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psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - When the medication is selected on the ADM touch screen, the correct drawer opens. … The nurse then selects the correct drug from the drawer.
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psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
October 15, 2018 - October 15, 2018
What is Correct-Site Surgery?
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - availability of an intraoperative CXR was very important in this case because it helped to make the correct … patient did not suffer any harm from his transient increase in airway pressure because the team made the correct … When the airway is completely obstructed, there is limited time to make a diagnosis and correct the problem
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psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
May 28, 2008 - August 4, 2021
Do physicians know when their diagnoses are correct?
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
View more articles from the same authors.
Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/issue/are-operating-room-distractions-interruptions-and-disruptions-associated-performance-and
December 02, 2020 - August 10, 2022
Patients' perceptions of importance for self-administered correct site
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psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams
May 05, 2021 - February 20, 2019
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future
December 14, 2022 - December 14, 2022
Use of complete medication history to identify and correct transitions-of-care
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psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
February 12, 2020 - September 27, 2016
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
January 06, 2017 - April 26, 2023
Use of complete medication history to identify and correct transitions-of-care
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psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
January 03, 2017 - August 4, 2021
Do physicians know when their diagnoses are correct?
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psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
October 10, 2012 - Errors in the administration of intravenous medications in hospital and the role of correct
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - Had the correct diagnosis been made earlier, the outcome might have been different. … For the patient described, the misdiagnosis delayed the correct diagnosis of cardiogenic shock, leading … including assessment of skin color, temperature, and jugular venous distention, can aid in diagnosing the correct
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Recognizing the mistake, the LPN returned to the patient's bedside to correct the error, disconnected … of the risk of harm, she was exhibiting at-risk
behavior where she likely "drifted away" from the correct
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - family's insistence that the infant's breastfeeding difficulties be addressed ultimately led to the correct … anatomical, neurological, etc.).( 9 ) Ultimately, the in-person assessment was crucial to coming to the correct … mother's knowledge of the benefits of breastfeeding and her persistence ultimately allowed for the correct
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
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psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility
May 20, 2015 - December 29, 2014
Ensuring Correct Surgery.
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psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
August 30, 2017 - Errors in the administration of intravenous medications in hospital and the role of correct
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psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation
July 10, 2017 - Related Resources From the Same Author(s)
Beyond medication reconciliation: the correct