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psnet.ahrq.gov/node/49541/psn-pdf
August 21, 2007 - event occurred as a result of a cognitive error, the lack of a clear dental diagram (Figure) with the correct … The following comprise the Universal Protocol:
Preoperative verification process (correct patient, chart … Any question or confusion about the
correct tooth to be extracted should prompt a call to the referring … Confirm that the patient, chart, and x-ray (properly oriented) are correct and confirm which
tooth is … Take-Home Points
Incorporate the preoperative verification process into clinical practice (correct patient
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psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - Numerous reports have documented unintentional
failures to connect the correct tubing between intravenous … Connecting correct tubes seems like a deceptively easy task to accomplish, making it even more
perplexing … when a skilled practitioner misconnects tubes after years of correct connections. … products often
change.(4) Other measures include requiring nurses to trace lines in order to identify the correct … Practices suggests: (i) always trace the port and tubing back to its insertion
site to verify the correct
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psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - In the latter setting, a “correct” result is based on a scientifically validated gold
standard. … scientifically validated gold standards for surgical pathology diagnosis often do not exist, the
“correct … ” result is the most precise diagnosis.2 In other words, the correct diagnosis is the most
reproducible … important that policies, procedures, and other systems be designed
to support the determination of the correct … Take-Home Points
Establishing a timely and correct pathology diagnosis is the goal for all patients,
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psnet.ahrq.gov/node/837848/psn-pdf
August 17, 2022 - J Correct Health Care. 2022;28(3):141-147.
doi:10.1089/jchc.20.07.0058.
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - lawsuits
were a result of wrong-site surgery.(9) As illustrated in this case, errors in identifying the correct … sites.(13) This suggests that use of preoperative biopsy site photography, while integral in an ideal correct … Independent of photography solutions, a useful correct surgery site protocol can be applied to the
ambulatory … surgery in 7983 Mohs micrographic surgeries performed; surgery
was occasionally deferred because the correct … Preoperative biopsy site photography and correct site protocols are two solutions that appear to be
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psnet.ahrq.gov/issue/medical-mistakes-are-more-likely-women-and-minorities
November 01, 2017 - April 14, 2021
These patients had to lobby for correct diabetes diagnoses. … March 6, 2024
These patients had to lobby for correct diabetes diagnoses.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.76_slideshow.ppt
October 01, 2004 - Oxygen and Air Flowmeters With Correct Adapters
Green, thin adapter on green O2 flowmeter
This slide … Administration Warning System in March 2002
Probably more common that oxygen tubing becomes disconnected from a correct … tubing to the wrong gas:
Eliminate air flowmeters
Permanently fix Christmas tree adapters to the correct
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - consulted again
and, after some embarrassment about their mistake, offered surgical repair of the correct … ., for surgery or IV placement) or has fallen off (e.g., in a neonate),
additional steps to ensure correct … techniques and checklists have
also been applied outside of procedural areas to improve safety and ensure correct … solution standpoint, the use of bar coding on patient wristbands already plays an
integral role in correct … the wristband may further
improve safety systems by reassuring providers that they are treating the correct
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psnet.ahrq.gov/node/865529/psn-pdf
April 10, 2024 - was used to determine eligibility for a kidney transplant and how transplant
centers are working to correct
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psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
December 12, 2012 - September 27, 2016
Strategies used by critical care nurses to identify, interrupt, and correct … November 21, 2016
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/automated-dispensing-cabinets
September 27, 2010 - Don't assume they're safe; correct design and use are crucial. Am J Nurs. 2007;107(8):27-8. … Don't assume they're safe; correct design and use are crucial. Am J Nurs. 2007;107(8):27-8.
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - the presence of contradictory data,
leading to prolonged inappropriate therapy and a delay in the correct … the diagnostic reasoning processes (compared with medication errors), and lack of
consensus about correct … Neuroimaging was the correct choice of subsequent diagnostic
tests, but the CT scan of the brain was … Biopsy was probably the correct next diagnostic test if the lesion by MRI looked clearly like a malignancy … yield symptomatic
improvement in many conditions, including brain tumors with surrounding edema (the correct
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psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - and is a safe alternative to a pharmacist's
visual check.(12) Combining barcoding technology with correct … barcode on the patient label and then
scanning the barcode of the product being dispensed to ensure correct … Additionally,
during the barcode scanning process, an image of the scanned product can be viewed to verify correct … Combining barcode technology with correct tablet imaging can reduce risk of errors.
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psnet.ahrq.gov/node/50578/psn-pdf
October 23, 2019 - implementing-patient-safety-addressing-culture-conditions-and-values-help-
people-work-safely
The systems approach embodies a holistic strategy to correct
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - In the latter setting, a “correct” result is based on a scientifically validated gold standard. … ” result is the most precise diagnosis. 2 In other words, the correct diagnosis is the most reproducible … sampling error, the frozen section examination offers rapid diagnosis of surgeon-selected specimens with correct … important that policies, procedures, and other systems be designed to support the determination of the correct … Take-Home Points Establishing a timely and correct pathology diagnosis is the goal for all patients,
-
psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - lawsuits were a result of wrong-site surgery.( 9 ) As illustrated in this case, errors in identifying the correct … sites.( 13 ) This suggests that use of preoperative biopsy site photography, while integral in an ideal correct … Independent of photography solutions, a useful correct surgery site protocol can be applied to the ambulatory … surgery in 7983 Mohs micrographic surgeries performed; surgery was occasionally deferred because the correct … Preoperative biopsy site photography and correct site protocols are two solutions that appear to be effective
-
psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - was consulted again and, after some embarrassment about their mistake, offered surgical repair of the correct … e.g., for surgery or IV placement) or has fallen off (e.g., in a neonate), additional steps to ensure correct … techniques and checklists have also been applied outside of procedural areas to improve safety and ensure correct … solution standpoint, the use of bar coding on patient wristbands already plays an integral role in correct … the wristband may further improve safety systems by reassuring providers that they are treating the correct
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psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
July 07, 2010 - Download Citation
Related Resources From the Same Author(s)
Is the test result correct … March 10, 2011
Is the test result correct?
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psnet.ahrq.gov/node/866586/psn-pdf
August 28, 2024 - physicians regarding multiple choice accuracy, but demonstrates
flawed rationale even when it selected the correct
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psnet.ahrq.gov/node/48025/psn-pdf
June 19, 2019 - As with
prior studies, the performance of the online symptom checker in producing the correct diagnosis