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psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health
June 28, 2011 - Review
Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.
Citation Text:
Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…
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psnet.ahrq.gov/issue/documentation-bad-habits-shortcuts-electronic-records-pose-risk
March 12, 2014 - Commentary
Documentation bad habits: shortcuts in electronic records pose risk.
Citation Text:
Documentation bad habits: shortcuts in electronic records pose risk. Dimick C. J AHIMA. 2008;79(6):40-43; quiz 45-46.
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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.
Citation Text:
Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …
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psnet.ahrq.gov/node/60168/psn-pdf
March 25, 2020 - Right Electrocardiogram, Wrong Patient
March 25, 2020
Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
The Cases
Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…
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psnet.ahrq.gov/node/45197/psn-pdf
March 20, 2017 - When doctors share visit notes with patients: a study of
patient and doctor perceptions of documentation errors,
safety opportunities and the patient–doctor relationship.
March 20, 2017
Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of patient and
doctor perceptions of …
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - Right Electrocardiogram, Wrong Patient
Citation Text:
Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Residents are encouraged to enact advance directives, 4 and these advance directive documents are reviewed
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psnet.ahrq.gov/node/50447/psn-pdf
October 09, 2019 - Patient safety incidents in advance care planning for
serious illness: a mixed-methods analysis
October 9, 2019
Dinnen T, Williams H, Yardley S, et al. Patient safety incidents in advance care planning for serious illness:
a mixed-methods analysis. BMJ Support Palliat Care. 2019. doi:10.1136/bmjspcare-2019-001824.
…
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psnet.ahrq.gov/node/46532/psn-pdf
July 30, 2018 - Efficiency and safety of speech recognition for
documentation in the electronic health record.
July 30, 2018
Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the
electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. doi:10.1093/jamia/ocx073.
https://…
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psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natural-language-processing
May 01, 2017 - Webinar
A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation.
Citation Text:
A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accura…
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psnet.ahrq.gov/node/37882/psn-pdf
July 31, 2008 - Documentation of drug allergy on drug chart in patients
presenting for surgery.
July 31, 2008
Farooq M, Kirke C, Foley K. Documentation of drug allergy on drug chart in patients presenting for surgery.
Ir J Med Sci. 2008;177(3):243-5. doi:10.1007/s11845-008-0166-7.
https://psnet.ahrq.gov/issue/documentation-drug-a…
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psnet.ahrq.gov/node/37959/psn-pdf
January 11, 2017 - Deficits in discharge documentation in patients
transferred to rehabilitation facilities on anticoagulation:
results of a systemwide evaluation.
January 11, 2017
Gandara E, Moniz TT, Ungar J, et al. Deficits in discharge documentation in patients transferred to
rehabilitation facilities on anticoagulation: results…
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psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - pubmed/25855664
http://www.ncbi.nlm.nih.gov/pubmed/24507747
https://www.cqc.org.uk/sites/default/files/documents
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - Such confirmation may be electronic (e.g., clicking a button that documents the provider accepted results
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - First, informed consent documents should capture a mechanism to
communicate unexpected but potentially
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
April 01, 2013 - systems
Institutions should incorporate all appropriate ASPEN clinical guidelines and best practices documents
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psnet.ahrq.gov/node/49472/psn-pdf
March 01, 2005 - state, where reporting forms are located, and taking the time
to complete and submit the required documents
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - All of these documents, including POLST orders, promote active dialogue about patient wishes
but can
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - Training Insertion Maintenance
http://www.ctlab.org/documents/heinmedv26-gaps%20and%20resilience.pdf
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - This form documents the
trainee's cognitive and psychomotor skills, procedural complications, and other