-
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
-
www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - Record and Verification (R&V) systems or Picture Archiving and Communication (PAC) systems,
following correct … accepts a fingerprint, identifies
the patient, verifies with a second fingerprint, and opens the correct … patient position and availability of correct implants and any necessary special equipment. … accepts a fingerprint, identifies the patient,
verifies with a second fingerprint, and opens the correct … So far, the false positive (in which the verified patient is not correct) is
0.
-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
December 01, 2017 -
Before Skin Incision
TIMEOUT
Introduction of team
Confirmation:
Correct … Patient Leaves Operating Room
SIGN OUT
Nurse verbally confirms with team:
Count correct
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
December 01, 2017 - ___________________
Before Skin Incision
TIMEOUT
· Introduction of team
· Confirmation
· Correct … blockade
Before Patient Leaves Operating Room
SIGN OUT
· Nurse verbally confirms with team
· Count correct
-
www.ahrq.gov/cahps/item-sets/index.html
October 01, 2024 - Revise ALL skip instructions in the questionnaire to make sure they point the respondent to the correct … Be sure to delete “core question” and make sure the item number in the skip instructions is correct after
-
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,
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berner-es-et-al-1999
January 01, 1999 - a previous study] suggest that the DDSS served a prompting function by reminding physicians of the correct … The physicians were more likely to select the correct diagnosis when the DDSS displayed it.
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ullah-r-et-al-2002
January 01, 2002 - All of the next 22 patients had a correct diagnosis and management plan. … Comparison of data from the two types of consultation showed that a correct diagnosis and management
-
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.
-
digital.ahrq.gov/track-9-emerging-approaches-drive-change-healthcare
January 01, 2023 - Track 3 | Track 4 | Track 5 | Track 6 | Track 7 | Track 8 | Track 9
Track 9-I Plausibly correct … illustrate four instances when the lack of a human intermediary led to conclusions that were plausibly correct
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - identification can help healthcare providers quickly identify the patient, the site
of surgery, or correct … et al., 2010).1 The researchers also
found that an indelible marker pen was used for 88 percent of correct … marking cases and an arrow was
used for 64 percent of correct marking cases. … enrolled patients were compliant with marking before surgery, in all instances patients marked the
correct … Current practice on preoperative correct site surgical marking.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2b.html
October 01, 2014 - All of the following are correct except:
CUS stands for I am Concerned, I am Uncomfortable, the Safety … All of the following are correct except:
CUS stands for I am Concerned, I am Uncomfortable, the Safety
-
digital.ahrq.gov/sites/default/files/docs/survey/use-web-based-health-information-patient-practice-portal-non-users.pdf
June 16, 2021 - on a website, would you be interested in… (Mark all that apply)
�Making sure your information is correct … ----------------------------------------------
19) Was your health information in MyPreventiveCare correct … useful
Not too
useful
Not at all
useful
Have
not
done
Making sure your
information is correct … Not too
useful
Not at all
useful
Have
not
done
Making sure your
information is correct
-
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.
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2012
January 01, 2012 - They also assessed whether patients were taking the correct medications in the correct dosages at the … correct times.
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-checklist.docx
June 02, 2025 - plan and possible difficulties
· Anesthetic plan
· Airway
· Anesthesia concerns
· All medications are correct … · Instrument, sponge, and needle counts are correct
· Name of the procedure performed
· Specimen labeling
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
June 02, 2025 - based on all the above questions, the episode of care under review has a missed
opportunity to make a correct … ERROR
• Keep the fundamental question in mind: could something different have been done to make the correct