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psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
May 22, 2019 - June 1, 2011
Identifying medication errors in surgical prescription charts.
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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/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
July 19, 2023 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts
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psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
September 23, 2020 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts
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psnet.ahrq.gov/issue/chemotherapy-errors-call-standardized-approach-measurement-and-reporting
October 28, 2020 - April 29, 2018
Applied use of safety event occurrence control charts of harm and non-harm
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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/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/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/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/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/reducing-emergency-department-charting-and-ordering-errors-room-number-watermark-electronic
November 22, 2017 - This survey found that physicians chart or write orders in the wrong patient's electronic health record
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psnet.ahrq.gov/issue/assessment-requests-medication-related-follow-after-hospital-discharge-and-relation-unplanned
November 17, 2021 - discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart
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psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
May 12, 2021 - Commentary
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and … The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. … The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy.
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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