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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - Adverse Drug Event (ADE) Surveillance and Pharmacist
Counseling
January 31, 2024
https://psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
Summary
Adverse events resulting from medications are a common occurrence that often go undetected, unreported,
and unaddressed.1 The imp…
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psnet.ahrq.gov/node/42426/psn-pdf
January 14, 2014 - Documenting quality improvement and patient safety
efforts: the quality portfolio. A statement from the
Academic Hospitalist Taskforce.
January 14, 2014
Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the
quality portfolio. A statement from the academic hospitali…
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psnet.ahrq.gov/node/42104/psn-pdf
January 07, 2015 - Challenges to nurses' efforts of retrieving, documenting,
and communicating patient care information.
January 7, 2015
Keenan G, Yakel E, Lopez KD, et al. Challenges to nurses' efforts of retrieving, documenting, and
communicating patient care information. J Am Med Inform Assoc. 2013;20(2):245-51. doi:10.1136/amiajn…
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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 intensive
care unit.
January 22, 2016
Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on
Documentation of Acute Events in the Pediatric Intensive Care Unit. Am J Med Qua…
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psnet.ahrq.gov/issue/comparison-accuracy-physical-examination-findings-initial-progress-notes-between-paper-charts
May 11, 2022 - Study
Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record.
Citation Text:
Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial progress note…
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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
prescription process.
December 10, 2014
Hartel MJ, Staub LP, Röder C, et al. High incidence of medication documentation errors in a Swiss
university hospital due to the handwritten prescription process. BMC Heal…
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psnet.ahrq.gov/node/40255/psn-pdf
March 02, 2011 - Medication details documented on hospital discharge:
cross-sectional observational study of factors associated
with medication non-reconciliation.
March 2, 2011
Grimes TC, Duggan CA, Delaney TP, et al. Medication details documented on hospital discharge: cross-
sectional observational study of factors associated w…
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - EHR Copy and Paste and Patient Safety
January 1, 2018
Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
Perspective
Although the ability to copy and paste text is a central benefit of computing in general, and electronic…
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psnet.ahrq.gov/node/38817/psn-pdf
April 04, 2011 - Adequacy of hospital discharge summaries in
documenting tests with pending results and outpatient
follow-up providers.
April 4, 2011
Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with
pending results and outpatient follow-up providers. J Gen Intern Med. 2009;24(9)…
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - The Different Count Contributions to Retention
Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty
Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1
Enforcement Reports from 2007-2014
A NoThing Left Behin…
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psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-information-2019
June 22, 2022 - Commentary
ACR guidance document on MR safe practices: updates and critical information 2019.
Citation Text:
ACR guidance document on MR safe practices: updates and critical information 2019. ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 20…
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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 and judgement.
Citation Text:
Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision‐making and judgement. Int J Mental Health Nurs. 2022;31(4)…
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psnet.ahrq.gov/node/50368/psn-pdf
September 25, 2019 - A patient and family reporting system for perceived
ambulatory note mistakes: experience at 3 U.S. healthcare
centers.
September 25, 2019
Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory
note mistakes: experience at 3 U.S. healthcare centers. J Am Med Inform As…
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psnet.ahrq.gov/issue/development-checklist-documenting-team-and-collaborative-behaviors-during-multidisciplinary
November 08, 2012 - Study
Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside rounds.
Citation Text:
Henneman EA, Kleppel R, Hinchey KT. Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside r…
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psnet.ahrq.gov/node/36727/psn-pdf
April 19, 2013 - ACR guidance document on MR safe practices: 2013.
April 19, 2013
Safety EP on, Kanal E, Barkovich J, et al. ACR guidance document on MR safe practices: 2013. J Magn
Reson Imaging. 2013;37(3):501-530. doi:10.1002/jmri.24011.
https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-2013
This updated guid…
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling
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January 31, 2024
Innovation
Contact
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - .6100095
http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3684331/
https://www.mnhospitals.org/Portals/0/Documents
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psnet.ahrq.gov/node/39399/psn-pdf
February 17, 2011 - Can electronic clinical documentation help prevent
diagnostic errors?
February 17, 2011
Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J
Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734.
https://psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help…
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psnet.ahrq.gov/node/37247/psn-pdf
December 15, 2011 - Perinatal clinical decision support system: a
documentation tool for patient safety.
December 15, 2011
Provost C, Gray M. Perinatal clinical decision support system: a documentation tool for patient safety. Nurs
Womens Health. 2007;11(4):407-10.
https://psnet.ahrq.gov/issue/perinatal-clinical-decision-support-syst…