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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - After reviewing the patient's electronic health records but
without seeing the patient, who was in another
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - provided across settings by a network of providers and that specialist that may not have the
same electronic … medical record.
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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - Volume Too Low: In and Out
March 1, 2011
Miller MR. Volume Too Low: In and Out . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/volume-too-low-and-out
Case Objectives
Appreciate that because of multiple factors, children are at high risk for medical errors.
Describe the importance of weight-based dosing of…
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - In some countries that's going to mean putting electronic health records in people's hands, giving them
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psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - Hospitals should work toward
linking PDMPs to electronic health records so that PDMP information is
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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - Open wider: Failure to use an interpreter results in
fractured teeth and hypoxia during a simple elective
operation.
December 14, 2022
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia
during a simple elective operation. PSNet [internet]. 2022.
https://psnet.ah…
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psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - Second, the
presence of technology, especially an electronic medical record, improved the ability of
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psnet.ahrq.gov/node/849592/psn-pdf
May 31, 2023 - Hospital staff should assess, based on the needs of a hospital, whether to use an electronic health record
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - elevated DNI
for bacterial infection among patients at risk, healthcare organizations should consider electronic … health
record alerts when these results are posted.
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psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - An Ounce of Prevention
January 1, 2006
Kucher N. An Ounce of Prevention. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/ounce-prevention
Case Objectives
Assess risk for venous thromboembolism (VTE) in hospitalized patients
List recommended strategies for VTE prevention for various risk groups
Identify pat…
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psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - Moving Pains
July 1, 2006
Schell H, Wachter R. Moving Pains. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/moving-pains
Case Objectives
Appreciate the risk posed by intrahospital transport
Identify key features of current transport practice and policies
Propose interventions that might improve safety of …
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - including the picture archiving and communication system (PACS), the hospital paging system, and the
electronic … health record (EHR).
-
psnet.ahrq.gov/periodic-issue/periodic-issue-405
August 30, 2023 - Differential perceptions of what constitutes a medical error associated with electronic … medical records.
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - sophisticated approach, if available, involves incorporating age-specific
pediatric vital sign ranges into the electronic … health record (EHR) and generating
automated alerts for patients with abnormal vital signs … decision support tools for detection of sepsis such as alerts and predictive risk
scores integrated into electronic … health record systems can aid clinicians in interpreting
age-specific pediatric vital sign ranges and
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psnet.ahrq.gov/periodic-issue/periodic-issue-347
May 16, 2022 - June 22, 2022 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
September 01, 2006 - accurate data entry
Wide variability of content accuracy has been noted
Linking signout to hospital electronic … medical record (EMR) may decrease chances of inaccurate data
Olsen C, et al.
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - We need to talk: primary care provider communication at discharge in the era of a shared electronic … medical record.
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - Health Systems for Patient Safety
February 26, 2025
An effort to improve electronic … health record medication list accuracy between visits: patients' and physicians' response.
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - between physicians, and between physicians and patients, that somehow got lost in this conversion to electronic … medical records, again without losing the best part of the record.
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - Voluntary Event Notification Tool (E.V.E.N.T.) 10 and ESO’s data analytics and performance monitoring electronic … health record software. 11 Other efforts include direct observations, tracking and analysis of patient