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Showing results for "documentation".

1. Lost in Sign Out and Documentation | PSNet
   psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
   January 31, 2011 - Lost in Sign Out and Documentation Citation Text: Detsky ME. … Lost in Sign Out and Documentation. PSNet [internet]. … Lost in Sign Out and Documentation. PSNet [internet]. … curbside consultation, which provided the cardiology team with false reassurance and left behind no documentation … Lost in Sign Out and Documentation. PSNet [internet].

2. Questionable hospital chart documentation practices by physicians. | PSNet
   psnet.ahrq.gov/issue/questionable-hospital-chart-documentation-practices-physicians
   August 10, 2011 - Study Questionable hospital chart documentation practices by physicians. … Questionable hospital chart documentation practices by physicians. … This study found that more than half of physicians surveyed engaged in questionable documentation practices … behaviors, and the greater impact of billing and medical-legal influences on documentation practices … Questionable hospital chart documentation practices by physicians.

3. Indication alerts to improve problem list documentation. | PSNet
   psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation
   July 28, 2021 - Study Indication alerts to improve problem list documentation. … Indication alerts to improve problem list documentation. … Indication alerts to improve problem list documentation.

4. Hospital discharge documentation and risk of rehospitalisation. | PSNet
   psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
   March 25, 2015 - Study Hospital discharge documentation and risk of rehospitalisation. … Hospital discharge documentation and risk of rehospitalisation. … Hospital discharge documentation and risk of rehospitalisation.

5. Failures in communication through documents and documentation across the perioperative pathway. | PSNet
   psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
   August 07, 2013 - Study Failures in communication through documents and documentation across the perioperative … Failures in communication through documents and documentation across the perioperative pathway. … qualitative study of communication among providers in perioperative care revealed a reliance on written documentation … Failures in communication through documents and documentation across the perioperative pathway. … August 7, 2013 The role of documents and documentation in communication failure across

6. Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. | PSNet
   psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information
   June 23, 2009 - Study Improving documentation of a beta-blocker quality measure through an anesthesia … information management system and real-time notification of documentation errors. … Improving documentation of a beta-blocker quality measure through an anesthesia information management … system and real-time notification of documentation errors. … system and real-time notification of documentation errors.

7. Can electronic clinical documentation help prevent diagnostic errors? | PSNet
   psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors
   December 02, 2020 - Commentary Can electronic clinical documentation help prevent diagnostic errors? … Can electronic clinical documentation help prevent diagnostic errors? … Can electronic clinical documentation help prevent diagnostic errors?

8. Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. | PSNet
   psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
   May 29, 2019 - Computerized physician order entry of medications and clinical decision support can improve problem list documentation … Computerized physician order entry of medications and clinical decision support can improve problem list documentation … added to an existing computerized provider order entry system, improved the accuracy of physician documentation … Computerized physician order entry of medications and clinical decision support can improve problem list documentation … April 29, 2018 Indication alerts to improve problem list documentation.

9. Efficiency and safety of speech recognition for documentation in the electronic health record. | PSNet
   psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record
   February 14, 2024 - Study Efficiency and safety of speech recognition for documentation in the electronic … Efficiency and safety of speech recognition for documentation in the electronic health record. … Electronic documentation burden can contribute to physician burnout . … Efficiency and safety of speech recognition for documentation in the electronic health record. … September 1, 2018 Advance care planning documentation practices and accessibility in

10. Documentation of clinical review and vital signs after major surgery. | PSNet
    psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-surgery
    September 30, 2010 - Study Documentation of clinical review and vital signs after major surgery. … Documentation of clinical review and vital signs after major surgery. … Incomplete medical documentation was noted more commonly on the weekends . … Documentation of clinical review and vital signs after major surgery. … June 22, 2009 The impact of introducing medical emergency team system on the documentations

11. The role of documents and documentation in communication failure across the perioperative pathway. A literature review. | PSNet
    psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
    November 06, 2015 - Review The role of documents and documentation in communication failure across the … The role of documents and documentation in communication failure across the perioperative pathway. … traverse multiple settings, disciplines, and providers—all mediated through different documents and documentation … The role of documents and documentation in communication failure across the perioperative pathway. … Related Resources From the Same Author(s) Failures in communication through documents and documentation

12. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. | PSNet
    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 … The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes … authors conducted a sociotechnical investigation to describe the implementation of a closed-loop documentation … These types of closed-loop systems automate steps in the documentation of medication administration. … The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes

13. Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. | PSNet
    psnet.ahrq.gov/issue/improving-administration-and-documentation-enteral-nutrition-support-therapy-veteran-affairs
    September 09, 2020 - Study Improving administration and documentation of enteral nutrition support therapy … Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs … After discovering significant issues with ordering, administration, and documentation of EN, this health … Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs … March 8, 2023 Improving allergy documentation: a retrospective electronic health record

14. Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. | PSNet
    psnet.ahrq.gov/issue/advance-care-planning-documentation-practices-and-accessibility-electronic-health-record
    December 05, 2012 - Study Emerging Classic Advance care planning documentation … Advance Care Planning Documentation Practices and Accessibility in the Electronic Health Record: Implications … This study found that electronic health record documentation of patients' preferences for advance … Only half of participants had documented preferences available, and the documentation was often difficult … September 1, 2018 Efficiency and safety of speech recognition for documentation in the

15. Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. | PSNet
    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 … Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation … They found clinically relevant differences between the handoff and transfer note documentation in 42% … Citation Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation

16. Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. | PSNet
    psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health
    June 28, 2011 - Review Evaluation of interventions to improve inpatient hospital documentation within … Evaluation of interventions to improve inpatient hospital documentation within electronic health records … This systematic review found that while interventions designed to improve inpatient documentation within … highly varied, education and EHR reporting systems seem to be more effective in improving electronic documentation … Evaluation of interventions to improve inpatient hospital documentation within electronic health records

17. When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. | PSNet
    psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation
    October 27, 2021 - When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation … When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation … Approximately one-fourth of patients identified a possible documentation error in their records, illustrating … When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation

18. Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. | PSNet
    psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis
    March 23, 2012 - Study Accuracy of medication documentation in hospital discharge summaries: a retrospective … Accuracy of medication documentation in hospital discharge summaries: A retrospective analysis of medication … discharge summaries to avoid the error rates associated with manual transcription that were common in both documentation … Accuracy of medication documentation in hospital discharge summaries: A retrospective analysis of medication … September 14, 2011 Hospital discharge documentation and risk of rehospitalisation.

19. Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. | PSNet
    psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities
    October 28, 2009 - Study Deficits in discharge documentation in patients transferred to rehabilitation … Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation … discharged from hospitals on anticoagulant medications (including warfarin and heparin) lacked adequate documentation … Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation

20. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48118/psn-pdf
    August 21, 2019 - Evaluation of interventions to improve inpatient hospital documentation within electronic health records … Evaluation of interventions to improve inpatient hospital documentation within electronic health records … https://psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within … electronic-health This systematic review found that while interventions designed to improve inpatient documentation … highly varied, education and EHR reporting systems seem to be more effective in improving electronic documentation