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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - In this case, the results are often not flagged as abnormal by the EHR itself; review requires a provider … Finding such results is straightforward if a provider is looking for them specifically, but they easily … Ideally, these alerts are appropriate, timely, and displayed to a provider with the necessary expertise … Most EHR systems route alerts to the ordering provider by default and may require that provider to mark … , the current primary provider, the recommending specialty service, and at least one attending physician
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - who prepared the medications and the provider who administered them. … Reinforce professional provider responsibilities Medication checks . … While it is common for the primary anesthesia provider to draw up all medications themselves, another … provider often prepares one or more medications, so it is imperative to double check any medication … that may have been prepared by another provider.
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psnet.ahrq.gov/issue/compensation-claims-danish-emergency-care-identifying-hot-spots-and-blind-spots-quality-care
November 03, 2021 - August 24, 2022
Using participatory design to engage physicians in the development of a provider-level … February 9, 2022
Deficiencies in provider-reported interpreter use in a clinical trial … July 24, 2019
Provider interruptions and patient perceptions of care: an observational … December 18, 2013
Healthcare provider complaints to the emergency department: a preliminary
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psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological
July 20, 2022 - Author(s)
White patients’ physical responses to healthcare treatments are influenced by provider … September 21, 2022
Implicit racial bias, health care provider attitudes, and perceptions … January 25, 2023
Implicit racial bias, health care provider attitudes, and perceptions … Medical Residents and Burnout
May 12, 2021
Same behavior, different provider
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - Once a difficult situation has been identified and significantly disrupted the provider-patient relationship … , the health care provider(s) involved with the patient should have an immediate conversation to discuss … the situation with a nurse manager or primary provider. … When a provider expresses regret and accountability for the situation with sincerity and without condescension … The role of patient-provider interactions: Using an accounts framework to explain hospital discharges
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psnet.ahrq.gov/node/33895/psn-pdf
April 01, 2024 - Updates to the survey include increased time allotted to
complete computerized provider order entry … https://psnet.ahrq.gov/issue/leapfrog-hospital-survey
https://psnet.ahrq.gov/primer/computerized-provider-order-entry
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - health plan’s role has evolved in the last 15 years with respect to patient safety,
similar to the provider … To be credentialed as a
provider in our network, there are committees making these determinations, and … Before a provider is included in the health plan network, we are screening for quality and
safety. … The plan may also learn a provider issued a prescription that was
not picked up at the pharmacy by the … The provider generally sees that they prescribed it in the electronic health record [EHR].
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psnet.ahrq.gov/node/866867/psn-pdf
October 02, 2024 - denied-abortion-doomed-pregnancy-she-tells-texas-court-there-was-no-mercy
https://psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients … https://psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients
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psnet.ahrq.gov/node/37380/psn-pdf
June 16, 2019 - IV tubing and ports,
discusses a recent article regarding unintended consequences of computerized provider … -19
https://psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
-
psnet.ahrq.gov/node/867643/psn-pdf
February 26, 2025 - psychology-insights-apologizing-patients
Apologizing to the patient and family after a harmful event can benefit both patient and provider … Teaching and role-modeling
how to apologize effectively is needed to reestablish trust in the patient-provider
-
psnet.ahrq.gov/node/867228/psn-pdf
December 04, 2024 - wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/wrong-patient
https://psnet.ahrq.gov/issue/reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors … https://psnet.ahrq.gov/issue/reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - Accountability
breakdowns occur when there is no primary provider to take responsibility for assuring … During the process, the healthcare
provider can assess medication understanding (“What are you taking … When a provider interacts with a patient, three cultures are
involved in the interaction—the patient … Lack of
effective communication among multiple providers or between provider and patient may result … When possible, utilizing a single
anticoagulation provider may reduce these risks.
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - The Commentary Commentary by Brian Clay, MD Order sets have become a mainstay of provider workflow … the part of health care organizations.( 2 ) Such investment facilitates efficiency and accuracy of provider … order entry, which may increase provider satisfaction with computer-based order entry overall.( 3 ) … A provider may wrongly assume that the order set content represents the best practice for a particular … Preparation and use of preconstructed orders, order sets, and order menus in a computerized provider
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psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - on providers’ perception and experiences with AMA discharges
is limited, but studies suggest that provider … Once a difficult situation has been identified and significantly disrupted the provider-patient relationship … , the
health care provider(s) involved with the patient should have an immediate conversation to discuss … the
situation with a nurse manager or primary provider. … The role of patient-provider interactions: Using an accounts
framework to explain hospital discharges
-
psnet.ahrq.gov/node/39892/psn-pdf
September 20, 2011 - does routine disclosure of medical error affect
patients' propensity to sue and their assessment of
provider … does routine disclosure of medical error affect patients'
propensity to sue and their assessment of provider … appropriately disclose errors were less likely to sue and more likely to subsequently recommend the
provider
-
psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-
pediatric-inpatients
Unintended consequences of adopting computerized provider … impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry … https://psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
-
psnet.ahrq.gov/node/45216/psn-pdf
June 08, 2016 - The
introduction of computerized provider order entry (CPOE) has been shown to reduce the rate of medical … incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
https://psnet.ahrq.gov/primer/computerized-provider-order-entry … https://psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
-
psnet.ahrq.gov/node/34892/psn-pdf
February 03, 2011 - This literature review examined controlled trials that evaluated
the efficacy of CDSS on provider performance … Using data from 100 studies,
investigators report that provider performace improved with CDSS using … Discussion
includes a number of detailed tables outlining the various categories of provider performance
-
psnet.ahrq.gov/node/41884/psn-pdf
December 21, 2014 - Notably, these errors occurred at hospitals with computerized provider
order entry systems, and the … psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer/computerized-provider-order-entry … https://psnet.ahrq.gov/primer/computerized-provider-order-entry
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - Because the clinic was busy, the provider was unable to call the emergency department (ED) physician … The provider´s referral of this patient to the local ED, and follow-up call to learn the results of the … First, the provider failed to directly contact the ED and convey his concerns. … Second, there was an undefined breakdown in communication between the provider and the patient’s family … Third, in part because the ED did not receive important information directly from the referring provider