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Total Results: 1,585 records

Showing results for "charts".

121. Medication discrepancies in resident sign-outs and their potential to harm. | PSNet
     psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
     March 28, 2011 - This study found significant discrepancies when comparing medication lists from patient charts with what … Nearly 30% of chart entries were inconsistent with the sign-out, and the majority of errors were omissions

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42676/psn-pdf
     November 06, 2013 - Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart … Validity of AHRQ patient safety indicators derived from ICD- 10 hospital discharge abstract data (chart … psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge- abstract-data-chart … psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart … psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42996/psn-pdf
     March 19, 2014 - The "physician-led chart audit": engaging providers in fortifying a culture of safety. … The "physician-led chart audit: " engaging providers in fortifying a culture of safety. … https://psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety … This quality improvement intervention engaged physician leaders and frontline clinicians in leading chart … https://psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety https

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42761/psn-pdf
     November 27, 2013 - 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. … psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian- provinces-using-chart-review … psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian-provinces-using-chart-review … psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian-provinces-using-chart-review

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46580/psn-pdf
     June 25, 2018 - Out-of-hospital pediatric patient safety events: results of the CSI chart review. … Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review. … https://psnet.ahrq.gov/issue/out-hospital-pediatric-patient-safety-events-results-csi-chart-review Few … In a chart review of all critically ill pediatric ambulance transports in Multnomah County, Oregon, … https://psnet.ahrq.gov/issue/out-hospital-pediatric-patient-safety-events-results-csi-chart-review https

126. Hospital workload and adverse events. | PSNet
     psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
     August 31, 2011 - Investigators reviewed more than 6800 patient charts at four different teaching hospitals and found workload … August 31, 2011 Comparison of computerized surveillance and manual chart review for adverse

127. Performing an inadvertent procedure. | PSNet
     psnet.ahrq.gov/issue/performing-inadvertent-procedure
     October 16, 2019 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37882/psn-pdf
     July 31, 2008 - Documentation of drug allergy on drug chart in patients presenting for surgery. … Documentation of drug allergy on drug chart in patients presenting for surgery. … https://psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery Nearly … https://psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery

129. Long-term reduction in adverse drug events: an evidence-based improvement model. | PSNet
     psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
     August 28, 2024 - November 14, 2011 How often do physicians review medication charts on ward rounds?

130. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. | PSNet
     psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
     April 11, 2011 - study used methodology similar to a prior study in adult intensive care unit patients to develop a chart-based … Through an expert consensus process, 17 triggers were identified and used to screen charts from 15 NICUs … Use of this chart-based review process may help identify specific patient populations at high risk for

131. Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology. | PSNet
     psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research
     April 11, 2011 - Study Targeted chart review of pediatric patient safety events identified by the … Targeted Chart Review of Pediatric Patient Safety Events Identified by the Agency for Healthcare Research … While the PSIs generally performed well compared to chart review, certain specific PSIs (such as failure … Targeted Chart Review of Pediatric Patient Safety Events Identified by the Agency for Healthcare Research

132. Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. | PSNet
     psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
     May 24, 2012 - The authors describe how the use of statistical process control charts facilitated rapid identification

133. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
     psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
     July 23, 2024 - The Tableau platform provides many useful visualizations such as monthly charts and “days between harm … ” charts. … The Tableau platform provides many useful visualizations such as monthly charts and “days between harm … ” charts.

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47070/psn-pdf
     June 25, 2018 - Time out—charting a path for improving performance measurement. June 25, 2018 MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. https://psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-me…

135. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet
     psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
     March 04, 2011 - investigators report differential rates and severity of medication errors from physician review of patient charts

136. Discontinuity of chronic medications in patients discharged from the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
     November 03, 2015 - In this study, researchers reviewed charts of patients discharged from intensive care units of three

137. Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. | PSNet
     psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-adverse-events
     October 27, 2010 - Retrospective chart review identified many errors (primarily in documentation) among pediatric otolaryngology … August 11, 2010 Identifying medication errors in surgical prescription charts.

138. The Human Factors Analysis Classification System (HFACS) applied to health care. | PSNet
     psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
     November 16, 2022 - November 12, 2014 Applied use of safety event occurrence control charts of harm and non-harm

139. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet
     psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
     August 14, 2019 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts

140. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. | PSNet
     psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
     April 06, 2022 - August 25, 2011 How often do physicians review medication charts on ward rounds?