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5681. What Have We Learned About Safe Inpatient Handovers? | PSNet
      psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
      March 01, 2011 - continuity.( 10 ) More recently, others have described handover tools that pre-populate information from the electronic … health record (e.g., patient identifiers, age, location, medications), and either pre-populate or provide … Improved physician work flow after integrating sign-out notes into the electronic medical record.

5682. Emotion and coping in the aftermath of medical error: a cross-country exploration. | PSNet
      psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
      August 10, 2022 - Study Emotion and coping in the aftermath of medical error: a cross-country exploration. Citation Text: Harrison R, Lawton R, Perlo J, et al. Emotion and coping in the aftermath of medical error: a cross-country exploration. J Patient Saf. 2015;11(1):28-35. doi:10.1097/PTS.0b013e3182979b…

5683. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-395
      June 28, 2023 - June 14, 2023 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …

5684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49419/psn-pdf
      October 01, 2003 - The Other Side October 1, 2003 Vincent CA. The Other Side. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/other-side Case Objectives List the factors contributing to wrong site surgery. Understand the key components of the Universal Protocol for eliminating wrong site, wrong procedure, wrong person surger…

5685. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-377
      February 01, 2023 - Health information technology (HIT), such as electronic health records (EHRs) or computerized provider

5686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866370/psn-pdf
      July 31, 2024 - should be clearly flagged in the medical record Any episode of awareness should be highlighted in the electronic … medical record and placed on the snapshot page so that this information is readily accessible to future

5687. Promoting patient safety through prospective risk identification: example from peri-operative care. | PSNet
      psnet.ahrq.gov/issue/promoting-patient-safety-through-prospective-risk-identification-example-peri-operative-care
      September 23, 2020 - Study Promoting patient safety through prospective risk identification: example from peri-operative care. Citation Text: Smith AF, Boult M, Woods I, et al. Promoting patient safety through prospective risk identification: example from peri-operative care. Qual Saf Health Care. 2010;19(…

5688. Preventing blood transfusion failures: FMEA, an effective assessment method. | PSNet
      psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
      August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…

5689. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853773/psn-pdf
      September 27, 2023 - One of the residents stepped away to confirm the patient’s identity in the electronic health record … ) to the covering resident, and the absence of clear documentation of the planned procedure in the electronic … health record.

5690. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - a successful learning health system, especially for collecting and analyzing data. 10 IT, such as electronic … health records (EHR), is critical in allowing learning health systems to record, compare, and present … While there is a bright future in the use of technology, such as electronic health records and artificial

5691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49750/psn-pdf
      January 01, 2016 - planned admissions for procedures and scheduled treatments such as chemotherapy can be entered into electronic … health records (EHRs) prior to admission and initiated or activated by the inpatient physician to ensure

5692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49514/psn-pdf
      July 01, 2006 - One ACE Too Many July 1, 2006 Juurlink DN. One ACE Too Many. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/one-ace-too-many The Case A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure presented to the emergency department (ED) with chest pain. An acut…

5693. All in the History | PSNet
      psnet.ahrq.gov/web-mm/all-history
      February 28, 2011 - First, checklists (whether on paper or as part of an electronic medical record) can help the receiving

5694. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
      December 16, 2020 - Commentary Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. Citation Text: Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…

5695. Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. | PSNet
      psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
      April 29, 2020 - Book/Report Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Citation Text: Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…

5696. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. | PSNet
      psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals
      July 12, 2010 - Study Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Citation Text: Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg…

5697. Two Pills, Same Drug | PSNet
      psnet.ahrq.gov/web-mm/two-pills-same-drug
      May 27, 2011 - Algorithms running in the background may compare entered data with information in electronic medical … records or clinical knowledge bases and trigger alerts suggesting medication dose or frequency adjustments

5698. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837658/psn-pdf
      July 08, 2022 - in high-risk discordant care and avoidable readmissions.11 Although hospitals and SNFs may both use electronic … health records (EHRs), what is documented and shared is at their individual discretion, which may be

5699. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49718/psn-pdf
      January 01, 2015 - focused on the distribution of prescribing guidelines, linkage of pharmacy and laboratory data in electronic … medical record systems (12), and use of health information technology.

5700. Hidden Heparins: HIT Happens | PSNet
      psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
      March 27, 2024 - SPOTLIGHT CASE Hidden Heparins: HIT Happens Citation Text: Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3…