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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - out in the hands of the designated documenter, who may later be blamed if a
subsequent retrospective chart … The simplest way to ensure this is through retrospective chart review. … Most hospital
charts contain a special form, which includes all components of the Universal Protocol
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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/web-mm/carpe-diem-seize-day
September 01, 2012 - 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 driving
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - The anesthesiologist and neurosurgeon both clearly documented the plan of care in the
chart. … The on-call anesthesiologist did not review the patient's chart or obtain
any further information. … These last two tasks would necessitate a chart
review and further investigation that could have potentially
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psnet.ahrq.gov/issue/patient-safety-education-project
July 16, 2018 - Multi-use Website
Patient Safety Education Project.
Citation Text:
Patient Safety Education Project. Buehler Center on Aging, Health & Society; Northwestern University.
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psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
March 11, 2015 - Book/Report
Physician's Guide to Patient Safety Organizations.
Citation Text:
Physician's Guide to Patient Safety Organizations. Chicago, IL: American Medical Association; 2009.
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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - As you remember, there was only one physical chart. … If that happened to be downstairs in radiology with the patient, you couldn't see that chart. … of the downsides of the electronic medical record, we would never want to go back because the paper chart … Because they think, "For any new readers or consultants reading the chart today, I want them to know … People now are getting used to the idea that the chart will contain a mix of fiction and nonfiction.
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psnet.ahrq.gov/issue/around-patient-bed-human-factors-and-safety-health-care
May 21, 2019 - November 20, 2013
The contribution of prescription chart design and familiarity to prescribing
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psnet.ahrq.gov/issue/life-error-little-slips-big-disasters
October 04, 2017 - December 6, 2013
The contribution of prescription chart design and familiarity to prescribing
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - As there was no DNR form in the chart, the nurse called a code and CPR was initiated. … The Code Status Dilemma
Documentation—No code status documented in chart; therefore, code initiated
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
October 01, 2003 - After the patient was intubated for general anesthesia, the trainee reviewed her chart and noted that … Case (cont.): Wrong Side Surgery
The trainee informed the attending that he had just reviewed the chart
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psnet.ahrq.gov/issue/aviations-gift-health-care
December 19, 2018 - Newspaper/Magazine Article
Aviation's gift to health care.
Citation Text:
Aviation's gift to health care. Nance JJ.
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psnet.ahrq.gov/issue/identifying-and-preventing-medication-errors
September 29, 2017 - Multi-use Website
Identifying and Preventing Medication Errors.
Citation Text:
Identifying and Preventing Medication Errors. Institute of Medicine; IOM
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psnet.ahrq.gov/issue/quality-work-environments-nurse-and-patient-safety
December 18, 2018 - Book/Report
Quality Work Environments for Nurse and Patient Safety.
Citation Text:
Quality Work Environments for Nurse and Patient Safety. McGillis Hall L. Sudbury, MA: Jones and Bartlett Publishers; 2005. ISBN 9780763728809.
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psnet.ahrq.gov/web-mm/missing-point-eye-injury
March 01, 2005 - 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/web-mm/or
August 22, 2013 - 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/issue/wristband-color-standardization
October 25, 2013 - September 28, 2022
Reliability and usability of a 7-minute chart review tool to identify
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psnet.ahrq.gov/issue/variation-patient-safety-outcomes-and-importance-being-informed
July 02, 2014 - September 12, 2012
Reliability and usability of a 7-minute chart review tool to identify
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psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals
July 02, 2014 - October 25, 2013
Reliability and usability of a 7-minute chart review tool to identify
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psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
July 10, 2013 - April 20, 2022
Reliability and usability of a 7-minute chart review tool to identify