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5641. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet
      psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
      February 26, 2025 - RW : When NQF started, probably 5% of hospitals had electronic health records, and now 5% do not.

5642. Responding to Patient Safety Events | PSNet
      psnet.ahrq.gov/primer/responding-patient-safety-events
      October 18, 2023 - Safety September 7, 2019 Patient Safety Primers Electronic … Health Records September 7, 2019 Patient Safety Primers

5643. An Untimely End Despite End-of-Life Care Planning | PSNet
      psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
      February 01, 2012 - The Huddle's discussion is documented in the electronic medical record; addendums to this note can be

5644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60609/psn-pdf
      June 24, 2020 - Typically, the electronic health record (EHR) could help to prevent medication errors and adverse events

5645. Medication Handling and Compounding Errors in the Operating Room. | PSNet
      psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
      May 16, 2022 - Products with validated stability data are currently being built into order entry options in our electronic … health record by our Information Technology team in partnership with the Pharmacy Department. … WebM&M Cases Weight and Height Juxtaposition in the Electronic … Medical Record Causing an Accidental Medication Overdose October 31, 2023

5646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49668/psn-pdf
      October 01, 2012 - Buprenorphine and the Medically Ill Patient October 1, 2012 McCance-Katz EF. Buprenorphine and the Medically Ill Patient. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient The Case A 60-year-old man with a 15-year history of oxycodone dependence presented to a substance …

5647. Evidence Brief: Implementation of High Reliability Organization Principles. | PSNet
      psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
      November 11, 2020 - Book/Report Evidence Brief: Implementation of High Reliability Organization Principles. Citation Text: Evidence Brief: Implementation of High Reliability Organization Principles. Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019. …

5648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60952/psn-pdf
      September 30, 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 … definitively shown to improve patient outcomes such as electrolyte repletion and avoidable death. 8    Electronic … health record (EHR) alerts  for factors that can lead to complications are another potential target

5649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49524/psn-pdf
      November 01, 2006 - Secured But Not Always Safe November 1, 2006 Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/secured-not-always-safe The Case An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative osteoarthritis. She received spinal …

5650. Human Factors Engineering | PSNet
      psnet.ahrq.gov/primer/human-factors-engineering
      September 07, 2019 - One prominent example of the clinical applicability of  usability testing  involves electronic health … records and  computerized provider order entry  (CPOE).

5651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49391/psn-pdf
      February 01, 2003 - When "Psychiatric" Symptoms Are Not February 1, 2003 Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not The Case A 70-year-old man without documented past psychiatric history was placed on an involuntary hold as a danger to oth…

5652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849598/psn-pdf
      May 31, 2023 - team at WellSpan Health oversaw the development and implementation of a system that uses customized electronic … health record (EHR) alert settings and a team of remote nurses to help frontline staff identify and

5653. Improved obstetric safety through programmatic collaboration. | PSNet
      psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
      September 23, 2020 - Commentary Improved obstetric safety through programmatic collaboration. Citation Text: Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. Copy Citation Format: …

5654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33856/psn-pdf
      April 01, 2018 - These new workflows and interventions can be incorporated into electronic health records through risk

5655. Watch the Warfarin! | PSNet
      psnet.ahrq.gov/web-mm/watch-warfarin
      December 01, 2013 - follow-up; these steps are particularly important to coordinating care if the inpatient and outpatient electronic … medical records are not fully integrated.( 5 ) Finally, while this patient was on chronic warfarin

5656. Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
      January 01, 2023 - scores improved with initial treatment, the physicians’ plan (communicated by a free text order in the electronic … health record) was to wean the dexmedetomidine to 0.2 mcg/kg/hr and then by 0.1 mcg/kg/hr per day … was to discontinue medications due to lack of this functionality within structured orders in the electronic … health record (EHR).33 • Free text orders for medications may not be visible to pharmacists, which … Communication through the electronic health record: frequency and implications of free text orders.

5657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49849/psn-pdf
      January 01, 2019 - been reported from 40 psychiatric units in Veterans Affairs (VA) hospitals.(2) From this analysis of electronic … health records, the rate of any safety event was calculated as 27.9 per 100 patient discharges; this … Nudges from a thoughtfully designed electronic health record could also help physicians update the diagnosis

5658. Processes for effective communication in primary care. | PSNet
      psnet.ahrq.gov/issue/processes-effective-communication-primary-care
      December 21, 2018 - Commentary Processes for effective communication in primary care. Citation Text: Weiner SJ, Barnet B, Cheng TL, et al. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

5659. Prescribing errors resulting in adverse drug events: how can they be prevented? | PSNet
      psnet.ahrq.gov/issue/prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
      May 10, 2023 - Commentary Prescribing errors resulting in adverse drug events: how can they be prevented? Citation Text: Thürmann PA. Prescribing errors resulting in adverse drug events: how can they be prevented? Expert Opin Drug Saf. 2006;5(4):489-93. Copy Citation Format: Google Scho…

5660. Mandatory pharmacy residencies: one way to reduce medication errors. | PSNet
      psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
      July 23, 2008 - Commentary Mandatory pharmacy residencies: one way to reduce medication errors. Citation Text: Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138. Copy Citation …