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6401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33718/psn-pdf
      October 01, 2011 - In the VA, we have a centralized electronic health record, for example, and we have a centralized organizational

6402. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
      January 01, 2024 - In the absence of action by individual nurses or physicians, a systematized electronic health record-based

6403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851158/psn-pdf
      June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization June 28, 2023 Huu T, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization The Case A patient was ref…

6404. Slippery Slide Into Life | PSNet
      psnet.ahrq.gov/web-mm/slippery-slide-life
      January 21, 2017 - Slippery Slide Into Life Citation Text: Halamek LP. Slippery Slide Into Life. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

6405. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
      psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
      April 18, 2018 - Pre-analytical pitfalls: Missing and mislabeled specimens Citation Text: Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: …

6406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49401/psn-pdf
      May 01, 2003 - Suicidal Man With Gun May 1, 2003 Simon RI. Suicidal Man With Gun. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/suicidal-man-gun The Case The patient is a 36-year-old man who came to a psychiatry clinic for outpatient evaluation of severe depression that had persisted for nearly 2 years. On initial inter…

6407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838972/psn-pdf
      October 27, 2022 - The Unhappy Patient Leaves Against Medical Advice. October 27, 2022 Nichols A. The Unhappy Patient Leaves Against Medical Advice. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice The Case A 61-year-old woman was placed on bedrest following major surgery. Her posto…

6408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49822/psn-pdf
      March 01, 2018 - Isolated Clot, Real Error March 1, 2018 Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/isolated-clot-real-error Case Objectives Appreciate that errors are common in the management of venous thromboembolism disease. Describe patients with venous thromboembolism i…

6409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846975/psn-pdf
      March 28, 2023 - Here in the United States, different OB/GYN practices use different electronic medical records (EMRs

6410. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
      December 01, 2012 - I'm trying to see if we can identify key words from electronic medical records that, if they're present

6411. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
      psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
      February 01, 2019 - The first is the concern about electronic health records (EHRs) and the knowledge that almost half the

6412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49407/psn-pdf
      July 01, 2003 - Bleeding Risk July 1, 2003 Crowther MA. Bleeding Risk. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/bleeding-risk The Case A frail 78-year-old woman fell at home and fractured her left hip. Her past medical history included atrial fibrillation, hypertension, coronary artery disease, and stroke. The surgi…

6413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49637/psn-pdf
      October 01, 2011 - The Dropped "No" October 1, 2011 Johnson AJ. The Dropped "No". PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/dropped-no The Case A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in his legs. Because the leg swelling was somewhat more pronounced in his…

6414. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-385
      April 26, 2023 - April 5, 2023 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …

6415. Issues | PSNet
      psnet.ahrq.gov/Issues
      June 23, 2021 - eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during

6416. Issues
      psnet.ahrq.gov/issues
      June 23, 2021 - eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during

6417. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
      January 01, 2023 - in transmitting consistent messages about patient status and care plans via verbal, written, and/or electronic … health record (EHR) systems

6418. The Lung Nodule That Refused To Grow | PSNet
      psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
      March 01, 2004 - SPOTLIGHT CASE The Lung Nodule That Refused To Grow Citation Text: Balekian AA, Gould MK. The Lung Nodule That Refused To Grow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Googl…

6419. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-279
      February 10, 2021 - support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic … health record: implications for designing more effective alerts.

6420. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-378
      February 01, 2023 - encouraged to play an active role in patient safety by, for example, reporting inaccurate or incomplete electronic … health record notes after visits.