-
psnet.ahrq.gov/node/854987/psn-pdf
January 01, 2024 - This prospective chart review
study classified adverse safety events (ASE) of pediatric patients at … pediatric-airway-management-and-prehospital-patient-safety-results-national-delphi-survey
https://psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
-
psnet.ahrq.gov/node/861761/psn-pdf
January 31, 2024 - This
retrospective chart review study sought to estimate the prevalence of adverse safety events in … patient-safety-events-out-hospital-paediatric-airway-management-medical-record-review-csi-ems
https://psnet.ahrq.gov/issue/out-hospital-pediatric-patient-safety-events-results-csi-chart-review
-
psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - 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 … from clinicians would score high on this dimension, whereas a process that requires intensive chart
-
psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
August 15, 2012 - Book/Report
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis.
Citation Text:
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…
-
psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - medication information, using fax machines for medication orders within the facility, using paper
charts … clinicians and other staff to refresh
themselves on emergency procedures such as how to use paper charts
-
psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
June 05, 2018 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts
-
psnet.ahrq.gov/issue/association-coworker-reports-about-unprofessional-behavior-surgeons-surgical-complications
June 27, 2018 - July 3, 2014
Identifying medication errors in surgical prescription charts.
-
psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
December 29, 2014 - View More
Related Resources
Applied use of safety event occurrence control charts
-
psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types
April 14, 2011 - Innovation Summary
February 26, 2025
Applied use of safety event occurrence control charts
-
psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
July 18, 2017 - View More
Related Resources
Applied use of safety event occurrence control charts
-
psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - incorrect patient documentation on the EKG caused EKG results to be uploaded to the wrong patients’ charts … from a patient in the medical intensive care unit (MICU) but had been recorded in the wrong patient chart … 14 wrong orders were placed per day at one major urban academic center. 2 The prevalence of wrong chart … For example, documentation of an EKG showing atrial fibrillation in the wrong patient chart could result … Documentation of a normal EKG in the wrong chart may have unintended consequences as well.
-
psnet.ahrq.gov/node/49542/psn-pdf
August 21, 2007 - this has been identified as a concern of
EHR users (10) and has been shown to occur in 10%–20% of all charts … Before delving into the issues raised by this case, we should note that copying information in patient charts
-
psnet.ahrq.gov/node/74154/psn-pdf
December 08, 2021 - , 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
-
psnet.ahrq.gov/node/50804/psn-pdf
January 15, 2020 - The use of patient digital facial images to confirm patient
identity in a children's hospital's anesthesia information
management system.
January 15, 2020
Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a
Children's Hospital's Anesthesia Information Management…
-
psnet.ahrq.gov/issue/emergency-medical-services-responders-perceptions-effect-stress-and-anxiety-patient-safety
January 22, 2016 - September 4, 2016
Out-of-hospital pediatric patient safety events: results of the CSI chart … January 31, 2024
Reliability and usability of a 7-minute chart review tool to identify … January 27, 2019
Reliability and usability of a 7-minute chart review tool to identify … August 1, 2018
Out-of-hospital pediatric patient safety events: results of the CSI chart
-
psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - appear only in one or two
places (eg, the patient roster board on the wall or perhaps flags in the two charts … not just on the ward census sheets, but also on addressograph
cards, charts of patients with the same … Errors Occur
Stage at Which
Error Is Introduced
Example Error
Ordering Order written in the wrong chart … (or entered into the wrong computerized record)
Transcription Order written in correct chart, but order
-
psnet.ahrq.gov/node/37511/psn-pdf
February 06, 2008 - validity-retrospective-review-medical-records-means-identifying-adverse-
events-comparison
This study found that adverse events can be accurately identified on chart … validity-retrospective-review-medical-records-means-identifying-adverse-events-comparison
https://psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research
-
psnet.ahrq.gov/node/41230/psn-pdf
March 21, 2012 - The
most common discrepancies were an incorrect medication documented in the chart, often from patients
-
psnet.ahrq.gov/node/34674/psn-pdf
December 23, 2008 - and ADEs were determined by solicited
reporting by nurses and pharmacists, as well as independent chart … The authors found that 67% of the ADEs
were identified only by chart review and not by solicited reporting
-
psnet.ahrq.gov/node/43413/psn-pdf
October 20, 2014 - morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-
intensive-care
In this study, applying standardized chart … Conversely, the conferences revealed near misses and diagnostic errors that were not obvious in chart