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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Multifactorial Medication Mishap
February 1, 2014
Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
Case Objectives
Understand the system-based causes of medication errors.
Describe a model for a systems approach to error analysis.
Id…
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - For example, radiologists can use electronic health records to flag automatically or contact referring
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - I'm trying to see if we can identify key words from electronic medical records that, if they're present … March 30, 2020
Errors in diagnosis of spinal epidural abscesses in the era of electronic … health records.
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psnet.ahrq.gov/topics-0
March 03, 2025 - ID Tagging Go to this topic
Clinical Information Systems Go to this topic
Electronic … Health Records Go to this topic
Computer-Assisted Therapy Go to this topic
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psnet.ahrq.gov/periodic-issue/periodic-issue-312
October 27, 2021 - Study
Association of hospital public quality reporting with electronic health record … Study
Association of hospital public quality reporting with electronic health record
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - Electronic medical records can help alert physicians about a patient’s DNR order before surgery and require
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - Incident Reporting: More Attention to the Safety Action
Feedback Loop, Please
September 1, 2011
Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet
[internet]. 2011.
https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
…
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Major changes in technology are underway in terms of computerization, electronic health records, and … policy and practice require us to think about the issue of primary versus specialty care, the impact of electronic … health records on both efficiency and quality, the implementation of accountable care and patient-centered
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - A progress note documented in an electronic medical record that is viewed across all patient encounters
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psnet.ahrq.gov/node/49832/psn-pdf
June 01, 2018 - In addition, efforts to build
in decision support and appropriate alerts in the electronic health record
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - 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
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - management of TPADs:
Physicians and practices with high patient safety awareness in general
Presence of electronic … medical record
*
See Notes for references.
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - E-prescribing
October 30, 2019
Association of display of patient photographs in the electronic … health record with wrong-patient order entry errors. … December 2, 2020
Effect of restriction of the number of concurrently open records in an electronic … health record on wrong-patient order errors: a randomized clinical trial.
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psnet.ahrq.gov/issue/aviation-medicine-applying-concepts-aviation-safety-risk-management-ambulatory-care
June 03, 2020 - December 19, 2012
Errors in electronic health record–based data query of statin prescriptions
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - Elopement
December 1, 2007
Gerardi D. Elopement. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/elopement
Case Objectives
Define elopement and differentiate it from wandering and leaving against medical advice.
Identify leading contributors to elopement events.
Describe strategies for preventing elopement…
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - 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
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psnet.ahrq.gov/issue/making-journey-safe-recognising-and-responding-severe-sepsis-accident-and-emergency
April 27, 2022 - Comparison of a focused family cancer history questionnaire to family history documentation in the electronic … medical record.
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - My own anecdotal experience suggests that use of an electronic health record (EHR) is an excellent means
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psnet.ahrq.gov/periodic-issue/periodic-issue-283
March 15, 2021 - included an awareness campaign and clinician engagement, implementation of HAI and sepsis bundles, electronic … health record-based clinical decision support, and education and training. … Study
The development and piloting of the Ambulatory Electronic Health Record Evaluation
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - SPOTLIGHT CASE
The Safety and Quality of Long Term Care
Citation Text:
Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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