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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - 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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psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens
February 26, 2020
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
The Case
Case #1:
A 56-year-old man was admitted to…
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - formulary due to product substitution can also cause confusion since adjustments to the drug library in the electronic … health record (EHR) are required and may not be able to be implemented in a timely fashion.
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - Don’t Bite Your Tongue.
December 14, 2022
Singh NS. Don’t Bite Your Tongue. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/dont-bite-your-tongue
The Case
A 63-year-old woman with a past medical history of hypertension, osteoarthritis, migraine headaches, and
daily smoking was admitted to a hospital for ant…
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psnet.ahrq.gov/curated-library/value-and-patient-safety
May 01, 2013 - quality improvement project sought to prevent harmful or unnecessary care through a combination of electronic … health record alerts and provider education.
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - April 24, 2018
Electronic health record-based triggers to detect adverse events after
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - Whether the system will be a series of hard stops that are built into electronic health records or involves
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psnet.ahrq.gov/periodic-issue/periodic-issue-454
September 25, 2024 - The commentary discusses how human factors engineering and electronic health record (EHR) functionalities
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - made 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.
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psnet.ahrq.gov/periodic-issue/periodic-issue-339
April 27, 2022 - Electronic health records (EHR) can improve patient care and safety but are not without potential risks
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - Investigating the impact of intensive care unit interruptions on patient safety events and electronic … health records use: an observational study.
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - technology, and anesthesia care providers must interact regularly to ensure drug libraries are updated, the electronic … health record (EHR) is interfacing correctly, and equipment failure is immediately addressed.
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - Signout Fallout
February 1, 2018
Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/signout-fallout
Case Objectives
Understand the role of communication failures in medical errors and preventable adverse events.
Review the evidence in support of handoff improvement pr…
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - roles
of chief quality officer and chief medical officer in several large systems and implemented many electronic … medical record (EMR) initiatives in those roles.
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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - Are Two Insulin Pumps Better Than One?
January 1, 2009
Cook CB. Are Two Insulin Pumps Better Than One? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
The Case
A 62-year-old man with type 1 diabetes mellitus was admitted to the hospital for coronary artery bypass
graft surge…
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - However, they did
not enter this information into the electronic health record (EHR).
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
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 … Carayon, PhD and Nicole Werner, PhD
November 16, 2022
A clinical case of electronic … health record drug alert fatigue: consequences for patient outcome.
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
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 … Carayon, PhD and Nicole Werner, PhD
November 16, 2022
A clinical case of electronic … health record drug alert fatigue: consequences for patient outcome.
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - 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/issue/how-built-environment-impacts-resilient-healthcare-systems
January 24, 2024 - International Meeting/Conference
How the Built Environment Impacts Resilient Healthcare Systems.
Citation Text:
Resilient Health Care Society. January 18, 2024; 3:00-4:00 PM (eastern).
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