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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - sedation by anesthesiologists, (2) presence of an up-to-date preoperative medication list in the clinical records … organizations conduct proactive reviews to determine safety and effectiveness of electronic health record
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - Use of over-the-counter (OTC) products
As OTC products are not visible on dispensing records … management. 10 Furthermore, keep in mind that when a medication is discontinued in the electronic health record
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. … nutrition support therapy in a Veteran Affairs health care system: use of medication administration record
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - hospital and included targeting of blood clot prevention education using the real-time, electronic health record … Modify the electronic health record system to provide alerts about VTE risk, VTE prophylaxis risks and … Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - We're able to, like you mentioned, track and record things like falls in EMS, a patient falling from … This makes it difficult to integrate EMS care reports with patient medical records. 3 Not only does … Notification Tool (E.V.E.N.T.) 10 and ESO’s data analytics and performance monitoring electronic health record
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - challenges related to being unfamiliar with the facility and other things, like the electronic health record … settings with high agency nurse use tend to have lower ratings for work environment. 8 Electronic health records … It is possible that standardizing parts of the electronic health record across systems could reduce access
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psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
December 18, 2024 - history include friends, family, bystanders, emergency medical services, and the electronic health record … mimic” diagnosis. 25 In the setting of altered mental status and lack of collateral history or medical records … cases of diagnostic uncertainty, clinical decision-making tools embedded into the electronic health record
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psnet.ahrq.gov/node/864867/psn-pdf
April 10, 2024 - history include friends, family, bystanders, emergency medical services,
and the electronic health record … mimic” diagnosis.25 In the setting of
altered mental status and lack of collateral history or medical records … cases of diagnostic uncertainty, clinical decision-making tools embedded into the
electronic health record
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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - settings with high agency nurse use tend to have lower ratings for work environment. 8 Electronic health records … It is possible that standardizing parts of the electronic health record across systems could reduce access … challenges related to being unfamiliar with the facility and other things, like the electronic health record
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - This makes it difficult to integrate EMS care reports with patient medical records. 3 Not only does … Notification Tool (E.V.E.N.T.) 10 and ESO’s data analytics and performance monitoring electronic health record … We're able to, like you mentioned, track and record things like falls in EMS, a patient falling from
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psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
May 26, 2021 - routinely available, utilized, and their results documented and acted upon in the patient’s medical record … individuals who attempt suicide do not have an established mental health history listed in their health record … &M Cases
“Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - recently, others have described handover tools that pre-populate information from the electronic health record … Improved physician work flow after integrating sign-out notes into the electronic medical record. … has three core components: interactive verbal communication, a written communication or "transition record … The written communication is sometimes referred to as the transition record, like a transfer note, a
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - learning health system, especially for collecting and analyzing data. 10 IT, such as electronic health records … (EHR), is critical in allowing learning health systems to record, compare, and present information in … While there is a bright future in the use of technology, such as electronic health records and artificial … For example, AI can extract information from the notes in a medical record.
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - For example, AI can extract information from the notes in a medical record. … learning health system, especially for collecting and analyzing data. 10 IT, such as electronic health records … (EHR), is critical in allowing learning health systems to record, compare, and present information in … While there is a bright future in the use of technology, such as electronic health records and artificial
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - Whether the system will be a series of hard stops that are built into electronic health records or involves … reliability of determining the timing of an illness or complication based on blinded review of the medical record … study also found that the percentage of hospitals that coded all secondary diagnoses as POA on all records
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - These variations
likely contribute to the mixed record of interventions intended to improve safety climate
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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - The thyroid-stimulating hormone (TSH) test result was 834
(a near record high), and she was diagnosed
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psnet.ahrq.gov/web-mm/paradoxical-pulse
May 01, 2013 - March 4, 2015
The safety of outpatient health care: review of electronic health records
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - February 1, 2011
WebM&M Cases
Reconciling Records
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - &M Cases
“Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records