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  1. psnet.ahrq.gov/issue/evaluation-and-comparison-errors-nursing-notes-created-online-and-offline-speech-recognition
    April 13, 2022 - Study Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. Citation Text: Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by o…
  2. psnet.ahrq.gov/periodic-issue/periodic-issue-293
    May 26, 2021 - health system’s experience adapting suicide risk assessments for virtual visits and how the use of electronichealth record patient portal messaging can facilitate systematic identification and assessment of suicide … Electronic health record (EHR) downtime can disrupt patient care and increase risk for medical errors
  3. psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
    August 20, 2018 - One of the residents stepped away to confirm the patient’s identity in the electronic health record and … explanation) to the covering resident, and the absence of clear documentation of the planned procedure in the electronichealth record.
  4. psnet.ahrq.gov/issue/preventing-workplace-violence
    July 25, 2023 - June 8, 2023 - June 9, 2023 Racism and electronic health records (EHRs): perspectives
  5. psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
    November 04, 2015 - An electronic prescribing system, especially when interfaced with an electronic health record (EHR),
  6. psnet.ahrq.gov/periodic-issue/periodic-issue-382
    March 15, 2023 - Previous research has identified errors related to use of free-text fields in the electronic health record … use of teach-back counseling, pharmacy-led medication reconciliation during transitions of care, and electronichealth record-based strategies for safer prescribing.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836812/psn-pdf
    March 30, 2022 - Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events Background This primer provides a broad …
  8. psnet.ahrq.gov/issue/optimizing-medication-reconciliation-and-transitions-care-insights-pharmacist-and-pharmacy
    July 25, 2023 - August 1, 2012 Hospital Experiences Using Electronic Health Records to Support Medication
  9. psnet.ahrq.gov/issue/parents-perceptions-pediatric-day-surgery-risks-unforeseeable-complications-or-avoidable
    September 11, 2019 - March 8, 2017 Electronic medical record alert associated with reduced opioid and benzodiazepine
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49582/psn-pdf
    April 01, 2009 - Breakage of a PICC Line April 1, 2009 Dimov V. Breakage of a PICC Line. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/breakage-picc-line Case Objectives Appreciate the incidence and consequences of PICC line breakage. Understand the risk factors for PICC line breakage. Understand the treatment options in…
  11. psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
    September 07, 2019 - culture of blame , health care staff's fear of repercussions, and inadequate integration of reports into electronichealth records.
  12. psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
    September 10, 2014 - Government Resource Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. Citation Text: Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix H…
  13. psnet.ahrq.gov/periodic-issue/periodic-issue-399
    July 31, 2023 - Hard stops in the electronic medical record prevent continuation of ordering, dispensing, or administering
  14. psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
    May 01, 2015 - Book/Report Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Citation Text: Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Washington, DC: VA Office o…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49852/psn-pdf
    February 01, 2019 - Despite advances in electronic health record (EHR) capabilities, EHR interoperability to allow sharing
  16. psnet.ahrq.gov/primer/patient-safety-indicators
    September 07, 2019 - patient safety indicators, currently in development or testing, will leverage structured fields in electronichealth records , longitudinally linked administrative data, and new taxonomies such as AHRQ’s Common
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49801/psn-pdf
    August 01, 2017 - use risk prediction, typically generated each shift, based on vital signs and information from the electronichealth record. … The electronic medical record is consistently cited as a barrier to effective communication given the
  18. psnet.ahrq.gov/issue/individual-based-framework-study-medical-error
    November 11, 2020 - Commentary An individual-based framework for the study of medical error. Citation Text: Veazie PJ. An individual-based framework for the study of medical error. Int J Qual Health Care. 2006;18(4):314-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…
  19. psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
    March 26, 2015 - Right Place, Right Drug, Wrong Strength Citation Text: Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX En…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49651/psn-pdf
    May 01, 2012 - promise in improving clinical practice.( 14) Lastly, the increasing use of handoffs facilitated via the electronichealth record (EHR) or stand-alone electronic signout platforms (with or without EHR integration) can

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