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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…
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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 electronic … health 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
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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 electronic … health record.
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psnet.ahrq.gov/issue/preventing-workplace-violence
July 25, 2023 - June 8, 2023
- June 9, 2023
Racism and electronic health records (EHRs): perspectives
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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),
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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 electronic … health record-based strategies for safer prescribing.
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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 …
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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
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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
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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…
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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 electronic … health records.
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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…
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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
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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…
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - Despite advances in electronic health record (EHR) capabilities, EHR
interoperability to allow sharing
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psnet.ahrq.gov/primer/patient-safety-indicators
September 07, 2019 - patient safety indicators, currently in development or testing, will leverage structured fields in electronic … health records , longitudinally linked administrative data, and new taxonomies such as AHRQ’s Common
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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 electronic … health record. … The electronic medical record is consistently cited as a barrier to effective
communication given the
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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…
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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.
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Format:
Google Scholar BibTeX En…
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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 electronic … health record (EHR) or stand-alone
electronic signout platforms (with or without EHR integration) can