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psnet.ahrq.gov/node/49684/psn-pdf
May 01, 2013 - depending on the site).(5) Errors most commonly occurred in administration (56%); having
two concurrent sets … health record (EHR) and computerized provider order entry
(CPOE) system, but the chemotherapy order sets
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - Both sets of blood cultures remained negative and the patient was discharged on hospital day five with … Two sets of blood cultures should be obtained, symptoms-guided imaging should be considered, and empiric
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose
Citation Text:
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - to the development of clear care pathways, including standardized postprocedure and admission order sets … The use of standardized postprocedure order sets may also have facilitated correct ordering of anticoagulation
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - care team should be linked to easy-to-access institutional protocols for obstetric hemorrhage, order sets … appropriate actions are taken when a BPA is triggered, and comparing the frequency with which various order sets
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - send user alerts to notify the admitting provider of patient arrival
Pre-completed admission order sets
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - physical therapist in ICU)
Evidence growing to support benefits for exercising ICU patients
Three sets
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - massive customization during implementation ( 3,4,6 ), involving how information is displayed, order sets … WebM&M Cases
Unexpected Drawbacks of Electronic Order Sets
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - The Privacy Rule is medium-agnostic and sets rules for
information on access and disclosure, regardless … The HIPAA Security Rule sets flexible safeguards that apply only to electronic health information.
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - American Association of Blood
Banks), an international non-profit transfusion medicine organization, sets … The College of
American Pathologists also sets standards for accreditation of clinical laboratories
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - clinical settings.15,16
To avoid errors such as the one described in this Case, intravenous fluid order sets … For example,
intravenous fluid order sets should be standardized to include a uniform bag size of 250
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - and sentinel events but rarely reflect the spectrum of adverse events.( 16-18 )
Administrative data sets … : Approaches to measuring patient safety using administrative data sets are appealing, as these data … However, administrative data sets, which are the source of adverse event rates identified by AHRQ's Patient … The end result is that present approaches to identify adverse events using administrative data sets have
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - and sentinel events but rarely reflect the spectrum of adverse events.( 16-18 )
Administrative data sets … : Approaches to measuring patient safety using administrative data sets are appealing, as these data … However, administrative data sets, which are the source of adverse event rates identified by AHRQ's Patient … The end result is that present approaches to identify adverse events using administrative data sets have
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psnet.ahrq.gov/issue/improving-safety-efficiencies-and-reducing-waste-ready-administer-iv-medications-roadmap
January 24, 2024 - May 11, 2017
ISMP's Guidelines for Standard Order Sets.
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - physicians can also help design local guidelines and decision-making tools (e.g., decision trees, order sets … physicians can also help design local guidelines and decision-making tools (e.g., decision trees, order sets
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
May 01, 2013 - electronic health record (EHR) and computerized provider order entry (CPOE), but the chemotherapy order sets
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psnet.ahrq.gov/issue/root-cause-analysis-action-building-foundations
August 19, 2020 - August 24, 2022
ISMP's Guidelines for Standard Order Sets.
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psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - depending on the site).( 5 ) Errors most commonly occurred in administration (56%); having two concurrent sets … health record (EHR) and computerized provider order entry (CPOE) system, but the chemotherapy order sets
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - Pre-completed admission order sets for planned admissions for
procedures and scheduled treatments such … Initiating pre-completed admission order sets
without a function forcing patient assessment may lead
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psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - Enormous data sets but now on an individual basis and ultimately at even a population level. … I do believe that is the biggest switch now and that is what sets this off.