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Showing results for "documentation".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42782/psn-pdf
    January 19, 2014 - Developing a medical emergency team running sheet to improve clinical handoff and documentation. … Developing a medical emergency team running sheet to improve clinical handoff and documentation. … psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff- and-documentation … //psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation … //psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43615/psn-pdf
    January 22, 2016 - 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 … https://psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events- pediatric-intensive-care … https://psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care … https://psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care

63. In Conversation With… Susan Smith, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-susan-smith-md
    August 01, 2019 - It's the documentation and in-basket work that put people over the edge. … in ambulatory they have to do the documentation on their own. … But the documentation burden is so different than it was before the EHR became ubiquitous. … As a result, scribes possess varying levels of documentation skills and clinical knowledge. … Documentation Assistance Provided by Scribes. Washington, DC: Joint Commission; 2018.

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50368/psn-pdf
    September 25, 2019 - OpenNotes enables patients and their designated caregivers to access medical records and provider documentation … improve medication adherence and patient engagement, and that patients may be able to identify errors in documentation … effects of implementing a system for patients and families to report mistakes they saw in outpatient documentation … //psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40894/psn-pdf
    December 10, 2014 - High incidence of medication documentation errors in a Swiss university hospital due to the handwritten … High incidence of medication documentation errors in a Swiss university hospital due to the handwritten … https://psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due … 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

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40270/psn-pdf
    March 09, 2011 - Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery … Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery … https://psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn- … https://psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery … https://psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46264/psn-pdf
    August 09, 2017 - Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence- documentation-errors … https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors … https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors

68. Safe use of the EHR by medical scribes: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-study
    February 01, 2023 - The use of medical scribes for electronic health record (EHR) documentation is one strategy to shift … the burden of documentation away from clinicians. … significant patient safety risks with scribes and highlighted the positive effects scribes have on documentation

69. Patients managing medications and reading their visit notes: a survey of OpenNotes participants. | PSNet
    psnet.ahrq.gov/issue/patients-managing-medications-and-reading-their-visit-notes-survey-opennotes-participants
    July 01, 2020 - OpenNotes provides patients with access to their health care provider’s documentation. … This study found that patient access to such documentation may have the potential to improve medication … When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation

70. Medical Scribes and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
    August 01, 2019 - As a result, scribes possess varying levels of documentation skills and clinical knowledge. … Documentation Assistance Provided by Scribes. Washington, DC: Joint Commission; 2018. … It's the documentation and in-basket work that put people over the edge. … in ambulatory they have to do the documentation on their own. … But the documentation burden is so different than it was before the EHR became ubiquitous.

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854259/psn-pdf
    January 01, 2024 - psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission Accurate and complete clinical documentation … atrial fibrillation (phone encounter) and documented a brief note regarding the encounter afterwards (documentation … The study found that written documentation following a clinical encounter included more important clinical

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60819/psn-pdf
    August 19, 2020 - the 82,353 incidents occurring between 2007 and 2016 result from inadequate, missing, or incorrect documentation … , underscoring the need for standardized documentation platforms and care processes. … register-based-research-adverse-events-revealing-incomplete-records-threatening-patient https://psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39399/psn-pdf
    February 17, 2011 - Can electronic clinical documentation help prevent diagnostic errors? … Can electronic clinical documentation help prevent diagnostic errors? … https://psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors This … https://psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors https

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37247/psn-pdf
    December 15, 2011 - Perinatal clinical decision support system: a documentation tool for patient safety. … Perinatal clinical decision support system: a documentation tool for patient safety. … https://psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety … https://psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33850/psn-pdf
    January 01, 2018 - The use of copy and paste in medical documentation raises many concerns. … Despite widespread acknowledgement by clinicians that the quality of documentation has declined since … Moreover, little has been written about documentation improvement initiatives that address copy and … accuracy, as patients will now also be able to hold us accountable for quality documentation. … Ultimately, physicians need to reestablish ownership of the accuracy of clinical documentation.

76. Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. | PSNet
    psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
    April 12, 2019 - Study Intraoperative handoffs among anesthesia providers increase the incidence of documentation … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45344/psn-pdf
    January 23, 2017 - between-paper-charts Compared to paper charts, electronic health records offer safety benefits for physician documentation … However, electronic documentation introduces new concerns, such as copy-and-paste practices (which can … This study compared physical exam documentation in initial physician progress notes before and after … Trainee physicians' documentation had fewer errors in both paper and electronic formats. … The authors recommend that hospitals discourage copied notes and encourage accurate documentation at

78. A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. | PSNet
    psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
    May 26, 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 … September 27, 2017 The devil is in the detail: how a closed-loop documentation system

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41396/psn-pdf
    May 23, 2012 - In search of common ground in handoff documentation in an intensive care unit. … In search of common ground in handoff documentation in an Intensive Care Unit. … https://psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit This analysis … https://psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit https://psnet.ahrq.gov

80. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. | PSNet
    psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
    March 11, 2011 - This systematic review discovered that EHRs reduced documentation time for nurses but increased it for … The latter finding of workstation choice is perhaps the most striking, as interpretation of overall documentation … in this regard, efforts to implement EHRs will need to address the potential for increased physician documentation … Related Resources Evaluation of interventions to improve inpatient hospital documentation