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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - Citation
UC Davis PSNet Editorial Team | September 15, 2024
PSNet primers are regularly reviewed … Last reviewed in 2024.
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - Citation
UC Davis PSNet Editorial Team | September 15, 2024
PSNet primers are regularly reviewed … Last reviewed in 2024.
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - Citation
UC Davis PSNet Editorial Team | March 15, 2025
PSNet primers are regularly reviewed … Last reviewed in 2025.
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - Citation
UC Davis PSNet Editorial Team | December 15, 2024
PSNet primers are regularly reviewed … Last reviewed in 2024.
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - Researchers
reviewed all relevant articles on PSNet and consulted with Dr. … One
study reviewed duplicate medication orders and found that 20% of duplicate orders resulted from … overrides
should be expected, the underlying criteria for alert systems should be designed and regularly reviewed … While only a few studies reviewed
implementation in a clinical setting (most evaluated algorithm technical
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Researchers reviewed all relevant articles on PSNet and consulted with Dr. … One study reviewed duplicate medication orders and found that 20% of duplicate orders resulted from … overrides should be expected, the underlying criteria for alert systems should be designed and regularly reviewed … While only a few studies reviewed implementation in a clinical setting (most evaluated algorithm technical
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - When the physician (who was new to this practice) reviewed the records, he noticed “h/o C section followed … forward or autopopulating from a template may be reasonable, with the caveat that the text must be reviewed … All time spent on the patient’s management on the day of encounter Subjective data Number of systems reviewed … Indeed, about 16% of all nurses’ notes reviewed in the study were never read by any other individual.
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - The physician reviewed the patient's medication administration record and determined that she received … In 2004, investigators reviewed pregnancies from eight HMOs between 1996–2000 and found that, even though … Second, the internist could have reviewed the information more carefully in the medical record.
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - Citation
UC Davis PSNet Editorial Team | March 15, 2025
PSNet primers are regularly reviewed … Last reviewed in 2025.
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - Citation
UC Davis PSNet Editorial Team | September 15, 2024
PSNet primers are regularly reviewed … Last reviewed in 2024.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - .
*
Case: A Pill Organizing Plight (3)
During the home visit, the resident reviewed the patient's … from the pharmacy
Brown bag medication reviews, where a patient brings their medications and they are reviewed … performed multiple tasks:
Performed medication reconciliation after admission and before discharge
Reviewed
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psnet.ahrq.gov/node/49790/psn-pdf
April 01, 2017 - Upon the patient's arrival at the CT scan, a technician reviewed the electronic health record (EHR) for … understand the context
of the reaction later on in the patient's care as such documentation may need to be reviewed
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - The on-call resident reviewed the CT scan with the radiology resident overnight and they agreed it was … He then briefly reviewed the records and saw the history of atrial fibrillation and decided the day team
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psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - After the patient was intubated for general anesthesia, the trainee reviewed her
chart and noted that … The
trainee informed the attending that he had just reviewed the chart and learned that the positive … hemivulvectomy" and did not reveal any evidence of cancer; whereas, the pre-
operative biopsies that he had reviewed
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - patients in an ED until all important test results expected within a reasonable time are returned and reviewed … when the patient needs to be contacted
Develop and improve tracking systems to be sure results are reviewed
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psnet.ahrq.gov/node/49671/psn-pdf
November 01, 2012 - When the team was rounding 2 hours later, they reviewed the ECG, which was notable for new ST
elevations … First, all
computer ECG readings should at least be reviewed by the nurse responsible for the patient
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-and-their-causes-and-contributing-factors-analysis-register
August 01, 2016 - July 15, 2010
Analysis of 23,364 patient-generated, physician-reviewed malpractice claims
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psnet.ahrq.gov/issue/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis-claimants-and-non
March 28, 2011 - Patient Safety
December 1, 2010
Analysis of 23,364 patient-generated, physician-reviewed
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psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
November 08, 2013 - October 21, 2010
Analysis of 23,364 patient-generated, physician-reviewed malpractice
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psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
July 03, 2014 - April 21, 2010
Analysis of 23,364 patient-generated, physician-reviewed malpractice claims