Results

Total Results: 3,670 records

Showing results for "documentation".

121. Winning the battle for standardization. | PSNet
     psnet.ahrq.gov/issue/winning-battle-standardization
     March 02, 2022 - Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation … Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation … 2022 Comparison of a focused family cancer history questionnaire to family history documentation

122. The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
     August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute … The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric … The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866854/psn-pdf
     January 01, 2025 - Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. … Charting diagnostic safety: exploring patient-provider discordance in medical record documentation.

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60899/psn-pdf
     September 09, 2020 - implementation of an automated, electronic barcode scanner system to improve pretransfusion verification and documentation … Over two years, the system improved documentation compliance and averted transfusion of mismatched blood

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866111/psn-pdf
     June 12, 2024 - This study assessed the potential of using frequency of nursing documentation of provider notification … Patients with both evident and occult hypoxemia had increased nurse documentation in the four hours

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848366/psn-pdf
     May 03, 2023 - effect-documenting-patient-weight-kilograms-pediatric-medication-dosing- errors-emergency Weight-based calculation errors and lack of weight documentation … medical services (EMS) data including children who received a weight-based medication found that weight documentation

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837423/psn-pdf
     June 15, 2022 - evaluation-and-comparison-errors-nursing-notes-created-online-and-offline- speech-recognition Speech recognition software is a potential strategy to reduce documentation … evaluation-and-comparison-errors-nursing-notes-created-online-and-offline-speech-recognition https://psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73976/psn-pdf
     October 20, 2021 - This study investigated the effect of missed documentation of select comorbidities on postoperative … Results indicate that missed documentation of one of the comorbid conditions increased risk of length

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47567/psn-pdf
     June 26, 2019 - new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors https://psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due-handwritten … https://psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due-handwritten

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47325/psn-pdf
     January 01, 2020 - what-can-apologies-electronic-health-record-tell-us-about-health-care-quality- processes-and This observational study of the presence of apology documentation … The authors suggest reviewing apologies in clinical documentation in order to detect errors.

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46990/psn-pdf
     July 25, 2018 - issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition- software-and Clinical documentation … However, in the electronic health record era, documentation is widely perceived to be inefficient and … directly transcribes clinicians' dictated speech, is increasingly being used in order to streamline the documentation

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73513/psn-pdf
     July 21, 2021 - multi-year chart review at one institution, the authors concluded that suicide risk assessment and documentation … The authors outline quality improvement recommendations focused on improving documentation, suicide

133. Factors impacting physician use of information charted by others. | PSNet
     psnet.ahrq.gov/issue/factors-impacting-physician-use-information-charted-others
     September 18, 2019 - The copy-and-paste phenomenon in clinical documentation can result in perpetuating incorrect or irrelevant … April 7, 2019 Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation

134. Communication During Transitions of Care | PSNet
     psnet.ahrq.gov/perspective/communication-during-transitions-care
     July 10, 2024 - Documentation, such as discharge summaries and the patient’s EHR, are important tools for communicating … The EHR is another important communication and documentation tool that facilitates information transfer … Although electronic transfer of healthcare documentation has become standard, issues such as a lack … and ensuring patient access to documentation can improve patient safety during transitions of care. … Providing patient access to documentation and ensuring the documentation is patient-centered and uses

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48008/psn-pdf
     May 22, 2019 - sharing notes with patients can improve the timeliness of follow-up to confirm a diagnosis, identify documentation … //psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation

136. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. | PSNet
     psnet.ahrq.gov/issue/professional-behavior-and-value-erosion-qualitative-study-physicians-and-electronic-health
     June 01, 2022 - distress most often occurred when physicians were prioritizing systems-based practice (e.g., EHR-required documentation … September 7, 2022 Improving allergy documentation: a retrospective electronic health

137. Quality of care and quality of life: balancing patient safety and physician burnout. | PSNet
     psnet.ahrq.gov/issue/quality-care-and-quality-life-balancing-patient-safety-and-physician-burnout
     September 27, 2023 - patient safety: consider the impact of interventions on physician well-being, reduce the burden of documentation … , offload some documentation to non-physicians/non-clinicians, coordinate training courses, rethink maintenance

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865455/psn-pdf
     March 27, 2024 - Documentation, such as discharge summaries and the patient’s EHR, are important tools for communicating … The EHR is another important communication and documentation tool that facilitates information transfer … Although electronic transfer of healthcare documentation has become standard, issues such as a lack of … and ensuring patient access to documentation can improve patient safety during transitions of care. … Providing patient access to documentation and ensuring the documentation is patient-centered and uses

139. An opportunity to engage obstetrics and gynecology patients through shared visit notes. | PSNet
     psnet.ahrq.gov/issue/opportunity-engage-obstetrics-and-gynecology-patients-through-shared-visit-notes
     July 01, 2020 - study, 9550 obstetrics and gynecology patients were provided with access to their outpatient visit documentation … Of patients who provided feedback, 27% identified errors in the documentation; provider reviewers determined

140. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. | PSNet
     psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
     October 21, 2020 - multi-year chart review at one institution, the authors concluded that suicide risk assessment and documentation … The authors outline quality improvement recommendations focused on improving documentation, suicide assessment