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Total Results: 585 records

Showing results for "correct".

381. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
     psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
     August 02, 2015 - both to follow the progression of underlying illness and to ensure that the team is working with the correct

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33584/psn-pdf
     March 15, 2025 - Communication Between Clinicians March 15, 2025 Communication Between Clinicians. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/communication-between-clinicians PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in…

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33591/psn-pdf
     March 15, 2025 - Triggers and Trigger Tools March 15, 2025 Triggers and Trigger Tools. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/triggers-and-trigger-tools PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safet…

384. Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? | PSNet
     psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
     July 11, 2018 - Study Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? Citation Text: Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.000…

385. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? | PSNet
     psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
     April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Citation Text: Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

386. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet
     psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
     March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules Citation Text: Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

387. Root Cause Analysis Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
     August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

388. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet
     psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
     April 24, 2018 - a dual tracer (Technicium-99 radiotracer and blue dye) decreases the surgeon’s ability to find the correct

389. Medication Mix-Up Leads to Patient Death | PSNet
     psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
     July 08, 2022 - the nurse both may have experienced confirmation bias as they believed the chosen medication bag was correct

390. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
     September 01, 2007 - small-bore solutions like putting in computers that could prevent medication errors and trying to find the correct

391. On the Other Hand | PSNet
     psnet.ahrq.gov/web-mm/other-hand
     December 12, 2012 - September 27, 2016 Strategies used by critical care nurses to identify, interrupt, and correct

392. Pocket Syringe Swap | PSNet
     psnet.ahrq.gov/web-mm/pocket-syringe-swap
     July 01, 2006 - Once the correct medication was administered, neuromuscular blockade was reversed.

393. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. | PSNet
     psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
     January 29, 2021 - Connecting the irrigation bag to the correct tubing when hanging it and using a dedicated irrigation

394. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room | PSNet
     psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
     February 01, 2019 - Miscalculated Risk August 1, 2006 WebM&M Cases Correct

395. The 2-Week Itch | PSNet
     psnet.ahrq.gov/web-mm/2-week-itch
     June 16, 2019 - Tell patients to insist on pharmacy counseling and verify correct medication and directions with pharmacist

396. The Role of Community Pharmacists in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
     October 24, 2021 - prescription you're getting is appropriately entered and accurately dispensed and that you're filling the correct … is that key component that happens before the patient goes home to ensure that all medications are correct

397. Eptifibatide Epilogue | PSNet
     psnet.ahrq.gov/web-mm/eptifibatide-epilogue
     March 04, 2011 - The intern entered the correct weight-based dosage of eptifibatide (a loading dose, followed by a maintenance

398. Good Catch in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/good-catch-operating-room
     August 27, 2017 - Acknowledge actions Team members should include supportive feedback to ensure correct understanding

399. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. | PSNet
     psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
     May 01, 2005 - While the patient’s understanding of the reason for referral to the ED may be correct, thorough evaluation

400. Autopsy Revelation | PSNet
     psnet.ahrq.gov/web-mm/autopsy-revelation
     December 01, 2007 - Of course, sophisticated tests do not guarantee correct diagnoses, even when they have apparently provided