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7721. Elopement | PSNet
      psnet.ahrq.gov/web-mm/elopement
      July 14, 2010 - In most organizations, this conversation is recorded in the medical record and the patient is asked to

7722. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
      psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
      March 01, 2004 - Among hospitalized patients whose records contained one of these triggers, approximately 20% experienced … A methodology for targeting hospital cases for quality of care record reviews.

7723. Moving Pains | PSNet
      psnet.ahrq.gov/web-mm/moving-pains
      August 17, 2017 - SPOTLIGHT CASE Moving Pains Citation Text: Schell H, Wachter R. Moving Pains. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

7724. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - translator and performed a quick pre-anesthesia evaluation, obtaining her history from the medical record

7725. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - One of the residents stepped away to confirm the patient’s identity in the electronic health record and … resident, and the absence of clear documentation of the planned procedure in the electronic health record

7726. A Painful Medication Reconciliation Mishap | PSNet
      psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
      May 01, 2008 - patient on opioids can be avoided by heeding drug–drug interaction alerts in the electronic health record … December 22, 2010 WebM&M Cases Reconciling Records

7727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49735/psn-pdf
      June 01, 2015 - One system correctly identified the correct diagnosis for 96% (n=50) of case records published in the … The system was correct for 76% of cases when the entire case record text was simply cut and pasted,

7728. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
      January 01, 2023 - However, cuff pressure values were neither documented in the medical record nor communicated to the … pressure monitoring by manual manometer should be done every 8 to 12 hours and documented in the medical record

7729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73336/psn-pdf
      May 26, 2021 - agglutination (TPPA) assays were ordered, but the results were not reviewed and documentation in the medical record … Electronic health record (EHR) systems can alleviate some of the effort involved by communicating results

7730. Physical Diagnosis: A Lost Art? | PSNet
      psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
      January 17, 2018 - in emergency general surgery patients using a regional health system integrated electronic medical record

7731. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50611/psn-pdf
      October 30, 2019 - The hospitalist had appropriately entered the prescriptions in the electronic health record, including … Our hospital uses a widely deployed electronic health record/CPOE system (Epic) that helpfully allows

7732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49651/psn-pdf
      May 01, 2012 - clinical practice.( 14) Lastly, the increasing use of handoffs facilitated via the electronic health record … get in the way of expected improvements in written signout quality with the shifts to computerized records

7733. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840174/psn-pdf
      August 28, 2024 - notified of the surgical outcome and should have been involved in documenting disclosure in the medical record … The resulting note in the medical record would identify who attended the meeting about the surgical

7734. In Conversation With... John G. Reiling, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
      June 01, 2014 - highly digitized, and digitized in a way where the information is automatically going into the medical records

7735. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
      February 01, 2023 - unclear roles for different care teams in the hospital  Discuss the role of the electronic health record … improve patient outcomes such as electrolyte repletion and avoidable death. 8    Electronic health record

7736. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49852/psn-pdf
      February 01, 2019 - Despite advances in electronic health record (EHR) capabilities, EHR interoperability to allow sharing … psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references records

7737. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - These conditions are closely analogous to traditional OR record designations for: procedure start time … discloses to the patient the presence of the unretrieved device or device fragment and (2) keeps a record

7738. Patient Safety in the Ambulatory Care Setting | PSNet
      psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
      April 27, 2022 - advances in HIT to support or refute unexpected lab findings; using tracking systems for electronic health record … Encouraging patients to be involved in event reporting may lead to increased accuracy of ambulatory care records

7739. Missed CANDOR Implementation Opportunities. | PSNet
      psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
      November 11, 2020 - notified of the surgical outcome and should have been involved in documenting disclosure in the medical record … The resulting note in the medical record would identify who attended the meeting about the surgical outcome

7740. Triaging Interhospital Transfers | PSNet
      psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
      April 12, 2023 - Despite advances in electronic health record (EHR) capabilities, EHR interoperability to allow sharing … information exchange (i.e., templates, electronic health information exchange, shared electronic health records