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  1. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet

    psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please Teryl K. Nuckols, MD, MSHS | September 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Nuckols TK. Incident Reporting: More Attention to the …

  2. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks | PSNet

    psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
    September 01, 2017 - Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks Citation Text: Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33789/psn-pdf
    August 01, 2015 - Personally, I would not see a doctor or go to a hospital that did not have an electronic health record

  4. In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing | PSNet

    psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
    August 30, 2023 - virtual nurse is based in a command center that is not on the patient care unit and has access to the electronic … health record.

  5. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges | PSNet

    psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
    August 30, 2023 - virtual nurse is based in a command center that is not on the patient care unit and has access to the electronic … health record.

  6. What Happened on Telemetry? | PSNet

    psnet.ahrq.gov/web-mm/what-happened-telemetry
    January 18, 2012 - How often and through what means (e.g., telephone, in person, electronic health record) is report given

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73526/psn-pdf
    July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. July 28, 2021 Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions The Case …

  8. Health Plan Patient Safety Initiatives | PSNet

    psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - The provider generally sees that they prescribed it in the electronic health record [EHR].

  9. In Conversation With… Shantanu Nundy, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
    February 26, 2025 - Yet this physician, who came out of retirement to see her, hadn't seen the electronic health record and

  10. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet

    psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
    January 29, 2021 - the reversal drug, which might have been identified through a clinical decision support tool in the electronic … health record.

  11. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
    January 01, 2022 - The palliative care service was consulted to clarify goals of care. 6 Case Details (3) • Further electronic … health record (EHR) review revealed that the patient was incidentally diagnosed with prostate cancer

  12. A Loss of Trust and a Missed Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - ) WebM&M Cases Weight and Height Juxtaposition in the Electronic … Medical Record Causing an Accidental Medication Overdose October 31, 2023

  13. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet

    psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
    July 10, 2024 - The provider generally sees that they prescribed it in the electronic health record [EHR].

  14. In Conversation with...Allan Frankel, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
    July 01, 2006 - As organizations move toward electronic medical records and computerized provider order entry, the safety

  15. Key Issues in Developing a Successful Hospital Safety Program | PSNet

    psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
    July 01, 2006 - As organizations move toward electronic medical records and computerized provider order entry, the safety

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49611/psn-pdf
    October 01, 2010 - The Deadly Duo October 1, 2010 Maldonado JR. The Deadly Duo. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/deadly-duo The Case A 29-year-old man with a history of depression and possible psychosis was found unconscious and unresponsive at home and was brought to the emergency department. He was tachycardi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33863/psn-pdf
    August 01, 2018 - In Conversation With… Matthew Weinger, MD August 1, 2018 In Conversation With… Matthew Weinger, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-matthew-weinger-md Editor's note: Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthes…

  18. Intubation Mishap | PSNet

    psnet.ahrq.gov/web-mm/intubation-mishap
    April 26, 2023 - Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic … health record system transition.

  19. Spotlight

    psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
    January 01, 2025 - appropriately broad differential diagnosis, as their thought process was not completely documented in the electronic … health record (EHR).

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60722/psn-pdf
    February 06, 2023 - eight-recommendations-policies-communicating-abnormal-test-results https://psnet.ahrq.gov/issue/ten-strategies-improve-management-abnormal-test-result-alerts-electronic-health-record
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