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  1. Caution, Interrupted | PSNet

    psnet.ahrq.gov/web-mm/caution-interrupted
    October 01, 2016 - Resources WebM&M Cases Weight and Height Juxtaposition in the Electronic … Medical Record Causing an Accidental Medication Overdose October 31, 2023

  2. The Wrongful Resuscitation | PSNet

    psnet.ahrq.gov/web-mm/wrongful-resuscitation
    October 12, 2012 - Electronic medical records can include appropriate "flags" that make sure that important information

  3. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
    January 01, 2022 - • The stroke team promptly but remotely reviewed the electronic health records and CT images and concluded … neurologist can guide management of a patient, informed by other providers’ examinations, information in the electronic … health record, and “teleradiology” assessment of images. – A systematic review and meta-analysis found

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49702/psn-pdf
    March 01, 2014 - Tough Call: Addressing Errors From Previous Providers March 1, 2014 Martinez W, Hickson GB. Tough Call: Addressing Errors From Previous Providers. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers Case Objectives Define what it means to be a professional. Identi…

  5. Too Much, Too Fast | PSNet

    psnet.ahrq.gov/web-mm/too-much-too-fast
    June 14, 2019 - have 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.

  6. Patient Engagement and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
    February 01, 2013 - With electronic health records, patients and families should have access to the daily recording of care

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49814/psn-pdf
    December 01, 2017 - Targeted use of IT interventions such as safety alerts via the electronic health record should be used

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865412/psn-pdf
    March 27, 2024 - Automatic checks may be implemented in electronic health record (EHR) systems to ensure that laboratory

  9. The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE | PSNet

    psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
    June 19, 2024 - a community hospital and included targeting of blood clot prevention education using the real-time, electronic … health record data of 17,000 patients at risk for developing a blood clot. 8 In the last five years, … Modify the electronic health record system to provide alerts about VTE risk, VTE prophylaxis risks and

  10. Chest Pain in a Rural Hospital | PSNet

    psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
    June 02, 2021 - 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

  11. Impact of medical mistakes: navigating work–family boundaries for physicians and their families. | PSNet

    psnet.ahrq.gov/issue/impact-medical-mistakes-navigating-work-family-boundaries-physicians-and-their-families
    January 23, 2019 - 2021 Reducing inappropriate outpatient medication prescribing in older adults across electronic … health record systems.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49643/psn-pdf
    December 01, 2011 - Clinical decision support (which will increasingly be delivered through computerized medical records

  13. In Conversation With… Maureen Bisognano | PSNet

    psnet.ahrq.gov/perspective/conversation-maureen-bisognano
    February 26, 2025 - In Conversation With… Maureen Bisognano June 1, 2015  Citation Text: In Conversation With… Maureen Bisognano. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33807/psn-pdf
    May 01, 2016 - by NIH to look at what he calls a super alarm, which takes into account various parameters from the electronic … health record and lab work and tries to create a predictive algorithm about whether you as a patient

  15. Inadvertent Use of More Potent Acid Leads to Burn | PSNet

    psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
    November 01, 2023 - Resources WebM&M Cases Weight and Height Juxtaposition in the Electronic … Medical Record Causing an Accidental Medication Overdose October 31, 2023

  16. Despite Clues, Failed to Rescue | PSNet

    psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - 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

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33745/psn-pdf
    February 01, 2013 - Patient Engagement and Patient Safety February 1, 2013 Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety Perspective Patient engagement has arrived at the station. A Google search of this phrase identified 335,000 hi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49804/psn-pdf
    September 01, 2017 - Electronic health records provide templates for care and play a significant role in patient safety.

  19. Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctors' and managers' views. | PSNet

    psnet.ahrq.gov/issue/influencing-sceptical-staff-become-supporters-service-improvement-qualitative-study-doctors
    September 02, 2020 - 2020 Reducing inappropriate outpatient medication prescribing in older adults across electronic … health record systems.

  20. Vial Mistakes Involving Heparin | PSNet

    psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
    May 11, 2014 - Vial Mistakes Involving Heparin Citation Text: Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
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