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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - operationalized in many hospitals by integration of the fall risk screening tool into the clinical
documentation
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - of the policy regarding bladder scanning prior to catheter insertion or the CBI policy that required documentation
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - staff), whether all clients/patients will be screened, and how staff will be
involved in followup and documentation
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - reschedule but the patient only received two doses of
androgen deprivation therapy, with no further documentation
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - called one year later to reschedule but the patient only
received two doses of ADT, with no further documentation
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - Documentation tends to be
much better.
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - Bedside handover enhances completion of nursing care and documentation.
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - As with any central line, having clear documentation of the type of PICC line–i.e., single, dual, or
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - audible alerts, and an integrated EHR, was associated with a 21% reduction in the rate of medication and documentation
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - provide recommendations for the education of nursing and monitoring staff and for alarm management and documentation
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - complex and contextual—a heart rate may be listed under the formal vital sign table or under nursing documentation
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psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - We have done many things that call for culture progression, documentation, and communication that focus
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - We have done many things that call for culture progression, documentation, and communication that focus
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - a Christmas tree on which we're hanging so many ornaments that everything's sagging—it is clinical documentation
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psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - Flying Object Hits MRI
Citation Text:
Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - Cybersecurity and How to Maintain Patient Safety
March 27, 2024
Pelletreau B, Riggi J, Gale B, et al. Cybersecurity and How to Maintain Patient Safety. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
Introduction
The integration of information technology (I…
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psnet.ahrq.gov/node/33633/psn-pdf
May 01, 2006 - Patient Safety in the Physician Office Setting
May 1, 2006
Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
Perspective
Dr. Jones was sure he had increased Mr. H's cholesterol-lowering medication to 80 mg 6 …
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psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - The Fluidity of Diagnostic "Wet Reads"
May 1, 2016
Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
The Case
A 64-year-old man with heavy tobacco use presented to the emergency department (ED) with chest pain.
His electroc…
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - Medication Errors and Adverse Drug Events
December 15, 2024
Medication Errors and Adverse Drug Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect cu…
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - Misleading Complaint
Citation Text:
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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