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Total Results: 1,585 records

Showing results for "charts".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34673/psn-pdf
     December 23, 2008 - Medication errors were identified by self-report, nurse chart review, and medication sheet review. … Adverse drug events (ADEs) or potential ADEs were identified by spontaneous reporting and daily chart

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60348/psn-pdf
     May 20, 2020 - that nearly 96% were overridden by providers; of these overrides, 45.4% were deemed appropriate upon chart … Alerts for high-priority drug-drug interactions were overridden 87% of the time, and chart review determined

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44577/psn-pdf
     October 21, 2015 - Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. October 21, 2015 Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891. https://psn…

224. Misidentifying the Unidentified – John Doe and the EHR | PSNet
     psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
     September 27, 2017 - In the era of physical charts, John Doe-related confusion would end at the level of the chart. … Unfortunately, the mere merging of charts and changing of identities in this era of the EHR can produce

225. Copy and Paste | PSNet
     psnet.ahrq.gov/web-mm/copy-and-paste
     December 10, 2014 - 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

226. Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. | PSNet
     psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
     May 17, 2018 - The HAPU incidence they found was about one-twentieth of the HAPU incidence detected using chart review … In addition, while both chart review data and administrative data showed a reduction in HAPU incidence … The authors suggest that using clinical data from chart review and taking ulcer severity into account

227. Check the Wristband | PSNet
     psnet.ahrq.gov/web-mm/check-wristband
     August 03, 2009 - I picked up the chart that was next to this patient. The chart was correct for my next patient. … certified nurse anesthetist checked the patient's wristband and alerted the nurse to her error—the chart … was placed by the patient’s bedside; second, the RN did not question that the chart could be incorrect … Apparently, the nurse read the information from the wrong chart and the patient, in her anxiety, confirmed … the wrong patient is about to be taken for a procedure, she may still have the correct wristband and chart

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49408/psn-pdf
     July 01, 2003 - I picked up the chart that was next to this patient. The chart was correct for my next patient. … certified nurse anesthetist checked the patient's wristband and alerted the nurse to her error—the chart … confluence of several errors, each of which may seem relatively minor itself: first, the wrong patient chart … was placed by the patient’s bedside; second, the RN did not question that the chart could be incorrect … Apparently, the nurse read the information from the wrong chart and the patient, in her anxiety, confirmed

229. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA | PSNet
     psnet.ahrq.gov/issue/association-between-measured-teamwork-and-medical-errors-observational-study-prehospital-care
     May 18, 2022 - September 4, 2016 Reliability and usability of a 7-minute chart review tool to identify … January 22, 2016 Out-of-hospital pediatric patient safety events: results of the CSI chart … January 27, 2019 Reliability and usability of a 7-minute chart review tool to identify

230. Patient Mix-Up | PSNet
     psnet.ahrq.gov/web-mm/patient-mix
     December 01, 2007 - 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 … at Which Error Is Introduced Example Error Ordering Order written in the wrong chart … entered into the wrong computerized record) Transcription Order written in correct chart

231. Adverse Events in Dentistry | PSNet
     psnet.ahrq.gov/perspective/adverse-events-dentistry
     December 22, 2020 - review of nearly 1000 charts from academic institutions sought to classify dentistry adverse events, … damage, nerve injury, and soft tissue damage. 5 In addition to reviewing the literature and patient charts … This was then followed by chart reviews, i.e., actually looking through the charts, and an expert panel … From the work we are doing with the triggers or through electronic health record random chart reviews … They get to see their own chart documentation completeness, they get their own quality measurements,

232. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
     December 22, 2020 - This was then followed by chart reviews, i.e., actually looking through the charts, and an expert panel … From the work we are doing with the triggers or through electronic health record random chart reviews … They get to see their own chart documentation completeness, they get their own quality measurements, … review of nearly 1000 charts from academic institutions sought to classify dentistry adverse events, … damage, nerve injury, and soft tissue damage. 5 In addition to reviewing the literature and patient charts

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44826/psn-pdf
     February 14, 2017 - validity-agency-healthcare-research-and-quality-patient-safety-indicators-and- centers The ability to use administrative data to measure patient safety is critical, because chart … This systematic review found that PSIs and HACs have not been adequately validated compared to chart

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49466/psn-pdf
     October 14, 2004 - pathologists, respiratory therapists, and physical therapists write their notes in a special section of the chart … , not in the core daily progress notes area, which is the part of the chart that all physicians read … signals of newly posted critical information (eg, the notes sometimes left by nurses on the front of charts … Chart flags, color-coded consult notes, follow-up checklists, and multidisciplinary problem lists have

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33826/psn-pdf
     February 01, 2017 - Fifty years ago, it was far truer that the org chart was a good representation of how work got done. … Meaning, those at the top of the organization (or the org chart) have a clear line of sight on what … RW: Are there any other industries that live in that box on your chart of complex service industries? … AE: In the health care organizations I've studied, there are multiple org charts occupying the same physical … So physicians have one org chart.

236. Hard to Swallow | PSNet
     psnet.ahrq.gov/web-mm/hard-swallow
     April 26, 2023 - pathologists, respiratory therapists, and physical therapists write their notes in a special section of the chart … , not in the core daily progress notes area, which is the part of the chart that all physicians read. … signals of newly posted critical information (eg, the notes sometimes left by nurses on the front of charts … Chart flags, color-coded consult notes, follow-up checklists, and multidisciplinary problem lists have

237. Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care. | PSNet
     psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call-origin-pediatric
     November 23, 2016 - November 23, 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 … Related Resources Out-of-hospital pediatric patient safety events: results of the CSI chart

238. MedlinePlus: Patient Safety. | PSNet
     psnet.ahrq.gov/issue/medlineplus-patient-safety
     September 29, 2017 - Multi-use Website MedlinePlus: Patient Safety. Citation Text: MedlinePlus: Patient Safety. National Library of Medicine. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL…

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33703/psn-pdf
     November 01, 2010 - Retrospective medical chart review remains the "gold standard" for identifying adverse events. … transfer of patients between systems, lack of staff training or experience in documenting patients' charts … them attractive relative to other measures of safety, such as those obtained from labor-intensive chart … is still being examined.(19) Also, they lack the rich clinical details found in patients' medical charts … Identifying adverse drug events: development of a computer- based monitor and comparison with chart

240. Are We Getting Better at Measuring Patient Safety? | PSNet
     psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
     November 10, 2015 - Retrospective medical chart review remains the "gold standard" for identifying adverse events. … transfer of patients between systems, lack of staff training or experience in documenting patients' charts … is still being examined.( 19 ) Also, they lack the rich clinical details found in patients' medical charts … Identifying adverse drug events: development of a computer-based monitor and comparison with chart review … citation in the text) Measurement Strategies Advantages Disadvantages Retrospective Chart