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psnet.ahrq.gov/node/47603/psn-pdf
March 20, 2019 - Research has shown that use of
barcodes to ensure correct patient identification can reduce medication
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psnet.ahrq.gov/node/41281/psn-pdf
April 11, 2012 - Catching and correcting near misses: the collective
vigilance and individual accountability trade-off.
April 11, 2012
Jeffs LP, Lingard LA, Berta W, et al. Catching and correcting near misses: the collective vigilance and
individual accountability trade-off. J Interprof Care. 2012;26(2):121-6. doi:10.3109/13561820.…
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psnet.ahrq.gov/node/49778/psn-pdf
December 01, 2016 - positive yeast culture had been correctly called in to
the bedside nurse, who then relayed to the correct … The resident who placed the order had, in fact, called the infectious disease fellow,
described the correct … would likely help providers avoid errors like the one in this case or recognize
them immediately and correct … Review of significant positive microbiology results by infectious disease specialists can detect and
correct
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psnet.ahrq.gov/node/38072/psn-pdf
February 15, 2011 - Detection, classification, and correction of defective
chemotherapy orders through nursing and pharmacy
oversight.
February 15, 2011
Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective
Chemotherapy Orders Through Nursing and Pharmacy Oversight. J Patient Saf. 2008;4(3):195…
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psnet.ahrq.gov/node/60671/psn-pdf
July 08, 2020 - Hidden in plain sight — reconsidering the use of race
correction in clinical algorithms.
July 8, 2020
Vyas DA, Eisenstein LG, Jones DS. Hidden in plain sight — reconsidering the use of race correction in
clinical algorithms. N Engl J Med. 2020;383(9):874-882. doi:10.1056/nejmms2004740.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - patient’s identity in the electronic health record and returned confident that they were working with the correct … almost nothing, and have a mean duration of 36 seconds. 10 A time-out should consist of confirming the correct … procedure is planned on the correct body part with the correct patient. … are designated time periods prior to invasive operations or procedures where the team confirms the correct
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psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - -
site surgery (Table 1).(2) Wrong-level or -part surgery is a surgical procedure performed at the correct … 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
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psnet.ahrq.gov/issue/inpatient-notes-diagnostic-excellence-starts-incessant-watch
August 31, 2022 - Effective problem-solving skills are a key component to achieve a correct diagnosis .
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psnet.ahrq.gov/node/44477/psn-pdf
October 14, 2015 - Student knowledge also improved significantly, but overall scores were still quite poor (20.8% correct
-
psnet.ahrq.gov/node/43799/psn-pdf
January 07, 2015 - where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
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psnet.ahrq.gov/node/40263/psn-pdf
March 02, 2011 - trauma-resuscitation-errors-and-computer-assisted-decision-support
Accurate initial assessment and resuscitation of trauma patients is critical to ensuring correct
-
psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients
https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
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psnet.ahrq.gov/node/43893/psn-pdf
March 04, 2015 - pharmacist medication
history about half the time; combining them increased the odds of obtaining a correct
-
psnet.ahrq.gov/node/48084/psn-pdf
August 14, 2019 - an ethnographic study of physicians on academic inpatient rounds to identify barriers to timely and correct
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psnet.ahrq.gov/node/845361/psn-pdf
March 29, 2023 - developed marking procedure for ENT surgery that accomplishes four objectives:
(1) clearly marks the correct
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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
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psnet.ahrq.gov/node/44347/psn-pdf
November 20, 2015 - An experimental study of medical error explanations: do
apology, empathy, corrective action, and compensation
alter intentions and attitudes?
November 20, 2015
Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy,
Corrective Action, and Compensation Alter Intentions and Attit…
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psnet.ahrq.gov/node/46658/psn-pdf
April 18, 2018 - Safer healthcare at home: detecting, correcting and
learning from incidents involving infusion devices.
April 18, 2018
Lyons I, Blandford A. Safer healthcare at home: detecting, correcting and learning from incidents involving
infusion devices. App Ergon. 2018;67(Feb):104-114. doi:10.1016/j.apergo.2017.09.010.
htt…
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - 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.
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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