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psnet.ahrq.gov/node/33576/psn-pdf
December 15, 2024 - Surgery
Early efforts to prevent WSPEs focused on developing redundant mechanisms for identifying the correct
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psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
November 04, 2020 - Study
Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.
Citation Text:
Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …
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psnet.ahrq.gov/issue/association-between-mobile-telephone-interruptions-and-medication-administration-errors
June 29, 2009 - September 27, 2016
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
December 18, 2017 - September 11, 2024
Use of complete medication history to identify and correct transitions-of-care
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - Recognizing the mistake, the LPN returned to the patient's bedside to correct the error, disconnected … disregard 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/misleading-complaint
December 01, 2009 - physician's cognitive challenges upstream to detect, identify, and frame problems (i.e., enter the correct … None of the tools will come with a guarantee of providing the correct diagnosis, but the use of multiple
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psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site-surgery-development
February 01, 2013 - developed marking procedure for ENT surgery that accomplishes four objectives: (1) clearly marks the correct
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - He was shocked to find that the correct patient was in the next room and happened to have the same last … He then went to examine the correct patient and found that large bilateral pleural effusions were indeed
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - intervention for error prevention, since patients can recognize if a diagnostic approach is following the correct … consultation by a separate service (OB/GYN), which re-interpreted the discrepant data, and resulted in a correct
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Barcode scanning was used to confirm the correct patient and medication. … November 1, 2023
Use of complete medication history to identify and correct transitions-of-care
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - patient work-up, the pharmacist is expected to review the prescription against the data, confirm the correct … should ensure that all work done by supportive personnel or through automated devices appears to be correct
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - appearance of the tablets, both the patient and the physician suspected that this might not be the correct … First, the pharmacist may have lacked adequate patient-specific information with which to confirm the correct
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - Clinical decision support (CDS) helps clinicians select appropriate medications, arrive at a correct … Clinical decision support (CDS) helps clinicians select appropriate medications, arrive at a correct
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psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - Clinical decision support (CDS) helps clinicians select appropriate medications, arrive at a correct … Clinical decision support (CDS) helps clinicians select appropriate medications, arrive at a correct
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - medication administration, similar to what happens with blood transfusions, to ensure we are giving the correct … medication to the correct patient at the correct dose.
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - medications, does not
take them, and alerts the nurse so that the medications can be given to the correct
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - Surgery Early efforts to prevent WSPEs focused on developing redundant mechanisms for identifying the correct
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - traditional emphasis on the “five rights” of proper drug administration (right patient, right drug based on correct … described interventions, the anesthesia care provider is professionally responsible to ensure that the correct
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - For those who wish to use the second method, Table 4 shows how to correct a total phenytoin level for … A different equation is used to correct phenytoin levels for end-stage renal disease, another common
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - at all, meaning that organizations could score well on quality measures even if patients receive the correct