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Showing results for "documentation".

  1. psnet.ahrq.gov/issue/sustained-effectiveness-primary-team-based-rapid-response-system
    November 16, 2022 - When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation … 2014 Developing a medical emergency team running sheet to improve clinical handoff and documentation
  2. psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
    July 17, 2019 - 14, 2019 Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation … Challenges March 27, 2024 Investigating the impact of cognitive bias in nursing documentation
  3. psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
    September 28, 2017 - integrating information technology into health care has been the copy-and-paste phenomenon in clinical documentation—the … June 8, 2022 Documentation of clinical review and vital signs after major surgery.
  4. psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
    March 20, 2024 - for Improving Patient Safety March 29, 2023 Improving administration and documentation … August 31, 2022 Indication alerts to improve problem list documentation.
  5. psnet.ahrq.gov/issue/physician-ehr-adoption-and-potentially-preventable-hospital-admissions-among-medicare
    February 14, 2024 - October 31, 2018 Efficiency and safety of speech recognition for documentation in the … July 30, 2018 Advance care planning documentation practices and accessibility in the
  6. psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - A packet with the appropriate documentation from the nursing facility was transported with the patient … More importantly, EHRs can provide a critical link between documentation and action, allowing physicians … As this case illustrates, even the best intended system that relies on paper documentation is likely … Such registries attempt to standardize the documentation of patients' wishes and make these available … CC1-03: Documentations of advanced health care directives in the electronic health records: where are
  7. psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
    September 25, 2019 - a significant barrier to effective communication in this case was the lack of standardized written documentation … consultation diagnosis and the final pathology diagnosis, CAP guidelines require reconciliation and documentation … Systems Change Needed Consistency in Documentation Adherence to a standardized frozen section examination … protocol to ensure consistency in reporting and documentation helps to underpin surgical pathology communication … As in all fields of medicine, clear and consistent communication and documentation remain essential components
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42707/psn-pdf
    September 03, 2024 - toolkits provides resources to support safety in ambulatory care and includes information about allergy documentation
  9. psnet.ahrq.gov/issue/qualitative-study-prescribing-errors-among-multi-professional-prescribers-within-e
    December 02, 2020 - for Improving Patient Safety March 29, 2023 Improving administration and documentation … September 1, 2016 High incidence of medication documentation errors in a Swiss university
  10. psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
    February 01, 2023 - Related Resources From the Same Author(s) Improving administration and documentation … June 12, 2024 Improving administration and documentation of enteral nutrition support
  11. psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
    June 15, 2022 - June 10, 2018 Improving documentation of a beta-blocker quality measure through an anesthesia … information management system and real-time notification of documentation errors.
  12. psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
    March 22, 2023 - for Improving Patient Safety March 29, 2023 Improving administration and documentation … May 4, 2022 Indication alerts to improve problem list documentation.
  13. psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation-their-online
    March 03, 2021 - Charting diagnostic safety: exploring patient-provider discordance in medical record documentation … Charting diagnostic safety: exploring patient-provider discordance in medical record documentation
  14. psnet.ahrq.gov/issue/qi-initiative-implementing-patient-handoff-checklist-pediatric-hospitalist-attendings
    July 28, 2021 - 2020 Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation … August 15, 2016 The effect of an electronic SBAR communication tool on documentation
  15. psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record
    June 15, 2022 - June 15, 2022 Improving allergy documentation: a retrospective electronic health record … June 15, 2022 Improving allergy documentation: a retrospective electronic health record
  16. psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user
    February 16, 2022 - July 11, 2012 The devil is in the detail: how a closed-loop documentation system for … When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation
  17. psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases
    November 30, 2022 - November 30, 2022 Indication alerts to improve problem list documentation. … April 27, 2022 Indication alerts to improve problem list documentation.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60609/psn-pdf
    June 24, 2020 - with this case  State the eight rights of medication administration  Recognize the importance of documentation … practitioner’s order Appropriate and timely assessment of response and consideration of efficacy Complete documentation … are: the right patient, the right drug, the right dose, the right route, the right time, the right documentation … of the 8 “rights” of medication administration including: the right dose, the right time, the right documentationDocumentation of medication administration and thorough communication—preferably a warm handoff—helps
  19. psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
    May 01, 2011 - Another recent review showed that pharmacists are active users of the EHR, especially in the areas of documentation … placed in the EHR includes clinical progress notes, medication reconciliation notes, allergy documentation … A pharmacotherapy capstone course to advance pharmacy students' clinical documentation skills. … Selecting a clinical intervention documentation system for an academic setting. … Pharmacists' documentation in patients' hospital health records: issues and educational implications.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72760/psn-pdf
    September 30, 2024 - Topics covered include electronic health records documentation, patient partnership and rural health

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