance and manual chart review for
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psnet.ahrq.gov/issue/prescribing-themed-issue
August 30, 2023 - January 15, 2014
The contribution of prescription chart design and familiarity to prescribing
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psnet.ahrq.gov/issue/quality-special-issue
April 13, 2022 - July 7, 2021
A blinded, prospective study of error detection during physician chart rounds
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psnet.ahrq.gov/issue/when-i-follow-i-dont-give
May 15, 2024 - April 22, 2011
A blinded, prospective study of error detection during physician chart
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The surgeons documented the change of
plans in the patient's chart, but failed to inform the nursing … scenarios in which crucial test results, recommendations, and plans are
"discussed" only through the chart … Typically, when a surgical case is "booked," orders are written in the patient's chart on the ward, the
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psnet.ahrq.gov/node/49471/psn-pdf
December 01, 2004 - This discussion with the patient should be
documented in the chart. … As my legal colleagues remind me, "If it is not written in the
chart, it never happened." … In addition, I specifically inform the patient and document in the chart that
I advised him to stop
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psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - Failure to
obtain an accurate visual acuity using a Snellen chart (standard eye chart used in most physician … Clinicians may be tempted to
not formally test visual acuity as it can be difficult to locate the eye chart
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psnet.ahrq.gov/issue/patient-safety-and-managing-risk-nursing
March 27, 2017 - Book/Report
Patient Safety and Managing Risk in Nursing.
Citation Text:
Patient Safety and Managing Risk in Nursing. Fisher MA, Scott M. London, UK: Sage Publishing; 2013. ISBN: 9781446266878.
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psnet.ahrq.gov/node/49575/psn-pdf
November 01, 2008 - only 26% of medications taken by women during pregnancy were actually
documented in the patient's chart … from eight HMOs between 1996–2000 and found that, even though
pregnancy was documented in the medical chart … the medication could have verified the patient's pregnancy by asking
the patient or reviewing the chart
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - One such gap was appropriate chart documentation. … Before the first administration of a new chemotherapy regimen, chart documentation of the treatment plan … Prior to chemotherapy administration, transparent chart documentation should be available, which includes
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - Specifically, the chart should act as the database for all information, and any change in status of a … patient should be clearly documented in the chart. … A central repository [the patient's chart] where all patient contacts are documented.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
December 01, 2006 - She was treated with argatroban, and it was noted on the chart that the patient should receive no further … A thorough review of the chart and hemodialysis records revealed that during this second hospitalization … been repeatedly exposed to heparin during dialysis sessions, despite her recent history of HIT and the chart
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psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
August 28, 2024 - November 20, 2013
The contribution of prescription chart design and familiarity to prescribing
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psnet.ahrq.gov/issue/ismp-canada-identifies-themes-associated-fatal-medication-events-home
March 15, 2022 - Assessing adverse events among home care clients in three Canadian provinces using chart
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psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
August 05, 2020 - comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - November 11, 2020
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety