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psnet.ahrq.gov/issue/problem-5-whys
July 19, 2023 - September 26, 2012
Patients' perceptions of importance for self-administered correct
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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - transfusion-associated infectious disease.( 1 ) As is well demonstrated in this case, safe transfusion begins with the correct … ED staffs are acutely sensitive to these issues and have adopted strategies to help achieve the correct … Bar codes were introduced to correct this flawed practice, but the solution provided merely an illusion
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - The correct leg was then prepared, and the patient underwent successful surgery. … right versus left mistakes) or on the
wrong patient, or the performance of the wrong procedure on the "correct
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
October 01, 2003 - Ensuring correct surgery; 2002. … AORN position statement on correct site surgery. http://www.aorn.org/about/positions/correctsite.htm
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - 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
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psnet.ahrq.gov/node/867136/psn-pdf
November 13, 2024 - Detecting clinical medication errors with AI enabled
wearable cameras.
November 13, 2024
Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable
cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2.
https://psnet.ahrq.gov/issue/detecting-clinical-medication…
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psnet.ahrq.gov/issue/cultivate-discussions-psychologically-safe-workplace-part-1-and-part-ii
August 11, 2021 - June 10, 2018
Correct use of inhalers: help patients breathe easier.
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psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
August 16, 2023 - March 6, 2024
These patients had to lobby for correct diabetes diagnoses.
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psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
September 20, 2023 - March 6, 2024
These patients had to lobby for correct diabetes diagnoses.
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psnet.ahrq.gov/issue/surgical-site-verification-through-z
October 26, 2022 - July 28, 2010
Doing the "right" things to correct wrong-site surgery.
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psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
March 15, 2022 - August 9, 2023
Correct use of inhalers: help patients breathe easier.
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psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
June 14, 2023 - September 27, 2016
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/drugmakers-are-abandoning-cheap-generics-and-now-us-cancer-patients-cant-get-meds
September 20, 2023 - March 6, 2024
These patients had to lobby for correct diabetes diagnoses.
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - availability of an intraoperative CXR was very important in this case because it helped to
make the correct … patient did not suffer any harm from his transient
increase in airway pressure because the team made the correct … When the airway is completely obstructed, there is limited time to make a diagnosis and correct the
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psnet.ahrq.gov/node/73225/psn-pdf
May 05, 2021 - Black or 'other'? Doctors may be relying on race to make
decisions about your health.
May 5, 2021
Smith J, Spodak C. CNN. April 25, 2021.
https://psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health
Race-adjusted decision making tools perpetuate the potential for diagnos…
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psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
October 30, 2024 - Study
Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments.
Citation Text:
François P, Lecoanet A, Caporossi A, et al. Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical …
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - Having a dedicated radiologist read all images the following workday ultimately led to this patient's correct … indication of a life-threatening emergency, and a high level of expertise may be required for their correct … Correct interpretation may provide critical information in life-threatening emergencies.
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psnet.ahrq.gov/node/35941/psn-pdf
May 24, 2006 - Ability of practitioners to identify solid oral dosage
tablets.
May 24, 2006
Schiff GD; Kim S; Seger AC; Bult J; Bates DW.
https://psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
The investigators tested physicians' and pharmacists' ability to correctly identify three commonly used
t…
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psnet.ahrq.gov/issue/quality-and-safety-0
August 03, 2016 - September 27, 2016
Strategies used by critical care nurses to identify, interrupt, and correct