-
psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - After the patient was intubated for general anesthesia, the trainee reviewed her
chart and noted that … The
trainee informed the attending that he had just reviewed the chart and learned that the positive … case, the trainee did in fact question the attending physician´s instruction, pointing out
that the chart
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psnet.ahrq.gov/node/49848/psn-pdf
January 01, 2019 - Once she was taken to the operating room, the anesthesiologist discovered from
chart review that the … The components of this clinical process include patient evaluation, history taking,
and chart review … This chart
review process may be performed by the anesthesiologist assigned to the case, or other designated
-
psnet.ahrq.gov/node/49789/psn-pdf
April 01, 2017 - The intern reviewed the patient's chart and discovered that the patient lived alone, walked mainly with … The intern performed a more detailed chart review and spoke with the patient's daughter. … hospitalized patients did not have any documentation
regarding the use of life-sustaining treatment in their chart
-
psnet.ahrq.gov/node/39826/psn-pdf
September 08, 2010 - guidelines-informing-media-after-adverse-event
This guideline provides an organizational strategy, flow charts
-
psnet.ahrq.gov/node/36037/psn-pdf
June 25, 2009 - issue/preventable-deaths-patients-admitted-emergency-department
The authors retrospectively reviewed charts
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - medication should be continued, discontinued, or placed on hold
Place the list prominently in the chart … determine program’s effectiveness
Assessment form available here
Collecting data per admission or chart
-
psnet.ahrq.gov/node/38452/psn-pdf
December 30, 2014 - safety-intravenous-drug-delivery-systems-update-current-issues-1999-
consensus-development
This review charts
-
psnet.ahrq.gov/node/865589/psn-pdf
April 17, 2024 - Why talking is not cheap: adverse events and informal
communication.
April 17, 2024
Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal
communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635.
https://psnet.ahrq.gov/issue/why-talking-not-cheap-adver…
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psnet.ahrq.gov/node/42537/psn-pdf
October 02, 2013 - The use of a checklist in a pediatric oncology clinic.
October 2, 2013
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr
Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
An Institute o…
-
psnet.ahrq.gov/node/43180/psn-pdf
August 12, 2014 - 'Between the flags': implementing a rapid response
system at scale.
August 12, 2014
Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale.
BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845.
https://psnet.ahrq.gov/issue/between-flags-implementing-rapi…
-
psnet.ahrq.gov/node/47731/psn-pdf
April 27, 2019 - implementing-strategies-identify-and-mitigate-adverse-safety-events-case-
study-unplanned
The authors describe how the use of statistical process control charts
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psnet.ahrq.gov/node/73463/psn-pdf
July 07, 2021 - Structural racism and the COVID-19 experience in the
United States.
July 7, 2021
Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United
States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031.
https://psnet.ahrq.gov/issue/structural-racism-and-covid-19-e…
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psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals
August 02, 2012 - March 4, 2011
Targeted chart review of pediatric patient safety events identified by
-
psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies
November 18, 2016 - November 18, 2016
Questionable hospital chart documentation practices by physicians.
-
psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach
April 25, 2012 - Problem-based training improves recognition of patient hazards by advanced medical students during chart
-
psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect
April 19, 2011 - December 4, 2013
The contribution of prescription chart design and familiarity to prescribing
-
psnet.ahrq.gov/issue/frequency-and-risk-factors-preventable-medication-related-hospital-admissions-netherlands
March 01, 2011 - Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart
-
psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
December 31, 2014 - December 30, 2014
The contribution of prescription chart design and familiarity to prescribing
-
psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
October 16, 2013 - Assessing adverse events among home care clients in three Canadian provinces using chart
-
psnet.ahrq.gov/issue/clinical-outcomes-use-medication-report-when-elderly-patients-are-discharged-hospital
January 27, 2012 - discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart