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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - additional barriers to communication, such as healthcare providers who likely do not know one another and electronic … health record systems that may not integrate. … Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic … medical record.
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psnet.ahrq.gov/periodic-issue/periodic-issue-404
August 30, 2023 - that increased utilization of a patient-friendly discharge medication platform integrated into the electronic … health record (EHR) system was associated with improved inpatient discharge medication reconciliation
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psnet.ahrq.gov/node/49396/psn-pdf
April 01, 2003 - The 2-Week Itch
April 1, 2003
Cohen MR. The 2-Week Itch. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/2-week-itch
The Case
A 40-year-old woman with bipolar disorder (on trazodone) came to her primary care physician with new
urticaria. She received a handwritten prescription for Zyrtec and Atarax.
The ha…
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - JW: The electronic health record (EHR) is a great tool for being able to ascertain people’s status on … I think the move to electronic health records is a great example of this double-edged sword of a tool
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - data models
excel in this task, as they can process real-time data from various sources within the electronic … health
records (EHRs) and biometrics and dynamically adjust their predictions based on new data about
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - This could include additional electronic health record (EHR) alerts to the pharmacist and/or physician … Built-in clinical decision support systems implemented within the electronic health record can help prevent
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - leveraging advances in HIT to support or refute unexpected lab findings; using tracking systems for electronic … health record (EHR) notifications; improving communication among laboratory professionals, other healthcare
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psnet.ahrq.gov/issue/2016-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
April 13, 2016 - March 12, 2023
- March 18, 2023
Electronic health record legal settlements in the
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - Although the standard postoperative order set
in the electronic medical record included a prompt for
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psnet.ahrq.gov/periodic-issue/periodic-issue-297
June 30, 2021 - Failures include differences in recording electronic health record notes and communication between providers
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005
View more articles from the same authors.
Citation Text:
Conway JB, Weingart SN. Organizational Change…
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psnet.ahrq.gov/periodic-issue/periodic-issue-429
February 28, 2024 - The laboratory finding that established this diagnosis was available in the electronic health record
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psnet.ahrq.gov/issue/addressing-structural-racism-pediatric-clinical-practice
November 16, 2022 - April 8, 2020
Unscheduled radiologic examination orders in the electronic health record
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - taken out of the physician's hands, with default instructions selected at the time of order.( 25,26 ) Electronic … health record (EHR) tools exist to standardize prescribing, structure counseling, and prompt patients
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psnet.ahrq.gov/periodic-issue/periodic-issue-430
March 27, 2024 - Intervention types included electronic health record (EHR) dashboards, communication, and structured
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psnet.ahrq.gov/issue/safety-culture-indian-hospitals-cultural-adaptation-safety-attitudes-questionnaire
July 29, 2020 - April 27, 2022
Clinical benefits of electronic health record use: national findings.
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psnet.ahrq.gov/node/60611/psn-pdf
June 24, 2020 - When these support mechanisms are embedded in common workflows that prescribers use daily in their
Electronic … Health Records (EHR), they ‘nudge’ or ‘direct’ appropriate prescribing behavior.
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - Over Not So Easy
July 1, 2006
Cucina R. Over Not So Easy. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/over-not-so-easy
The Case
A 62-year-old woman with end-stage liver disease was hospitalized for recurrent variceal bleeding. On
admission, she reported allergies to a number of medications as well as a …
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - observations pioneered by Bosk with new methods of data collection and analysis (e.g., registry data, electronic … health record data, video analysis) is evidence of significant progress.
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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - The intern looked up the patient on her signout sheet and in the electronic
medical record to check