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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
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - Electronic medical records can include appropriate "flags" that make sure that important information
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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
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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…
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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.
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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
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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
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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
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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
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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
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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.
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - Clinical decision support (which will increasingly be delivered through
computerized medical records
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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.
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Format:
…
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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
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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
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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
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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…
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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.
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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.
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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.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…