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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - By identifying clues that
guide chart reviewers to specific events during a patient's hospitalization … 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 … to do so)•
Retrospective review of charts
challenging if poor/incomplete
documentation
https://psnet.ahrq.gov
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - This time, the chart next to the death certificate was Mr. B's chart. The intern grabbed Mr. … B's chart, mistakenly believing that this was Mr. … A's chart, and looked at the contact information on the front sheet. … It was at that point that he discovered that he had the wrong chart. He called Mrs. … The error in this case may have been averted if the chart was electronic instead of paper, and if the
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - patient records, patients are electronically identified with the defined diagnosis to obtain a pool of charts … For the physician resources , of the 50 charts reviewed, doctors spend about 15 minutes per chart. … The organizations need the ability to review 50 charts, which is equivalent to 12 hours of physician … KPSC enlists five to eight reviewers per study, who review a total of 50 charts in four to six weeks … For the physician resources , of the 50 charts reviewed, doctors spend about 15 minutes per chart.
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psnet.ahrq.gov/issue/charting-course-launching-patient-centric-healthcare
December 19, 2018 - Book/Report
Charting the Course: Launching Patient-Centric Healthcare.
Citation Text:
Charting the Course: Launching Patient-Centric Healthcare. Nance JJ, Bartholomew KM. Boseman, MT: Second River Healthcare Press; 2012. ISBN: 9781936406128.
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psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery
August 20, 2018 - Study
Documentation of drug allergy on drug chart in patients presenting for surgery … Documentation of drug allergy on drug chart in patients presenting for surgery. … Documentation of drug allergy on drug chart in patients presenting for surgery.
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psnet.ahrq.gov/node/866854/psn-pdf
January 01, 2025 - Physician chart reviewers identified diagnostic concerns in
31 cases, of which only 11 were also identified
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psnet.ahrq.gov/issue/assessment-requests-medication-related-follow-after-hospital-discharge-and-relation-unplanned
November 17, 2021 - discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart
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psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
May 12, 2021 - Commentary
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and … The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. … The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy.
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psnet.ahrq.gov/node/47582/psn-pdf
December 12, 2018 - The HAPU incidence they found was about one-
twentieth of the HAPU incidence detected using chart review … In addition, while both chart review data and
administrative data showed a reduction in HAPU incidence … The authors suggest that using clinical data from chart review and taking ulcer severity into account
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psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
May 17, 2018 - The HAPU incidence they found was about one-twentieth of the HAPU incidence detected using chart review … In addition, while both chart review data and administrative data showed a reduction in HAPU incidence … The authors suggest that using clinical data from chart review and taking ulcer severity into account
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psnet.ahrq.gov/node/60889/psn-pdf
January 01, 2021 - expert-consensus-currently-accepted-measures-harm
This article describes an innovative expert consensus process to generate a contemporary list of chart … identified 218 triggers and measures with high
or very high clinical importance deemed suitable for chart
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psnet.ahrq.gov/node/45976/psn-pdf
December 21, 2017 - errors in the
era of electronically prepopulated medication
reconciliation forms: a retrospective chart … errors in the era of
electronically prepopulated medication reconciliation forms: a retrospective chart … This retrospective
chart review study compared a research pharmacist–generated gold standard medication
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psnet.ahrq.gov/issue/preventable-and-non-preventable-adverse-drug-events-hospitalized-patients-prospective-chart
March 04, 2011 - Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart … Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review … Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review
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psnet.ahrq.gov/node/49694/psn-pdf
October 01, 2013 - unit clerk usually put the death certificate folder on the counter next to the
deceased patient's chart … This time, the chart next to the death certificate was Mr. B's chart. The intern
grabbed Mr. … B's chart, mistakenly believing that this was Mr. … A's chart, and looked at the contact
information on the front sheet. … It was at that point that
he discovered that he had the wrong chart. He called Mrs.
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psnet.ahrq.gov/node/41212/psn-pdf
March 14, 2012 - comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complaints and
chart … comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complaints and chart … Comparing adverse events detected by the
hospital's voluntary incident reporting system, retrospective chart
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psnet.ahrq.gov/node/861761/psn-pdf
January 31, 2024 - This
retrospective chart review study sought to estimate the prevalence of adverse safety events in … patient-safety-events-out-hospital-paediatric-airway-management-medical-record-review-csi-ems
https://psnet.ahrq.gov/issue/out-hospital-pediatric-patient-safety-events-results-csi-chart-review
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psnet.ahrq.gov/node/854987/psn-pdf
January 01, 2024 - This prospective chart review
study classified adverse safety events (ASE) of pediatric patients at … pediatric-airway-management-and-prehospital-patient-safety-results-national-delphi-survey
https://psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
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psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian-provinces-using-chart-review
June 28, 2017 - Assessing adverse events among home care clients in three Canadian provinces using chart … Assessing adverse events among home care clients in three Canadian provinces using chart review. … Assessing adverse events among home care clients in three Canadian provinces using chart review.
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psnet.ahrq.gov/issue/factors-impacting-physician-use-information-charted-others
September 18, 2019 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts
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psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
May 29, 2019 - Study
Effect of number of open charts on intercepted wrong-patient medication orders … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department … Opening multiple patients' charts in the electronic medical record simultaneously may increase the risk … emergency department over a 6-year period and found no significant reduction when the maximum number of charts … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department