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psnet.ahrq.gov/node/844549/psn-pdf
February 15, 2023 - This longitudinal study used in-home observations and chart review to monitor 131
pediatric patients
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psnet.ahrq.gov/node/37346/psn-pdf
March 28, 2012 - Medication administration discrepancies persist despite
electronic ordering.
March 28, 2012
FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite
Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359.
https://psnet.ahrq.gov/issue/medic…
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psnet.ahrq.gov/node/34683/psn-pdf
February 10, 2011 - The authors
assessed the baseline rate of all adverse drug events (ADEs) and preventable ADEs by chart
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psnet.ahrq.gov/node/36407/psn-pdf
April 19, 2011 - Investigators combined 6 months of
prospective observation with retrospective chart review to characterize
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - The resident glanced at the chart, asked the patient a few questions, and allowed him to leave against … capacity Assess the patient’s decision-making capacity Document the capacity assessment in the chart … medications (arrange for dispensing of medications to the patient, if possible) Document the above in the chart … with the patient’s next-of-kin regarding discharge AMA and follow-up plans Document the above in the chart
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - the use of transfusions.( 3 ) In most inpatient anticoagulation services, the pharmacist provides a chart … kind of service can prevent many errors, it may not have prevented the error in this case, since the chart … Enforcement of a no verbal order policy might have led the cross-covering intern to look at the chart … Take-Home Points When a medication, especially a high-risk one, is not ordered, the chart should
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psnet.ahrq.gov/node/36174/psn-pdf
September 29, 2010 - Investigators convened an expert
panel to identify codes representing ADEs and then performed retrospective chart
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psnet.ahrq.gov/node/838912/psn-pdf
December 01, 2005 - discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
https://psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
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psnet.ahrq.gov/node/34689/psn-pdf
February 10, 2011 - the two hospitals, the authors prospectively identified actual and potential ADEs by contemporaneous
chart
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psnet.ahrq.gov/node/44178/psn-pdf
July 03, 2016 - In
a retrospective chart review across six academic children's hospitals, the tool identified harm in
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psnet.ahrq.gov/node/37530/psn-pdf
December 15, 2008 - This AHRQ-funded study used retrospective
chart review to correlate patients' complaints of poor service
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psnet.ahrq.gov/node/41775/psn-pdf
December 18, 2014 - In this retrospective chart review study, the Global Trigger Tool
identified a higher rate of harm (
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psnet.ahrq.gov/node/49471/psn-pdf
December 01, 2004 - This discussion with the patient should be
documented in the chart. … As my legal colleagues remind me, "If it is not written in the
chart, it never happened." … In addition, I specifically inform the patient and document in the chart that
I advised him to stop
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psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - Failure to
obtain an accurate visual acuity using a Snellen chart (standard eye chart used in most physician … Clinicians may be tempted to
not formally test visual acuity as it can be difficult to locate the eye chart
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - The following comprise the Universal Protocol: Preoperative verification process (correct patient, chart … Confirm that the patient, chart, and x-ray (properly oriented) are correct and confirm which tooth is … Take-Home Points Incorporate the preoperative verification process into clinical practice (correct patient, chart
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The surgeons documented the change of
plans in the patient's chart, but failed to inform the nursing … scenarios in which crucial test results, recommendations, and plans are
"discussed" only through the chart … Typically, when a surgical case is "booked," orders are written in the patient's chart on the ward, the
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psnet.ahrq.gov/node/44847/psn-pdf
May 09, 2017 - this observational study investigated readmissions through patient and physician surveys
along with chart
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psnet.ahrq.gov/node/42124/psn-pdf
June 18, 2013 - Trigger Tool is being widely implemented as a means of
identifying safety hazards through focused chart
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psnet.ahrq.gov/node/38621/psn-pdf
February 18, 2011 - This retrospective chart review
analyzed cases of recently diagnosed breast cancer to identify patient
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - The traditional use of triggers has been to efficiently identify adverse events through chart review … (This concern is less relevant when triggers are used as chart review tools, since the "cost" of a false … Patient Safety Innovations
The e-Autopsy/e-Biopsy: A Systematic Chart