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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - patient handoffs
and unclear roles for different care teams in the hospital
• Discuss the role of the electronic … health record and auto-firing alerts to
aid in the early identification of factors that can lead to … shown
to improve electrolyte repletion and avoidable death
18
Approach to Improving Safety (4)
• Electronic … health record alerts
• In one study of risk factors for QT prolongation, EHR alerts
were shown to
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psnet.ahrq.gov/issue/reconcilable-differences-correcting-medication-errors-hospital-admission-and-discharge
February 13, 2019 - Study
Reconcilable differences: correcting medication errors at hospital admission and discharge.
Citation Text:
Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6.
Copy C…
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - launched an Ambulatory Safety and Quality (ASQ) grant initiative,
which examined how technology such as electronic … health records can improve safety and quality.(15)
Subsequent contracts have further promoted work … locked within
the silos of their developers and are not "interoperable" with other measurement systems, electronic … health
records, etc.
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psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems
July 12, 2023 - The intervention also used technology (automated electronic health record reminders) and training (asynchronous
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - July 31, 2013
Improving accuracy of handoff by implementing an electronic health record-generated
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psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study
September 08, 2021 - Implementation of a medication reconciliation risk stratification tool integrated within an electronic … health record: a case series of three academic medical centers.
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psnet.ahrq.gov/issue/diagnostic-concordance-among-pathologists-interpreting-breast-biopsy-specimens
July 13, 2016 - October 5, 2022
Frequency and types of patient-reported errors in electronic health record
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psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy
September 23, 2020 - 26, 2015
View More
Related Resources
Perceptions of hospital electronic … health record (EHR) training, support, and patient safety by staff position and tenure.
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psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care
June 14, 2023 - August 4, 2021
Improving allergy documentation: a retrospective electronic health record
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psnet.ahrq.gov/issue/association-between-mobile-telephone-interruptions-and-medication-administration-errors
June 29, 2009 - 2022
Patient Safety Innovations
eSIMPLER: a dynamic, electronic … health record-integrated checklist for clinical decision support during PICU daily rounds.
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psnet.ahrq.gov/issue/when-agency-fails-analysis-association-between-hospital-agency-staffing-and-quality-outcomes
September 11, 2024 - March 17, 2021
Adoption factors associated with electronic health record among long-term
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psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
September 23, 2020 - When order sets do not align with clinician workflow: assessing practice patterns in the electronic … health record.
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psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
April 28, 2021 - 11, 2023
Primary care providers' opening of time-sensitive alerts sent to commercial electronic … health record InBaskets.
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psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
June 01, 2022 - January 4, 2021
Association of display of patient photographs in the electronic health … record with wrong-patient order entry errors.
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psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
June 15, 2022 - November 17, 2021
Emergency physician perceptions of electronic health record usability
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psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes
June 21, 2016 - July 10, 2017
Adverse inpatient outcomes during the transition to a new electronic health … record system: observational study.
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psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
March 13, 2013 - December 19, 2018
Electronic health record-based triggers to detect potential delays
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psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident
February 17, 2009 - September 22, 2010
Attending physician remote access of the electronic health record
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psnet.ahrq.gov/issue/relationships-between-pediatric-safety-indicators-across-national-sample-pediatric-hospitals
April 06, 2022 - November 2, 2022
Improving allergy documentation: a retrospective electronic health record
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - January 19, 2011
The management of test results in primary care: does an electronic medical … record make a difference?