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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - Well, they have a pretty impressive safety record.
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psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - Yet this
physician, who came out of retirement to see her, hadn't seen the electronic health record
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - June 19, 2018
Context-sensitive decision support (infobuttons) in electronic health records
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - the importance of family in care transitions, more than 42 states have passed the Caregiver Advise, Record … patients are asked to provide a family member or other care partner name for listing in the medical record
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Unseen Perils of Urinary Catheters
Citation Text:
Newman DK, Strauss R, Abraham L, et al. Unseen Perils of Urinary Catheters. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar Bib…
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - SPOTLIGHT CASE
Monitoring Fetal Health
Citation Text:
Scerbo MW, Abuhamad AZ. Monitoring Fetal Health . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNot…
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - which might have been identified through a clinical decision support tool in the electronic health record
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - care service was consulted to clarify goals of care.
6
Case Details (3)
• Further electronic health record
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx
Spotlight
Failure to Ensure Patient Safety Leads to Patient Falls in
Nursing Homes
Source and Credits
• This presentation is based on the April 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/we…
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - differential diagnosis, as their thought process was not completely documented in the electronic health record
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - suicide using the C-SSRS tool, an automated page is sent to the PES LCSW through the electronic health record
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - How often and through what means (e.g., telephone, in person, electronic health record) is report given
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - SPOTLIGHT CASE
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.
Citation Text:
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
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psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - have anxiety because my coworkers
and the providers I work with are accessing my electronic medical record
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - They elevate the pressure transducer of the arterial line to the level of the ear to measure and record
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psnet.ahrq.gov/node/836879/psn-pdf
April 27, 2022 - because they think care is already pretty good—and find somebody willing to state
those things on the record
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psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
February 26, 2025 - Yet this physician, who came out of retirement to see her, hadn't seen the electronic health record and
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psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - Personally, I would not see a doctor or go to a hospital that did not
have an electronic health record
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - know how to locate the results of the fall risk assessment or the fall prevention plan
in the medical record
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - The first is the concern about electronic health records (EHRs) and the knowledge that almost half the