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psnet.ahrq.gov/periodic-issue/periodic-issue-325
January 07, 2022 - After implementation, the percentage of electronic health record (EHR) alerts correctly describing high-risk
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psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - Retrospective studies suggest at least 50% of patients with malnutrition are not coded for malnutrition in the electronic … health record, which is a potentially costly mistake. 28,30 One retrospective study found that missing … July 10, 2008
The impact of prescribing safety alerts for elderly persons in an electronic … medical record: an interrupted time series evaluation.
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - treatment decision-making process by facilitating the integration of the imaging results within the patient electronic … medical record.
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - When the anesthesia care provider later opened the patient’s electronic health record, he discovered … Third, as Electronic Health Records (EHR) become more customizable, there is an opportunity for technology
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psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
January 31, 2020 - treatment decision-making process by facilitating the integration of the imaging results within the patient electronic … medical record.
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
September 07, 2019 - The widespread use of electronic health records has helped avert errors at the ordering and transcribing
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psnet.ahrq.gov/periodic-issue/periodic-issue-296
June 30, 2021 - Study
eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - 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
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psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - The Forgotten Drip
April 1, 2008
Josephson AS. The Forgotten Drip. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/forgotten-drip
The Case
A 45-year-old man was brought to the emergency department by his friends because of a 1-day history of a
severe headache and "bizarre behavior." A computed tomography (C…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.ppt
January 01, 2015 - PowerPoint Presentation
Spotlight
Monitoring Fetal Health
1
This presentation is based on the January 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Mark W. Scerbo, PhD, Department of Psychology, Old Dominion University, and Alfred Z. Abuham…
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psnet.ahrq.gov/issue/decade-patient-safety-2020-2030
December 21, 2005 - October 5, 2022
Patient safety issues from information overload in electronic medical … records.
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - the ED nurse about the indication for the belt restraint, but no information was available, and the electronic … health record (EHR) did not show any orders or notes explaining the clinical indication for a belt restraint … Electronic health records (EHRs) contain numerous features that allow healthcare providers to rapidly
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Errors in diagnosis of spinal epidural abscesses in the era of electronic health records.
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psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
March 10, 2021 - Review
Diagnostic errors in the intensive care unit: a systematic review of autopsy studies.
Citation Text:
Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmj…
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - Due to the configuration of the electronic health
record, the ED nurse did not see the orders and neither … to other low-frequency, high-risk clinical issues, such as sepsis, for which
protocolized care and electronic … health record–based prompts have been shown to improve adherence
with international guidelines.(15)
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - Typically, the electronic health record (EHR) could help to prevent medication errors and adverse events
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psnet.ahrq.gov/node/50697/psn-pdf
November 27, 2019 - IV levofloxacin, IV haloperidol, etc.), the electronic
medical record can be programmed to send best
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - bias in artificial intelligence: a systematic review of bias detection and mitigation strategies
in electronic … health record-based models. … bias in artificial intelligence: a systematic review of bias detection and mitigation strategies
in electronic … health record-based models.
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Knowledge-based checklists and electronic health record–based clinical decision support can be useful
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psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
February 26, 2025 - The care team documented all screening information in the patient’s electronic health record.