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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - • Preliminary chart review revealed multiple missed oncology
appointments.
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - • Over the six months following admission, the patient had 16 falls noted in
her chart.
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - CNS
vasculitis during the ensuing outpatient follow-up, in both the minds of the clinicians and the chart
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - For example, studies show that the chart diagnosis of psychiatric inpatients frequently differs from
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk
Citation Text:
Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quali…
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - He stands up at a flip chart, and he writes down all the rules that they broke.
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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - virtual nurse could
come back and say, “Hey, did you notice the hemoglobin was this,” or “I’ve had the chart
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - Preliminary chart review revealed multiple missed oncology appointments.
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psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - But when someone is reading my chart and I do not see that
reaction, I do not know what their feelings
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - Importance of Following Safe Practices for Infant Feeding
and Handling Expressed Breast Milk
December 18, 2024
Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling
Expressed Breast Milk. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/importance-following-saf…
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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - mistakes, and medication errors, we used a combination of direct observations of the interns, daily chart
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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/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/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
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psnet.ahrq.gov/issue/computerized-medication-order-errors-studied
March 26, 2014 - Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-0
May 09, 2018 - Patient Safety Innovations
The e-Autopsy/e-Biopsy: A Systematic Chart