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Total Results: 3,670 records

Showing results for "documentation".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49789/psn-pdf
    April 01, 2017 - The intern was surprised to see that there was no documentation of any in-depth discussions of the patient's … Finally, in this multi-institutional study, 15% of these older hospitalized patients did not have any documentation … geared to the needs of individual clinical areas, may be necessary to address the communication and documentation … Such an approach would include: (i) ongoing audits of communication, decision- making, and documentation … their communication and decision-making skills; and (iv) standardizing order sets to enable accurate documentation

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46442/psn-pdf
    October 04, 2017 - https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38960/psn-pdf
    September 23, 2009 - upload of clinical information directly into the electronic medical record, nearly eliminated errors in documentation

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34844/psn-pdf
    February 24, 2011 - The gaps highlighted include physician documentation of a follow-up plan and patients’ understanding

  5. Dying for Care. | PSNet

    psnet.ahrq.gov/issue/dying-care
    January 18, 2023 - This collection of resources examines data and documentation involving one nursing home chain to reveal

  6. COVID Risk In Hospitals. | PSNet

    psnet.ahrq.gov/issue/covid-risk-hospitals
    November 17, 2021 - hospital-acquired COVID-19 infection that include weaknesses in oversight, patient legal protections, and documentation

  7. Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. | PSNet

    psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2
    December 21, 2017 - September 23, 2020 Indication alerts to improve problem list documentation. … 2019 Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38599/psn-pdf
    May 06, 2009 - safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few- adverse-events Retrospective chart review identified many errors (primarily in documentation

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43180/psn-pdf
    August 12, 2014 - The intervention standardized documentation of patients' vital signs to create visual triggers for timely

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36450/psn-pdf
    December 22, 2010 - supervision gaps, ineffective double-checks, and the misalignment of system improvements with training and documentation

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867379/psn-pdf
    January 01, 2025 - clinician-patient encounter, such as failure to complete a physical examination or review previous documentation

  12. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet

    psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
    October 30, 2024 - The RRT nurse’s compliance is measured through documentation indicating their assessment and intervention … Develop an evidence-based algorithm to determine AAM score and establish appropriate workflows and documentation … Use a performance improvement process to conduct several iterations of workflow and documentation standards … to train staff as needed on standardized communication, clinical response protocols, handoffs, and documentation

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837424/psn-pdf
    June 15, 2022 - Classification categories include: (1) incomplete or inaccurate EHR documentation, (2) human factors

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72670/psn-pdf
    January 27, 2021 - issues, such as lack of informational continuity across the continuum of care (e.g., lack of standard documentation

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846155/psn-pdf
    March 15, 2023 - This hospital in Norway determined inconsistent documentation of vital signs could be a barrier to successful

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849329/psn-pdf
    May 24, 2023 - The two main kinds of HIE-related incidents were (1) inadequate documentation and inadequate use of

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - transfers and the majority (69%) of incidents were related to pressure injuries, falls, medication, and documentation

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42537/psn-pdf
    October 02, 2013 - checklist for outpatient visits was associated with increased accuracy of medication lists and clinical documentation

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42012/psn-pdf
    February 06, 2013 - administrators provided their perspectives regarding the characteristics of high quality outpatient clinical documentation

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35133/psn-pdf
    March 11, 2011 - authors conclude that patient-derived data can be effective in improving current deficits in medication documentation
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