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psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
September 23, 2020 - centers and found that only 16% of pending tests were mentioned and that only 13% of discharge summaries listed
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - Care summary records are required to have the 16 elements listed in the Table . … allergy was documented in the records of at least one of the patient's prior hospitals, since it was listed … Would he have had penicillin listed as an allergy? … Would he have had piperacillin-tazobactam listed? Perhaps he had both of them listed.
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psnet.ahrq.gov/issue/patients-list-hospital-hazards
September 09, 2009 - Newspaper/Magazine Article
For patients, a list of hospital hazards.
Citation Text:
For patients, a list of hospital hazards. Landro L. Wall Street Journal (Eastern edition). December 23, 2008;D2.
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psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood
April 15, 2019 - Mass spectrometry testing revealed discrepancies between medications listed as prescribed in the electronic
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psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful
April 27, 2011 - This review describes alternatives to medications listed in the Beers criteria , which are known to
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psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
August 21, 2005 - Surprisingly, the intolerance was not listed. … For example, a child may be listed as being penicillin allergic if she develops a rash 3–4 days after
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
March 01, 2013 - following evening, the patient's mother called the ED to report that the patient's discharge paperwork listed … weight (25 kg or 55 pounds)—rather than relying on automation—would have likely realized the computer-listed
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psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
March 14, 2018 - The authors review common strategies that proved successful across the four settings and for the listed
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psnet.ahrq.gov/node/49790/psn-pdf
April 01, 2017 - Surprisingly, the intolerance was not
listed. … For example, a child may be listed as being penicillin allergic if she develops a rash 3–4 days after
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psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
January 31, 2024 - December 16, 2009
Discrepancies between home medications listed at hospital admission
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psnet.ahrq.gov/node/49465/psn-pdf
December 22, 2021 - The most recent note in her ambulatory chart
listed warfarin, aspirin, clopidogrel, diltiazem CR, metoprolol … The note listed the same medications documented elsewhere in the EHR, but also documented his plan to
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psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists
December 31, 2014 - Study
Automatic detection of omissions in medication lists.
Citation Text:
Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106.
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psnet.ahrq.gov/issue/ismps-list-confused-drug-names
August 21, 2015 - Fact Sheet/FAQs
Classic
ISMP's List of Confused Drug Names.
Citation Text:
ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023.
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psnet.ahrq.gov/issue/emergency-department-medication-lists-are-not-accurate
March 02, 2010 - Study
Emergency department medication lists are not accurate.
Citation Text:
Caglar S, Henneman PL, Blank FS, et al. Emergency department medication lists are not accurate. J Emerg Med. 2011;40(6):613-6. doi:10.1016/j.jemermed.2008.02.060.
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psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital
October 19, 2012 - February 20, 2010
Discrepancies between home medications listed at hospital admission
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
July 08, 2008 - March 18, 2010
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - Yet clinical data is complex and contextual—a heart rate may be listed
under the formal vital sign table … or under nursing documentation, where it is listed as a pulse.
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psnet.ahrq.gov/issue/how-create-my-medicines-list
December 24, 2008 - Tools/Toolkit
How To Create a My Medicines List.
Citation Text:
How To Create a My Medicines List. Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
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psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
March 02, 2011 - March 11, 2009
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
March 03, 2011 - A comparison of intraoperative diagnoses listed in pathology reports and operative notes.