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Showing results for "documentation".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48103/psn-pdf
    June 26, 2019 - 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 … //psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50447/psn-pdf
    October 09, 2019 - and document their preferences about medical treatment; however, there are concerns about uptake and documentation … ten-year period, there were 70 reports of an ACP-related patient safety incident (due to incomplete documentation … , inaccessible documentation or miscommunication, or ACP directives not being followed) which led to

83. Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. | PSNet
    psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery
    November 16, 2022 - Study Harvey Cushing's open and thorough documentation of surgical mishaps at the … 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

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60168/psn-pdf
    March 25, 2020 - The incorrect patient documentation on the EKG caused EKG results to be uploaded to the wrong patients … For example, documentation of an EKG showing atrial fibrillation in the wrong patient chart could result … Documentation of a normal EKG in the wrong chart may have unintended consequences as well. … Despite this, incorrect EKG documentation can create unnecessary distress to all parties involved, while … Take-Home Points Wrong patient orders, documentation, and result reporting are prevalent problems despite

85. A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. | PSNet
    psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality
    June 06, 2018 - study drew from the OpenNotes project, in which patients are given access to electronic clinician documentation … As with prior studies of OpenNotes, a minority of patients elected to read the documentation; of those … The authors conclude that patient feedback on clinical notes can improve documentation and enhance detection … When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation

86. Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. | PSNet
    psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and
    July 06, 2022 - Clinical documentation is an essential part of patient care. … However, in the electronic health record era , documentation is widely perceived to be inefficient … directly transcribes clinicians' dictated speech, is increasingly being used in order to streamline the documentation

87. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
    February 22, 2019 - and document their preferences about medical treatment; however, there are concerns about uptake and documentation … ten-year period, there were 70 reports of an ACP-related patient safety incident (due to incomplete documentation … , inaccessible documentation or miscommunication, or ACP directives not being followed) which led to

88. Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. | PSNet
    psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
    February 01, 2023 - 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 … Related Resources From the Same Author(s) Improving administration and documentation

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40436/psn-pdf
    August 25, 2011 - Hospital discharge documentation and risk of rehospitalisation. … Hospital discharge documentation and risk of rehospitalisation. … https://psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation Communication … https://psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation https://psnet.ahrq.gov

90. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. | PSNet
    psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due-handwritten
    December 20, 2023 - Study High incidence of medication documentation errors in a Swiss university hospital … 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

91. Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. | PSNet
    psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
    December 18, 2019 - Review Indication documentation and indication-based prescribing within electronic … Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic … Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic

92. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. | PSNet
    psnet.ahrq.gov/issue/improving-allergy-documentation-retrospective-electronic-health-record-system-wide-patient
    June 15, 2022 - Study Improving allergy documentation: a retrospective electronic health record system-wide … Improving allergy documentation: a retrospective electronic health record system-wide patient safety … Improving allergy documentation: a retrospective electronic health record system-wide patient safety

93. Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. | PSNet
    psnet.ahrq.gov/issue/investigating-impact-cognitive-bias-nursing-documentation-decision-making-and-judgement
    July 13, 2022 - Study Investigating the impact of cognitive bias in nursing documentation on decision-making … Investigating the impact of cognitive bias in nursing documentation on decision‐making and judgement. … Investigating the impact of cognitive bias in nursing documentation on decision‐making and judgement.

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37952/psn-pdf
    July 30, 2008 - Documentation bad habits: shortcuts in electronic records pose risk. July 30, 2008 Dimick C. … https://psnet.ahrq.gov/issue/documentation-bad-habits-shortcuts-electronic-records-pose-risk This article … https://psnet.ahrq.gov/issue/documentation-bad-habits-shortcuts-electronic-records-pose-risk

95. Right Electrocardiogram, Wrong Patient | PSNet
    psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
    April 24, 2024 - The incorrect patient documentation on the EKG caused EKG results to be uploaded to the wrong patients … For example, documentation of an EKG showing atrial fibrillation in the wrong patient chart could result … Documentation of a normal EKG in the wrong chart may have unintended consequences as well. … Despite this, incorrect EKG documentation can create unnecessary distress to all parties involved, while … Take-Home Points Wrong patient orders, documentation, and result reporting are prevalent problems

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45775/psn-pdf
    March 20, 2017 - study drew from the OpenNotes project, in which patients are given access to electronic clinician documentation … As with prior studies of OpenNotes, a minority of patients elected to read the documentation; of those … The authors conclude that patient feedback on clinical notes can improve documentation and enhance detection … //psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation

97. Perinatal clinical decision support system: a documentation tool for patient safety. | PSNet
    psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety
    December 12, 2014 - Commentary Perinatal clinical decision support system: a documentation tool for patient … Perinatal clinical decision support system: a documentation tool for patient safety. … Perinatal clinical decision support system: a documentation tool for patient safety.

98. The power of written word: reflection reduces errors of omission. | PSNet
    psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission
    April 24, 2018 - Accurate and complete clinical documentation is essential to high quality, safe healthcare. … 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

99. Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. | PSNet
    psnet.ahrq.gov/issue/comparison-focused-family-cancer-history-questionnaire-family-history-documentation
    June 23, 2021 - Study Comparison of a focused family cancer history questionnaire to family history documentation … Comparison of a focused family cancer history questionnaire to family history documentation in the electronic … Comparison of a focused family cancer history questionnaire to family history documentation in the electronic

100. In search of common ground in handoff documentation in an intensive care unit. | PSNet
     psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit
     March 23, 2011 - Study 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. … In search of common ground in handoff documentation in an Intensive Care Unit.