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  1. Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet

    psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
    September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846770/psn-pdf
    March 29, 2023 - the thoracic surgery team, in part because there was no active inpatient encounter available in the electronic … medical record to allow consultants to document their recommendations.

  3. Safety Culture in EMS | PSNet

    psnet.ahrq.gov/perspective/safety-culture-ems
    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

  4. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet

    psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - June 3, 2020 Structured override reasons for drug–drug interaction alerts in electronic … health records.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866618/psn-pdf
    December 31, 2024 - Hemolysis may not be flagged or readily apparent in some electronic health records (EHR).13 It is also

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49765/psn-pdf
    August 21, 2016 - the cognitive load in such environments.(14) There are also lessons related to our growing use of electronic … health records (EHRs), within and outside of the ICU setting.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49521/psn-pdf
    September 12, 2006 - A Troubling Amine September 1, 2006 Flynn EA. A Troubling Amine. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/troubling-amine The Case A 43-year-old woman was admitted to the intensive care unit for symptoms of heart and respiratory failure. She was found to have severe mitral and tricuspid valve regurgi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49500/psn-pdf
    January 01, 2006 - Confusion With Acetaminophen January 1, 2006 Heubi JE. Confusion With Acetaminophen. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/confusion-acetaminophen The Case Parents brought their 5-year-old son to the emergency department (ED) with a 24-hour history of fever, cough, and frontal headache. Physical e…

  9. Add-on Case and the Missing Checklist | PSNet

    psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
    September 01, 2012 - Important information can be missed in the clutter of details within the electronic health record, especially

  10. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet

    psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
    September 30, 2020 - Readiness: Electronic Health Record (EHR) Tools While intrapartum recognition of obstetric hemorrhage

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49541/psn-pdf
    August 21, 2007 - Mark My Tooth August 21, 2007 Smith RA. Mark My Tooth. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/mark-my-tooth The Case A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The patient underwent the extractions, awoke from the anesthesia, and then realized…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72589/psn-pdf
    December 23, 2020 - While closed- loop test result management is a robust intervention embedded in many commercial electronic … health records (EHRs),26 closed-loop referral management is a less mature intervention.27-29 Few healthcare

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836840/psn-pdf
    April 22, 2021 - 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

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49664/psn-pdf
    January 01, 2013 - The electronic health record (EHR) did not reflect the glucose levels because the bedside glucose-monitoring

  15. In Conversation With... Cindy Brach | PSNet

    psnet.ahrq.gov/perspective/conversation-cindy-brach
    December 27, 2019 - Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic … health record notification system. … September 16, 2020 Impact of providing patients access to electronic health records on

  16. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet

    psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
    March 29, 2023 - An order to keep the patient NPO (“nil per os” or “nothing by mouth”) was placed in the electronic health … record (EHR) at 1030. … When entering information in the electronic health record (EHR) without this direct face-to-face feedback

  17. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. | PSNet

    psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
    November 16, 2022 - April 24, 2018 The safety of outpatient health care: review of electronic health records

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837958/psn-pdf
    December 01, 2021 - aware of this patient coming to the ED from the clinic and admission orders were entered into the electronic … health record (EHR) before he arrived at the ED, following standard practice. … In our health system, we developed an ED referral protocol for outpatient providers using our electronic … health record (EHR) platform.

  19. In Conversation With… Michael Cohen, RPh, MS, ScD (hon) | PSNet

    psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
    October 24, 2021 - In Conversation With… Michael Cohen, RPh, MS, ScD (hon) October 1, 2018  Citation Text: In Conversation With… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49446/psn-pdf
    August 30, 2021 - Too Tight Control May 1, 2004 Rubin HR, Fajtova VT. Too Tight Control. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/too-tight-control Case Objectives Appreciate the advantages and potential complications of intensive insulin therapy in the hospitalized patient List hospital-based safeguards available to…
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