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psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
November 12, 2014 - A comparison of intraoperative diagnoses listed in pathology reports and operative notes.
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psnet.ahrq.gov/issue/functional-health-literacy-and-understanding-medications-discharge
April 24, 2018 - February 4, 2009
Discrepancies between home medications listed at hospital admission
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psnet.ahrq.gov/issue/nurse-pharmacist-collaboration-medication-reconciliation-prevents-potential-harm
August 08, 2018 - April 28, 2010
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff
December 27, 2014 - April 15, 2009
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
June 16, 2011 - A comparison of intraoperative diagnoses listed in pathology reports and operative notes.
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psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation
July 28, 2021 - Study
Indication alerts to improve problem list documentation.
Citation Text:
Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285.
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D…
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psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - A recent Food and Drug Administration (FDA) report listed a number of human factors associated with … Performance deficit (as opposed to knowledge deficit), such as seen in this case, was
the human factor listed
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psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
November 26, 2014 - A comparison of intraoperative diagnoses listed in pathology reports and operative notes.
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psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
January 23, 2019 - October 14, 2009
Discrepancies between home medications listed at hospital admission
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psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
December 29, 2014 - June 3, 2009
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/communicating-certainty-pathology-reports-interpretation-differences-among-staff-pathologists
January 23, 2017 - A comparison of intraoperative diagnoses listed in pathology reports and operative notes.
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psnet.ahrq.gov/issue/results-medications-transitions-and-clinical-handoffs-match-study-analysis-medication
February 18, 2011 - May 19, 2010
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
May 08, 2017 - December 22, 2010
Discrepancies between home medications listed at hospital admission
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - CHPSO easily complied with the listing requirements, and became the second listed PSO in the nation. … Getting a PSO listed and functioning can be rather "cookbook"—the PSQIA and its associated rules are
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psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
February 15, 2017 - Commentary
Beyond medication reconciliation: the correct medication list.
Citation Text:
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
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DOI…
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psnet.ahrq.gov/issue/why-universal-precautions-are-needed-medication-lists
August 31, 2016 - Commentary
Why 'Universal Precautions' are needed for medication lists.
Citation Text:
Shane R. Why 'Universal Precautions' are needed for medication lists. BMJ Qual Saf. 2016;25(9):731-2. doi:10.1136/bmjqs-2015-005116.
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DOI Google Scholar PubMed BibTeX…
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psnet.ahrq.gov/issue/classifying-and-predicting-errors-inpatient-medication-reconciliation
February 15, 2011 - January 13, 2010
Discrepancies between home medications listed at hospital admission
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - 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/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - Consultation prior to surgery listed her medication as “Neurontin 250 mg.” … The admitting note listed current medications as “See her list.”
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psnet.ahrq.gov/node/49414/psn-pdf
September 01, 2003 - team discovered that the
equipment typically used for hysteroscopy was unavailable—the case had been listed … Moreover, the
surgeon should have reviewed the OR schedule to ensure that the case was listed correctly