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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - Although the standard postoperative order set in the electronic medical record included a prompt for
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - November 15, 2023
Ensuring effective care transition communication: implementation of an electronic … medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses.
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psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - Sexual Orientation and Gender Identity (SOGI) Information Collection
Collecting SOGI information in electronic … health records (EHRs) is one recommendation that may improve the quality of care provided and shed light … in those moments I have anxiety because my coworkers and the providers I work with are accessing my electronic … medical record (EMR).
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psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
February 01, 2023 - in those moments I have anxiety because my coworkers and the providers I work with are accessing my electronic … medical record (EMR). … Sexual Orientation and Gender Identity (SOGI) Information Collection Collecting SOGI information in electronic … health records (EHRs) is one recommendation that may improve the quality of care provided and shed light
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - Fortunately, the modern environment also has enabling factors for teamwork, including an electronic health … record to which all team members – including patients and their families – can contribute and view
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - when the ordering physician selected the non-weight-based dosing strategy (0.5 - 30 mcg/min) in the electronic … health record (EHR).
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - high risk for suicide using the C-SSRS tool, an
automated page is sent to the PES LCSW through the electronic … health record.
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psnet.ahrq.gov/issue/next-patient-safety
September 11, 2019 - Audiovisual Presentation
Up Next for Patient Safety.
Citation Text:
National Patient Safety Board. 2021-2023.
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June 9, 2023
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psnet.ahrq.gov/node/73455/psn-pdf
June 30, 2021 - Paroxysmal Supraventricular Tachycardia Masquerading
as Panic Attacks
June 30, 2021
Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
The Case
At the…
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - These new workflows and interventions can be incorporated into electronic health records through risk
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psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - Late Anemia Following Rh Disease in a Newborn
March 1, 2014
Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
The Case
A full-term neonate was delivered uneventfully to an Rh-negative woman who had re…
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psnet.ahrq.gov/node/49494/psn-pdf
January 01, 2006 - One Dose, Fifty Pills
November 1, 2005
Smith L. One Dose, Fifty Pills . PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/one-dose-fifty-pills
The Case
A middle-aged man was admitted to the medical service of a teaching hospital with suspected vasculitis.
When the initial diagnostic studies failed to provide …
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - However, they did not enter this information into the electronic health record (EHR).
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Her bedside nurse acknowledged a Sepsis Alert through the electronic health record (EHR), prompting screening
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psnet.ahrq.gov/web-mm/over-not-so-easy
April 01, 2005 - Over Not So Easy
Citation Text:
Cucina R. Over Not So Easy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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…
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - 17, 2021
Primary care providers' opening of time-sensitive alerts sent to commercial electronic … health record InBaskets.
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - 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.
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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - Caution, Interrupted
September 1, 2004
Wears RL. Caution, Interrupted. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/caution-interrupted
The Case
A 55-year-old man with acute myelogenous leukemia and several recent hospitalizations for fever and
neutropenia presented to the emergency department (ED) with …
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psnet.ahrq.gov/node/49592/psn-pdf
October 01, 2009 - Danger in Disruption
October 1, 2009
Fontaine DK. Danger in Disruption. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/danger-disruption
The Case
A 23-month-old toddler was severely dehydrated after vomiting due to gastric outlet obstruction. She had
metabolic alkalosis (pH = 7.58), and her last peripheral…
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psnet.ahrq.gov/periodic-issue/periodic-issue-388
April 26, 2023 - This article describes the implementation of a new electronic health record (EHR) system at one academic