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Total Results: 585 records

Showing results for "correct".

  1. Crossing the Line | PSNet

    psnet.ahrq.gov/web-mm/crossing-line
    December 01, 2012 - Post-procedure chest x-rays are used to confirm correct positioning of the catheter and to identify complications … Chest X-Ray Showing Catheter in Correct Position with Tip at Cavo-Atrial Junction

  2. The Unfamiliar Catheter | PSNet

    psnet.ahrq.gov/web-mm/unfamiliar-catheter
    November 01, 2006 - Following education, 100% of the nurses were aware of the correct clamping sequence, and 80% performed … Understanding the complexity of medical devices and the problems users may have in following the correct

  3. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet

    psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
    January 29, 2021 - The absence of CO2 will precede hypoxemia and a capnograph therefore allows for early intervention to correct … predictable and anesthesia care providers must be prepared for all potential problems in order to be able to correct

  4. Lethal Cap | PSNet

    psnet.ahrq.gov/web-mm/lethal-cap
    December 19, 2018 - that the parent might not understand simple written or even oral instructions as to how to draw up the correct

  5. A Stroke of Error | PSNet

    psnet.ahrq.gov/web-mm/stroke-error
    February 01, 2016 - The answer must be correct - there is no partial credit for being close.

  6. Hospital-Acquired Diabetic Ketoacidosis. | PSNet

    psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - Knowing the patient’s correct insulin regimen, frequency of dosing, and time of last dose can be helpful

  7. Misconnection Leading to Arterial Thrombosis | PSNet

    psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
    January 29, 2021 - Correct hypotension prior to inserting an arterial or central venous catheter In some cases, it is appropriate … to correct hypotension with intraosseous fluid infusion or vasoactive drugs before inserting a vascular

  8. Spotlight

    psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
    January 01, 2025 - , should have prompted a surgical consultation for acute cholecystitis, which might have led to the correct … Abdominal Pain in the Emergency Department: How to Select the Correct Imaging for Diagnosis. 

  9. Improving Diagnostic Safety and Quality | PSNet

    psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    February 22, 2023 - Correct diagnosis may depend on a disparate range of clinical skills: communicative aptitude in obtaining … For instance, insight, or the ability to come to the correct diagnosis after initial uncertainty, does

  10. Right Patient, Wrong Sample | PSNet

    psnet.ahrq.gov/web-mm/right-patient-wrong-sample
    June 01, 2004 - identification and specimen collection incorporating automated error-proofing techniques to assure the correct … form missing (e.g., HIV) ___ Requisition incorrect/incomplete or failure of care provider to order the correct

  11. Human Factors Engineering | PSNet

    psnet.ahrq.gov/primer/human-factors-engineering
    December 15, 2024 - The widening use of  checklists  as a means of ensuring that safety steps are performed in the correct

  12. Adverse Events, Near Misses, and Errors | PSNet

    psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
    March 30, 2022 - his medications, does not take them, and alerts the nurse so that the medications can be given to the correct

  13. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet

    psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
    October 01, 2004 - optimal glycemic control during the hospitalization of a diabetic patient while failing to intervene to correct … immunization, there was in fact no such reporting requirement, and the attending physician was not correct

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48181/psn-pdf
    August 07, 2019 - Managing the risks of direct oral anticoagulants. August 7, 2019 Sentinel Event Alert. July 30, 2019;(61):1-5. https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral anticoagulants (DOACs) require less…

  15. Failure Mode and Effect Analysis (FMEA) | PSNet

    psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
    September 13, 2021 - Failure Mode and Effect Analysis (FMEA) September 13, 2021 Anonymous (not verified) A common process used to prospectively identify error risk within a particular process. FMEA begins with a complete process mapping that identifies all the steps that must occur for a given process to occur (e.g., programming an…

  16. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet

    psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - response The right action requires providers who administer or prescribe medications to ensure the correct … handling medications formulated with variable concentrations requiring careful attention to administer the correct … The sender then provides a hearback, acknowledging that the readback was correct, or making a correction

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44513/psn-pdf
    September 23, 2015 - Improving Diagnosis in Health Care. September 23, 2015 Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309377690. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care The National Academy of Me…

  18. National Patient Safety Goals | PSNet

    psnet.ahrq.gov/primer/national-patient-safety-goals
    January 16, 2025 - surgical errors by ensuring that the right surgical procedure is conducted on the right patient at the correct

  19. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment | PSNet

    psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
    June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment Citation Text: Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33872/psn-pdf
    January 01, 2018 - medication discrepancies, but lack of integration with the EHR made the discrepancies difficult to correct
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