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psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
May 30, 2012 - July 28, 2010
Doing the "right" things to correct wrong-site surgery.
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psnet.ahrq.gov/issue/interruptions-and-multi-tasking-moving-research-agenda-new-directions
March 23, 2011 - Errors in the administration of intravenous medications in hospital and the role of correct
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psnet.ahrq.gov/issue/prospective-pilot-intervention-study-prevent-medication-errors-drugs-administered-children
December 04, 2015 - Errors in the administration of intravenous medications in hospital and the role of correct
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psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
November 26, 2008 - July 23, 2010
Doing the "right" things to correct wrong-site surgery.
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psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
October 03, 2017 - February 9, 2011
Doing the "right" things to correct wrong-site surgery.
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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - suggests that women with PSVT are more likely to be misdiagnosed with mental health conditions before the correct … closure on the diagnosis of “panic attack” led to a mutli-year delay in effective treatment of the correct … By carefully distinguishing psychiatric diagnosis from diagnostic uncertainty, the clinician can correct
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - consider their patient's symptoms or the recommendations of the one gastroenterologist who included the correct … included faulty data gathering such as incomplete history or physical exam, lack of considering the correct … Moreover, when the consulting gastroenterologist suggested the possibility of what ultimately was the correct
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psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy-corrective-action-and
October 07, 2020 - Study
An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes?
Citation Text:
Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensat…
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - The prescription and written instructions on the After-Hospital Summary (AHS) were correct, but nurse-generated … sent to the pharmacy, where it was filled as written and the label on the pill container showed the correct … Another key aspect of creating proper order sets is to link the correct set of orders to specific indications … also makes it easier for physicians to write the prescription and to ensure proper dose change on the correct
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - of the day, anesthesia professionals should therefore verify that the cylinders are mounted in the correct … are now performed under low ambient lighting conditions, which make it more difficult to identify the correct … self-inflating bag valve mask resuscitator, which should be readily available at the bedside and should correct
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - 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/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - and practices in the hospital, nursing staff should expect either a brief physician note confirming correct … could measure NG tube aspirate pH for newly placed NG tubes as an additional checkpoint to assess for correct … Methods for determining the correct nasogastric tube placement after insertion: a meta-analysis.
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psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing
December 21, 2014 - January 3, 2017
Do physicians know when their diagnoses are correct?
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psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
June 28, 2017 - December 21, 2017
Beyond medication reconciliation: the correct medication list.
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psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
December 20, 2017 - February 18, 2009
Is the test result correct?
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psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
September 27, 2017 - September 4, 2015
Are amended surgical pathology reports getting to the correct responsible
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - 1 mg/mL or has accepted the default (initial) drug concentration instead of scrolling to select the correct … mistakenly accept the initially displayed minimal value (eg, 0.1 mg/mL) instead of changing it to the correct
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - Difficulties in identifying the correct side of the colon may arise when the patient is obese or has … flexible sigmoidoscope or colonoscope (inserted through the rectum) allows further confirmation that the correct
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - clamp to grab and elevate the fascia itself. 2 , 5 , 13
With the Veress technique, confirmation of correct … into the needle hub and the abdomen is then elevated; flow of saline into the needle tip indicates correct … In patients without obesity, a pressure of 0-5 mmHg indicates correct position.