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Total Results: 585 records

Showing results for "correct".

21. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    April 27, 2022 - contribute to coagulopathy. 1 Laboratory test results can guide appropriate administration of therapies to correct … should be transfused in a ratio of components that simulates the composition of whole blood to help correct … access for large volume transfusion, blood products should ideally be given through a warmer to help correct … Correct any suspected coagulopathy, including contributing factors such as acidosis and hypothermia. … Miscalculated Risk August 1, 2006 WebM&M Cases Correct

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33564/psn-pdf
    March 15, 2025 - drug–drug interactions and allergies, then release the appropriate quantity of the medication in the correct … Administration: the medication must be received by the correct person and supplied to the correct patient

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33604/psn-pdf
    December 15, 2024 - Correct medication use occurs when the "five rights" are followed, meaning the right dose of the right … designing safe protocols is critical, as there are fewer standardized safeguards in place to ensure correct

24. Check the Wristband | PSNet
    psnet.ahrq.gov/web-mm/check-wristband
    August 03, 2009 - The chart was correct for my next patient. … identification, rather than asking the patient open-ended questions and insisting that the patient provide correct … patient's wristband and alerted the nurse to her error—the chart the RN had picked up was not that of the correct … Epidemiology of Patient Misidentification The specific errors of this case, failure to check for the correct … For instance, if the wrong patient is about to be taken for a procedure, she may still have the correct

25. Crushing Chest Pain: A Missed Opportunity | PSNet
    psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
    February 01, 2007 - Correct diagnosis is critical in this setting: the patient’s survival may hinge on making a timely and … In the absence of expert skills, heuristics are remarkably effective in helping us reach a correct diagnosis … Unfortunately, they also lead to occasional diagnostic errors, for example, when the correct diagnosis … Bayesian approach cannot guarantee success, but in theory has the highest likelihood of selecting the correct … If the initial presentation does not "trigger" the correct diagnosis, it is unlikely to ever be considered

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33605/psn-pdf
    March 12, 2021 - Some medications are available in a specific format to ensure the correct route is utilized during administration … These sessions involving an institution’s managers and clinical experts serve as method of validating correct … labeling, clear storage requirements, and various clinical decision support strategies are used to ensure correct … impact-interoperability-smart-infusion-pumps-and-electronic-medical-record-critical-care Some new technology supports the caregiver in assessing for the correct

27. The Role of Bar Coding and Smart Pumps in Safety | PSNet
    psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
    September 01, 2008 - BCMA provides point-of-care verification of the correct patient and medication. … , for the correct patient. … The patient also has a bar-coded wristband that confirms the correct patient for this medication. … medication at the correct time to the correct patient. … For example, making sure when patients have their EKGs done that the correct patient's identifier is

28. Medication Administration Errors | PSNet
    psnet.ahrq.gov/primer/medication-administration-errors
    December 15, 2024 - Some medications are available in a specific format to ensure the correct route is utilized during administration … These sessions involving an institution’s managers and clinical experts serve as method of validating correct … labeling, clear storage requirements, and various clinical decision support strategies are used to ensure correct … Some new technology supports the caregiver in assessing for the correct patient response to a medication

29. Duplicate Therapies in Retail Pharmacy | PSNet
    psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
    August 05, 2022 - The patient and his daughter were also unable to clarify which dosage was correct. … identifying 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

30. Thin Air | PSNet
    psnet.ahrq.gov/web-mm/thin-air
    March 01, 2006 - It is probably even more common for oxygen tubing to become disconnected from a correct flowmeter during … Interlocks enforce correct sequencing or isolate events in time; often they are used to prevent one action … The Pin Index System played no role here, since it forces the correct regulator on the matching tank … gas:        -    Eliminate air flowmeters;        -    Permanently fix Christmas tree adapters to the correct … The air and oxygen flowmeters with the correct Christmas tree adapters.

31. Swiss Cheese Model | PSNet
    psnet.ahrq.gov/taxonomy/term/3460
    April 10, 2025 - might include conventions for identifying sidedness on radiology tests, a protocol for signing the correct

32. Computerized Provider Order Entry | PSNet
    psnet.ahrq.gov/primer/computerized-provider-order-entry
    March 15, 2025 - drug–drug interactions and allergies, then release the appropriate quantity of the medication in the correct … Administration : the medication must be received by the correct person and supplied to the correct patient

33. Timely diagnosis of esophageal perforation | PSNet
    psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
    September 27, 2023 - information-gathering—such as the appearance of the pleural fluid—frequently help point physicians to the correct … fluid resuscitation, and early antibiotics, some or all of which occurred in this case even without the correct … picture archiving and communication systems), concerted emphasis on other aspects of safety besides correct

34. Did We Forget Something? | PSNet
    psnet.ahrq.gov/web-mm/did-we-forget-something
    April 28, 2021 - but a recount does, one simply stops there—ignoring the possibility that the previous discrepancy was correct … Incorrect counts and incorrect "correct" counts should trigger an adjunctive procedure, such as a portable … The critical question is not "Was the count correct?"

35. Two Wrongs Don't Make a Right (Kidney) | PSNet
    psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
    April 01, 2010 - wrong-site surgery ( Table 1 ).( 2 ) Wrong-level or -part surgery is a surgical procedure performed at the correct … intraoperative imaging following exposure and marking a fixed anatomic structure should be used to determine the correct … would have been given the opportunity to review the imaging and identify the renal mass and thus, the correct … Wrong Level or Part A surgical procedure performed at the correct site but at the wrong level or part

36. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet
    psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
    March 01, 2007 - One such technique is root cause analysis (RCA), commonly used to identify and correct the factors that … If we are correct, then the RCA tool is not the problem. … In this environment, it's not surprising that an RCA fails to uncover and correct system failures.

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43897/psn-pdf
    August 21, 2015 - guidelines-adult-iv-push-medications https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse

38. How insight contributes to diagnostic excellence. | PSNet
    psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
    June 08, 2022 - These authors discuss how insight – or the spontaneous emergence of the correct answer at a later point

39. Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. | PSNet
    psnet.ahrq.gov/issue/errors-electronic-health-record-based-data-query-statin-prescriptions-patients-coronary
    March 12, 2025 - Manual chart review determined that most EHR-detected prescribing failures were clinically correct care

40. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. | PSNet
    psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-safety-risk
    June 05, 2024 - Fifteen recommendations were made, namely ensuring correct patient identification during ordering