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psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross
December 21, 2011 - Study
Perioperative patient safety: correct patient, correct surgery, correct side … Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational … Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention
Citation Text: … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet].
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - ; 2009
Lap Pad Correct
14 Paraesophageal hernia repair;
2009
Lap Pad Correct
15 Peritoneal … ; 2009
Lap Pad Correct
17 Vaginal hysterectomy; 2009 Lap Pad Correct In abdomen, not vagina
18 … Correct
25 Cesarean section; 2011 Lap Pad Correct
26 Esophagectomy; 2011 Lap Pad Correct
27 Exploratory … gastrectomy; 2013 Lap Pad Correct
35 Cesarean section; 2014 Lap Pad Correct
36 Laparoscopic … ; 2009 Raytex Correct
38 Hysterectomy; 2010 Raytex Correct In abdomen, not vagina
39 Abdominal HBSO
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psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
September 26, 2016 - Errors in the administration of intravenous medications in hospital and the role of correct … Errors in the administration of intravenous medications in hospital and the role of correct procedures … Errors in the administration of intravenous medications in hospital and the role of correct procedures
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psnet.ahrq.gov/node/40604/psn-pdf
December 30, 2014 - Errors in the administration of intravenous medications in
hospital and the role of correct procedures … Errors in the administration of intravenous medications in hospital
and the role of correct procedures … https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct- … https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse … https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
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psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
May 18, 2022 - J Correct Health Care. 2022;28(3):141-147. doi:10.1089/jchc.20.07.0058. … J Correct Health Care . 2022; 28 (3) :141-147 . … J Correct Health Care. 2022;28(3):141-147. doi:10.1089/jchc.20.07.0058.
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - in the OR caught the error during the pre-procedure huddle and discovered that Patient B was not the correct … Upon arrival at the destination, the transporter should again confirm the patient’s identity and correct … This Universal Protocol involves confirmation of the correct patient, correct procedure, and correct … These safety checks help ensure that the correct care is provided to the correct patient. … Revised statement on safe surgery checklists, and ensuring correct patient, correct site, and correct
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - The nursing
team called the sponge count “correct” at the end of the case because they “counted” twenty … Correct
Final
Count
At the end of the operation, the number of items counted into the case equals … )
RNs call sponge count correct
Sponge in patient
FALSE Negative
Correct Count Retention Case
RNs … call sponge count correct
NO sponge in patient
TRUE Negative
The sponge “count” can be considered … In both cases,
the final sponge counts were documented as correct.
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - The nursing team called the sponge count “correct” at the end of the case because they “counted” twenty … Correct Final Count At the end of the operation, the number of items counted into the case equals the … ) RNs call sponge count correct Sponge in patient FALSE Negative Correct Count Retention Case RNs call … sponge count correct NO sponge in patient TRUE Negative The sponge “count” can be considered a test, … In both cases, the final sponge counts were documented as correct.
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psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
July 16, 2019 - February 1, 2013
Perioperative patient safety: correct patient, correct surgery, correct
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psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised
September 23, 2020 - checklist improved diagnostic accuracy compared to a prompt, but only if the checklist included the correct … diagnosis; if the correct diagnosis was not included on the checklist, diagnostic accuracy was slightly
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - drug–drug interactions and allergies, then release the appropriate quantity of the medication in the correct … Administration: the correct medication must be supplied to the correct patient at the correct time. … Route, to the Right Patient) Barcode medication administration to ensure medications are given to the correct
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - drug–drug interactions and allergies, then release the
appropriate quantity of the medication in the correct … Administration: the correct medication must be supplied to the correct patient at the correct time. … Route, to the Right
Patient)
Barcode medication administration to ensure medications are given to the correct
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psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level
February 03, 2011 - July 21, 2017
Perioperative patient safety: correct patient, correct surgery, correct
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psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
December 08, 2021 - The online services listed the correct diagnosis first in about one-third of instances and listed the … correct diagnosis in the top 20 possible diagnoses in more than half of cases.
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psnet.ahrq.gov/issue/hospital-mortality-associated-misdiagnosis-or-unidentified-site-infection-admission
June 27, 2011 - on admission had more than twofold greater odds of dying in the hospital compared to those with the correct … These results reinforce the importance of correct and timely diagnosis for sepsis outcomes.
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - In the latter setting, a “correct” result is based on a scientifically validated gold standard. … ” result is the most precise diagnosis. 2 In other words, the correct diagnosis is the most reproducible … sampling error, the frozen section examination offers rapid diagnosis of surgeon-selected specimens with correct … important that policies, procedures, and other systems be designed to support the determination of the correct … Take-Home Points Establishing a timely and correct pathology diagnosis is the goal for all patients,
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - in the presence of contradictory data, leading to prolonged inappropriate therapy and a delay in the correct … and the diagnostic reasoning processes (compared with medication errors), and lack of consensus about correct … Neuroimaging was the correct choice of subsequent diagnostic tests, but the CT scan of the brain was … Biopsy was probably the correct next diagnostic test if the lesion by MRI looked clearly like a malignancy … yield symptomatic improvement in many conditions, including brain tumors with surrounding edema (the correct
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - The patient was instructed to hold off taking the estradiol for one week and resume with the correct … to noise or interruption, and missed patient information. 6 Case #1 is an example of dispensing the correct … Case #2 is an example of dispensing the correct medication with incorrectly transcribed prescription … In Case #2, the patient was incorrectly instructed to take one tablet twice daily as opposed to the correct … staff that the dose was incorrect during the transcription process, thus providing an opportunity to correct
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - The patient and his daughter were also unable to clarify which
dosage was correct. … the most
accurate list of all medications a patient is taking and then using this list to provide correct … counseling strategies are an important part
of limiting discrepancies and may empower the patient to help correct … However, in Case 2, the pharmacist failed to resolve the discrepancy and dispense
the correct medication … patient’s discharge medication profile to the retail pharmacy in Case 2 would also have clarified the correct