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psnet.ahrq.gov/issue/state-nurse-error-caused-death
May 10, 2006 - Newspaper/Magazine Article
State: nurse error caused death.
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August 2, 2006
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This article reports on a fe…
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - Hemolysis may not be flagged or readily apparent in some electronic health records (EHR).13
It is also
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - attacks are not only a risk to the patients within the hospitals, but they also
prevent access to electronic … health records (EHRs) and disrupt network-connected medical technologies
such as diagnostic technology
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - These new workflows and interventions can be incorporated into electronic health records through risk
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psnet.ahrq.gov/periodic-issue/periodic-issue-326
January 07, 2022 - This study examined the effectiveness of leveraging indication alerts in electronic health records (EHR
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psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 2015 - real-time electronic surveillance program to monitor vital signs and laboratory values filed into the electronic … medical record (EMR) to generate an alert to nurses and providers when severe sepsis criteria are met
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - Hospitals should work toward linking PDMPs to electronic health records so that PDMP information is available
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psnet.ahrq.gov/issue/mri-safety-week
January 29, 2021 - Multi-use Website
MRI Safety Week.
Citation Text:
International Society for Magnetic Resonance in Medicine.
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June 27, 2007
I…
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psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - Moved Too Soon
October 1, 2004
Lindenauer PK. Moved Too Soon. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/moved-too-soon
The Case
A 67-year-old man was admitted to a general hospital ward after undergoing a laminectomy. Two hours
after arriving, while the patient was still groggy from anesthesia, a nurs…
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
Citation Text:
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - prescribed medications from many different
providers, and these providers may have separate, incompatible electronic … health record systems.5 A
systematic review found that in office-based care, prescribing errors are
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psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - Shake Well
Citation Text:
Flynn EA. Shake Well. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - support tools, most notably alerts that flag patients based upon real-time information in a patient's electronic … health record (EHR).
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psnet.ahrq.gov/periodic-issue/periodic-issue-437
April 10, 2024 - This article describes the implementation of an electronic health record (EHR)-based I-PASS tool used
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - In Conversation With... José A, Morfín, MD, FASN
April 28, 2021
Also Read the Essay
Citation Text:
In Conversation With.. José A, Morfín, MD, FASN. PSNet [internet]. 2021.In Conversation With... José A, Morfín, MD, FASN. PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - healthcare organizations to communicate key information during transitions of care, either via a shared electronic … health record (EHR) or in a written format attached to the patient’s discharge summary.
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - Readiness: Electronic Health Record (EHR) Tools
https://psnet.ahrq.gov/primer/maternal-safety
https:
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - physical examination findings in initial progress notes between paper charts and a newly implemented electronic … health record. … WebM&M Cases
Weight and Height Juxtaposition in the Electronic … Medical Record Causing an Accidental Medication Overdose
October 31, 2023
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psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
February 24, 2022 - real-time streaming of videos and “store and forward” of clinical data collected, including data from the electronic … health record (EHR) and photos received from the patient. … Identifying contributing factors associated with dental adverse events through a pragmatic electronic … health record-based root cause analysis.
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psnet.ahrq.gov/issue/interview-jerry-gurwitz
August 11, 2010 - 3, 2012
Primary care providers' opening of time-sensitive alerts sent to commercial electronic … health record InBaskets.