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psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
June 07, 2023 - View More
Related Resources
Applied use of safety event occurrence control charts
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psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
October 30, 2024 - 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 … Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart
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psnet.ahrq.gov/issue/management-test-results-primary-care-does-electronic-medical-record-make-difference
April 12, 2011 - patient notification of abnormal test results and clear follow-up plans more often than those with paper charts
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - Using a random sample of records, the study design required a physician and a nurse to review charts
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psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
April 11, 2011 - Trained reviewers retrospectively reviewed all charts where a trigger was found for evidence of an adverse
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psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-diagnostic-processes
November 12, 2014 - March 2, 2011
Identifying medication errors in surgical prescription charts.
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psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
September 11, 2013 - April 16, 2019
Applied use of safety event occurrence control charts of harm and non-harm
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psnet.ahrq.gov/node/73298/psn-pdf
May 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to
Achieve Health Equity.
May 19, 2021
National Academies of Sciences, Engineering, and Medicine. Washington DC: National
Academies Press; 2021. ISBN: 9780309685061.
https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he…
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psnet.ahrq.gov/node/42009/psn-pdf
December 19, 2018 - Charting the Course: Launching Patient-Centric
Healthcare.
December 19, 2018
Nance JJ, Bartholomew KM. Boseman, MT: Second River Healthcare Press; 2012. ISBN: 9781936406128.
https://psnet.ahrq.gov/issue/charting-course-launching-patient-centric-healthcare
This book builds on concepts explored in Why Hospitals Shou…
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psnet.ahrq.gov/issue/adverse-events-and-near-misses-relating-information-management-hospital
December 29, 2014 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts
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psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
January 07, 2015 - December 16, 2020
Effect of number of open charts on intercepted wrong-patient medication
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psnet.ahrq.gov/issue/evaluation-medication-errors-pediatric-surgical-service-experience
March 02, 2011 - December 2, 2014
Identifying medication errors in surgical prescription charts.
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psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care
August 31, 2016 - View More
Related Resources
Applied use of safety event occurrence control charts
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - identification of harm• Active real time surveillance is quite resource intensive• Unfocused review of charts … is also resource intensive• Retrospective review of charts challenging if poor/incomplete documentation … specificity and very good sensitivity
• Requires training• Resource intensive: IHI recommends 20 charts … do so)• Retrospective review of charts challenging if poor/incomplete documentation … to review a similar sample of hospital discharges using highly trained outside reviewers to review charts
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - to review a similar sample of hospital discharges using highly trained outside reviewers to review charts … identification of harm• Active real time surveillance is quite resource intensive• Unfocused review of charts … is also resource intensive• Retrospective review of charts challenging if poor/incomplete documentation … specificity and very good sensitivity
• Requires training• Resource intensive: IHI recommends 20 charts … do so)• Retrospective review of charts challenging if poor/incomplete documentation
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psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
April 13, 2022 - Physician chart reviewers identified diagnostic concerns in 31 cases, of which only 11 were also identified
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psnet.ahrq.gov/issue/detection-and-prevention-medication-errors-using-real-time-bedside-nurse-charting
September 27, 2017 - Study
Detection and prevention of medication errors using real-time bedside nurse charting.
Citation Text:
Nelson NC, Evans RS, Samore MH, et al. Detection and Prevention of Medication Errors Using Real-Time Bedside Nurse Charting. Journal of the American Medical Informatics Associatio…
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psnet.ahrq.gov/issue/employee-silence-health-care-charting-new-avenues-leadership-and-management
May 04, 2022 - Commentary
Employee silence in health care: charting new avenues for leadership and management.
Citation Text:
Montgomery A, Lainidi O, Johnson J, et al. Employee silence in health care: Charting new avenues for leadership and management. Health Care Manage Rev. 2023;48(1):52-60. doi:10.…
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psnet.ahrq.gov/node/47551/psn-pdf
April 08, 2019 - Factors impacting physician use of information charted
by others.
April 8, 2019
Zozus MN, Penning M, Hammond WE. JAMIA Open. 2019;2:107-114.
https://psnet.ahrq.gov/issue/factors-impacting-physician-use-information-charted-others
The copy-and-paste phenomenon in clinical documentation can result in perpetuating inc…
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - efficient method of
identifying potential safety problems than most other methods, such as reviewing charts … In the major chart
review–based patient safety studies (5,6), nurses screened charts for "triggers" … rate of 20% is probably too low: most hospitals cannot afford to have physicians
review hundreds of charts … concern is that culprit quality problems in cases such as the present one may be undetectable
through chart … nothing from clinicians would score high on this
dimension, whereas a process that requires intensive chart