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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49781/psn-pdf
    January 01, 2017 - Hazards of Loading Doses January 1, 2017 Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hazards-loading-doses The Case A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac arrest. Two days after discharg…

  2. Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. | PSNet

    psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
    September 23, 2024 - questions such as:  Do we want to use an electronic health record (EHR) referral?

  3. Too Many Cooks in the Kitchen | PSNet

    psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
    March 07, 2018 - consulted on the patient – and the on-call team that ended up doing the case. 16     Within modern electronic … medical records, it is possible to create decision-support alerts that identify patients at high risk

  4. Equity in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/equity-patient-safety
    September 24, 2024 - surveillance system that will screen for negative tone and potentially stigmatizing language in the electronic … health record alongside other risk factors for adverse birth outcomes. 8 Conclusion Equity is a

  5. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet

    psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
    May 08, 2019 - Targeted use of IT interventions such as safety alerts via the electronic health record should be used

  6. Eptifibatide Epilogue | PSNet

    psnet.ahrq.gov/web-mm/eptifibatide-epilogue
    March 04, 2011 - Eptifibatide Epilogue Citation Text: Churchill WW, Fiumara K. Eptifibatide Epilogue. 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 Endnote …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49735/psn-pdf
    June 01, 2015 - Anchoring Bias With Critical Implications June 1, 2015 Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications Case Objectives Appreciate that diagnostic errors are common in primary and ambulatory care. Define premature clo…

  8. Retained Surgical Items: Definition and Epidemiology. | PSNet

    psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
    September 07, 2019 - Retained Surgical Items: Definition and Epidemiology. Citation Text: Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - Missed CANDOR Implementation Opportunities. November 16, 2022 Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities The Case A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49615/psn-pdf
    December 01, 2010 - The Forgotten Turn December 1, 2010 Barbour S. The Forgotten Turn. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/forgotten-turn Case Objectives Describe the six stages of pressure ulceration per the National Pressure Ulcer Advisory Panel. List risk factors for the development of pressure ulcers in hospita…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853902/psn-pdf
    September 27, 2023 - Her bedside nurse acknowledged a Sepsis Alert through the electronic health record (EHR), prompting

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73102/psn-pdf
    July 01, 2022 - Since January 1, 2011 HomeMeds has served 34,995 individuals aged 60 years and older. ,  Electronic … health record (EHR) integration: Partners in Care is upgrading the software for EHR integration towards

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854848/psn-pdf
    October 31, 2023 - the health care team, including intraoperative consultation diagnoses, should be available in the electronic … health record for all parties to review.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866205/psn-pdf
    July 10, 2024 - teamstepps-strategies-and-tools-enhance-performance-and-patient-safety individual nurses or physicians, a systematized electronic … health record-based process for identifying deteriorating patients, such as the Modified Early Warning

  15. The Deadly Duo | PSNet

    psnet.ahrq.gov/web-mm/deadly-duo
    April 28, 2021 - Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic … health record implementation.

  16. Simulation Training | PSNet

    psnet.ahrq.gov/primer/simulation-training
    September 07, 2019 - Safety September 7, 2019 Patient Safety Primers Electronic … Health Records September 7, 2019 Patient Safety Primers

  17. A process for analysis of sentinel events due to health care–associated infection. | PSNet

    psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
    January 22, 2014 - Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic … medical record.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33801/psn-pdf
    February 01, 2016 - The electronic health record (EHR) really changed the balance; it felt like the auditing piece, the

  19. The Unfamiliar Catheter | PSNet

    psnet.ahrq.gov/web-mm/unfamiliar-catheter
    November 01, 2006 - June 14, 2017 Structured override reasons for drug–drug interaction alerts in electronic … health records.

  20. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet

    psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
    April 24, 2024 - Electronic medical records allow access to patient charts virtually anywhere. … Ongoing challenges to the program include lack of a regulatory framework, alterations in the electronic … health record, and payment and billing mechanisms. 55,56 Conclusion Home-based care programs have been
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