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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - The above outlined process performed by the surgical team ensures that the correct medications are selected … medication dispensing machine serving the ophthalmology operating room would only be stocked with the correct … Because the label was correct on the container, the surgical team was able to identify the error quickly … This case illustrates how it can be challenging to ensure that the correct diluent is selected for either … to discuss all medications prior to the start of an operation. 18 The opportune time to ensure that correct
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - The above outlined process performed by the surgical team ensures that the correct medications are
selected … medication dispensing machine serving the
ophthalmology operating room would only be stocked with the correct … Because the label was correct
on the container, the surgical team was able to identify the error quickly … This case illustrates how it can be challenging to ensure that the correct diluent is selected for either … to discuss all medications
prior to the start of an operation.18 The opportune time to ensure that correct
-
psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - It also highlights that the correct diagnosis and treatment of LAST in the operating
room is critically … member should introduce him or herself by name and role, confirm out loud that they are
performing the correct … operation on the correct patient and site and then verbally review with one another,
in turn, the critical
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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
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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?"
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psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed
September 14, 2011 - that contribute to misdiagnosis among women and outlines strategies to help patients achieve the correct
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psnet.ahrq.gov/issue/organizing-patient-safety-failsafe-fantasies-and-pragmatic-practices
August 01, 2018 - The book suggests that though a systems orientation to safety improvement is the correct approach,
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psnet.ahrq.gov/node/46267/psn-pdf
December 21, 2017 - In
this randomized controlled trial, parents of children younger than 9 were able to demonstrate a correct
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psnet.ahrq.gov/node/44244/psn-pdf
November 03, 2015 - It is not clear how often the second opinions were correct and
whether they actually led to better patient
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psnet.ahrq.gov/node/40200/psn-pdf
July 02, 2014 - prompts providers to optimize their cognitive approach, a differential diagnosis checklist to ensure correct
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psnet.ahrq.gov/node/44112/psn-pdf
November 03, 2015 - Investigators found
failure to initiate the correct treatment and failure to order a needed diagnostic
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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
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - professionals and administrators
have often showed greater engagement in patient safety than physicians, but correct … certification examination showed that, for cases involving
diagnosis, changing an answer from incorrect to correct … occurred nearly twice as often as changing an
answer from correct to incorrect.
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Although inserting an NG tube appears to be a relatively simple procedure, one must follow correct placement … Other ways of assessing correct tube placement include capnography and radiography. … Capnography confirms correct feeding tube placement in intensive care unit patients.
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psnet.ahrq.gov/node/836935/psn-pdf
April 13, 2019 - Root Cause Analysis: The Core of Problem Solving and
Corrective Action, Second Edition.
April 13, 2019
Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. ISBN: 9780873899826.
https://psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
Root cause analysis is a widely use…
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psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - 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?"
-
psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - Patients with milder symptoms can be managed by administering 0.5-2.0 ml/kg/hr of 3% saline, which should correct
-
psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - Investigators discovered that the majority of RFOs occurred in patients with reportedly correct
counts
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psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor
April 16, 2018 - September 16, 2009
What is Correct-Site Surgery?
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psnet.ahrq.gov/node/45483/psn-pdf
March 20, 2018 - In this study, researchers sought to assess whether a correct initial diagnosis had an
impact on the