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psnet.ahrq.gov/node/60265/psn-pdf
January 01, 2019 - This document
recommends subjects to be included at three levels of physician skill development in patient
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - this is an extreme measure fraught with potential problems.( 5,6 ) Many patients use smartphones to document … their emergency contacts, and this technology holds promise to help document and disseminate surrogate … POLSTs document a patient's wishes for surrogate decision-making and specify a range of acceptable treatments … Individual patients should discuss with their primary care provider the optimal way to document their … In this case, the patient had taken appropriate steps to document his wishes, and yet these preferences
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psnet.ahrq.gov/node/847046/psn-pdf
April 05, 2023 - Indication documentation and indication-based
prescribing within electronic prescribing systems: a
systematic review and narrative synthesis.
April 5, 2023
Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within
electronic prescribing systems: a systematic review an…
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psnet.ahrq.gov/node/48123/psn-pdf
August 28, 2019 - Hidden health IT hazards: a qualitative analysis of
clinically meaningful documentation discrepancies at
transfer out of the pediatric intensive care unit.
August 28, 2019
Orenstein EW, Ferro DF, Bonafide CP, et al. JAMIA Open. 2019;2(3):392-398.
https://psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-an…
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psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
February 12, 2020 - Study
The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.
Citation Text:
Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…
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psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation
January 15, 2020 - Study
Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit.
Citation Text:
Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transf…
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psnet.ahrq.gov/node/45679/psn-pdf
January 03, 2018 - The
document includes recommendations for improvement informed by the latest evidence.
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psnet.ahrq.gov/node/37144/psn-pdf
May 16, 2008 - the economic impact on
hospitals and the increased efforts it is likely to create for hospitals to document
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psnet.ahrq.gov/node/50674/psn-pdf
November 20, 2019 - The surgical ward round checklist: improving patient
safety and clinical documentation.
November 20, 2019
Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and
clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JMDH.S178896.
https://psnet.ahrq…
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psnet.ahrq.gov/node/42014/psn-pdf
February 06, 2013 - Diagnostic errors in orthopedic surgery: evaluation of
resident documentation of neurovascular examinations
for orthopedic trauma patients.
February 6, 2013
Tan EW, Ting BL, Jia X, et al. Diagnostic errors in orthopedic surgery: evaluation of resident documentation
of neurovascular examinations for orthopedic trau…
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psnet.ahrq.gov/node/836963/psn-pdf
April 20, 2022 - Investigating the impact of cognitive bias in nursing
documentation on decision-making and judgement.
April 20, 2022
Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision?
making and judgement. Int J Mental Health Nurs. 2022;31(4):897-907. doi:10.1111/inm.12997.
…
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psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - Issues Specific Actions
Decision-making
capacity
Assess the patient’s decision-making capacity
Document … the capacity assessment in the chart
Document the discussion with the patient regarding the severity … prescriptions for any new medications (arrange for dispensing of
medications to the patient, if possible)
Document … s consent, communicate with the patient’s next-of-kin
regarding discharge AMA and follow-up plans
Document
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psnet.ahrq.gov/node/44809/psn-pdf
March 02, 2016 - home settings utilized interviews, observation, and
participant-generated photographs and text to document
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psnet.ahrq.gov/node/37545/psn-pdf
February 20, 2008 - iatrogenic-events-admitted-neonates-prospective-cohort-study
This prospective cohort study is one of the first to document
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psnet.ahrq.gov/node/47279/psn-pdf
July 23, 2018 - The
document outlines five guiding principles to enhance safety of home care, which include a focus
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psnet.ahrq.gov/node/41423/psn-pdf
January 03, 2017 - Improving documentation of a beta-blocker quality
measure through an anesthesia information management
system and real-time notification of documentation
errors.
January 3, 2017
Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure
through an anesthesia information man…
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psnet.ahrq.gov/node/46847/psn-pdf
March 28, 2018 - Advance care planning documentation practices and
accessibility in the electronic health record: implications
for patient safety.
March 28, 2018
Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Accessibility
in the Electronic Health Record: Implications for Patient Safety. J …
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psnet.ahrq.gov/node/38091/psn-pdf
February 18, 2011 - Questionable hospital chart documentation practices by
physicians.
February 18, 2011
Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by
physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6.
https://psnet.ahrq.gov/issue/questionable-hospital-cha…
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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.
Citation Text:
Farooq M, Kirke C, Foley K. Documentation of drug allergy on drug chart in patients presenting for surgery. Ir J Med Sci. 2008;177(3):243-5. doi:10.1007/s11845-008-0166-7.
Copy Citati…
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psnet.ahrq.gov/node/836749/psn-pdf
March 16, 2022 - Comparison of a focused family cancer history
questionnaire to family history documentation in the
electronic medical record.
March 16, 2022
Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire
to family history documentation in the electronic medical record. J…