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psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
April 17, 2024 - Study
Identifying medication errors in surgical prescription charts. … Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. … This study used manual chart review to estimate the incidence of prescribing errors in post-surgical … Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4.
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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
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psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
September 23, 2020 - Study
How often do physicians review medication charts on ward rounds? … How often do physicians review medication charts on ward rounds? … This observational study discovered that physicians failed to review medication charts on every patient … and their rate of chart review decreased as the number of patients seen increased. … How often do physicians review medication charts on ward rounds?
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psnet.ahrq.gov/issue/comparison-accuracy-physical-examination-findings-initial-progress-notes-between-paper-charts
May 11, 2022 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts … Comparison of accuracy of physical examination findings in initial progress notes between paper charts … Compared to paper charts, electronic health records offer safety benefits for physician documentation … Investigators found more inaccuracies in electronic notes, but more errors of omission in paper charts … Comparison of accuracy of physical examination findings in initial progress notes between paper charts
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - and control charts. … Figure 2: Scatter plot of use of teach-back vs patient age
Run Charts A run chart … Run charts are useful in discovering patterns that occur over time. … Control Charts A control chart is a graph that can be used to visualize how a patient safety-related … Histograms, scatter plots, run charts, and control charts are graphical tools to track, visualize, and
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psnet.ahrq.gov/node/46436/psn-pdf
May 30, 2018 - Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department … Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department … https://psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders- … emergency-department
Opening multiple patients' charts in the electronic medical record simultaneously … Similarly,
there was no significant increase when the maximum number of charts permitted to be open
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psnet.ahrq.gov/node/45344/psn-pdf
January 23, 2017 - Comparison of accuracy of physical examination findings
in initial progress notes between paper charts … Comparison of accuracy of physical examination findings in initial
progress notes between paper charts … psnet.ahrq.gov/issue/comparison-accuracy-physical-examination-findings-initial-progress-notes-
between-paper-charts … Compared to paper charts, electronic health records offer safety benefits for physician documentation … Investigators found more inaccuracies in
electronic notes, but more errors of omission in paper charts
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psnet.ahrq.gov/node/38258/psn-pdf
April 14, 2011 - How often do physicians review medication charts on
ward rounds? … How often do physicians review medication charts on ward rounds? … https://psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
This observational … study discovered that physicians failed to review medication charts on every patient and
their rate … of chart review decreased as the number of patients seen increased.
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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
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psnet.ahrq.gov/node/39704/psn-pdf
July 21, 2010 - Identifying medication errors in surgical prescription
charts.
July 21, 2010
Simons J. … Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. … https://psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
This study used … manual chart review to estimate the incidence of prescribing errors in post-surgical
pediatric patients … https://psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
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psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - and control charts. … Run charts are useful in discovering patterns that occur over time. … Annotated run charts include the timepoints when patient safety interventions were introduced or when … Control charts help viewers distinguish common cause variation (due to
expected or predictable causes … Histograms, scatter plots, run charts, and control charts are graphical
tools to track, visualize, and
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psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
October 23, 2024 - Commentary
Applied use of safety event occurrence control charts of harm and non-harm … 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.
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psnet.ahrq.gov/node/854624/psn-pdf
January 01, 2024 - DDI) is critical to patient safety, but the usual method of
detecting DDI and other errors - manual chart … This study describes the use
of an e-trigger to pre-select charts for review that are more likely to … include one of three DDIs, thus
reducing the overall number of charts needing review. … predictive values (0.76 and 0.57), demonstrating that e-triggers can be a useful method to pre-selecting
charts
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psnet.ahrq.gov/issue/adverse-drug-events-caused-three-high-risk-drug-drug-interactions-patients-admitted-intensive
February 14, 2024 - DDI) is critical to patient safety, but the usual method of detecting DDI and other errors - manual chart … This study describes the use of an e-trigger to pre-select charts for review that are more likely to … include one of three DDIs, thus reducing the overall number of charts needing review. … predictive values (0.76 and 0.57), demonstrating that e-triggers can be a useful method to pre-selecting charts
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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/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports
October 27, 2021 - 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/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
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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/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
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - patient records, patients are electronically
identified with the defined diagnosis to obtain a pool of charts … 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. … The organizations need the ability to review 50
charts, which is equivalent to 12 hours of physician … or organizations, fewer staff can be used, and designated staff can spend more time
reviewing more charts