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psnet.ahrq.gov/node/35580/psn-pdf
May 27, 2011 - investigators report differential rates and severity of
medication errors from physician review of patient charts
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psnet.ahrq.gov/node/34651/psn-pdf
March 04, 2011 - 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/leadership-practices-advance-patient-safety
May 26, 2011 - This article charts one health system's efforts to create a culture of safety through leadership development
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Includes Prominent Patient
Photograph Significantly Reduces Errors Caused by
Orders Placed in Wrong Chart … attention and force him or her to verify that the order has been entered into the
correct patient's chart … Similarly, most EHR systems allow clinicians to have multiple charts open simultaneously,
making it … possible to mistakenly enter an order into the wrong chart. … deliberation, they decided not to pursue this strategy, as they had no direct
evidence that having multiple charts
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psnet.ahrq.gov/node/36366/psn-pdf
April 11, 2011 - study used methodology similar to a prior study in adult
intensive care unit patients to develop a chart-based … Through an expert consensus process, 17 triggers were identified and used to
screen charts from 15 NICUs … Use of this chart-based review process may help identify specific patient
populations at high risk for
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psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
May 08, 2019 - ISBN: 9781926541266
This guideline provides an organizational strategy, flow charts, and a task
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psnet.ahrq.gov/node/37695/psn-pdf
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/node/33729/psn-pdf
May 01, 2012 - By identifying clues that
guide chart reviewers to specific events during a patient's hospitalization … 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 … to do so)•
Retrospective review of charts
challenging if poor/incomplete
documentation
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
January 13, 2021 - This study used retrospective chart review to determine estimated costs of defined medication-related … In analyzing more than 100 patient charts and nearly 1900 MRPs, the authors report costs related to clinical
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psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error-prospective
March 20, 2024 - Study
The contribution of prescription chart design and familiarity to prescribing … The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised … physician trainees in the United Kingdom led to recommendations for developing a standardized prescription chart … This study found that both individual physician factors as well as the design of the prescription chart … The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised
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psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
March 30, 2022 - Study
Reliability and usability of a 7-minute chart review tool to identify pediatric … Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety … Retrospective chart reviews are important tools for identifying potential adverse events and observing … This article describes the validation and streamlining of a chart review tool for pediatric prehospital … Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety
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psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence
October 19, 2022 - The piece includes charts that clearly summarize the evidence and practice guidelines for these safety
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psnet.ahrq.gov/node/39674/psn-pdf
July 14, 2010 - 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/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - This study examined the impact of having a pharmacist review medical charts of patients with complex … found that partnering medical staff with a pharmacist to review patients' admission medications in the chart
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psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-events
August 31, 2011 - Study
Comparison of computerized surveillance and manual chart review for adverse … Comparison of computerized surveillance and manual chart review for adverse events. … found that computerized surveillance systems detected more hospital-acquired infections than manual chart … Comparison of computerized surveillance and manual chart review for adverse events.
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psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
June 30, 2021 - More than half of the events were deemed preventable based on review of nearly 15,000 medical charts.
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psnet.ahrq.gov/issue/mental-mayhem-peril-multitasking-medicine
October 24, 2012 - Checklists to automate workflow and limiting the number of patient charts that can be open at one time
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - safety measurement forward.4
Advances in Patient Safety Measurement
In the past, retrospective medical chart … Patient charts contain detailed clinical data including information about patient safety events and … medical records (EMRs), organizations
typically relied on clinicians to abstract data from paper-based charts … Reviewing charts is a resource-
intensive and cumbersome process typically completed months after care
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psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
November 18, 2011 - Analyzing patient charts at six community hospitals in Massachusetts, this report reveals to what extent
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psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery
August 20, 2018 - Study
Documentation of drug allergy on drug chart in patients presenting for surgery … Documentation of drug allergy on drug chart in patients presenting for surgery. … Documentation of drug allergy on drug chart in patients presenting for surgery.