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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - contribute to coagulopathy.1
Laboratory test results can guide appropriate administration of therapies to correct … should be transfused in a ratio of components that simulates the composition of whole blood to help correct … access for large volume transfusion, blood products should ideally be given through a warmer to help correct … Correct any suspected coagulopathy, including contributing factors such as acidosis and hypothermia.
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - The patient and his daughter were also unable to clarify which dosage was correct. … identifying the most accurate list of all medications a patient is taking and then using this list to provide correct … counseling strategies are an important part of limiting discrepancies and may empower the patient to help correct … However, in Case 2, the pharmacist failed to resolve the discrepancy and dispense the correct medication … patient’s discharge medication profile to the retail pharmacy in Case 2 would also have clarified the correct
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digital.ahrq.gov/ahrq-funded-projects/patient-self-monitoring-transfer-physical-therapy-exercise-clinic-home
January 01, 2023 - The IBEHR reveals deviations from correct exercise form to help patients perform their exercise correctly
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - It is probably even more common for oxygen tubing to become disconnected from a correct flowmeter during … Interlocks enforce correct sequencing or isolate events in time; often they are used to prevent one action … The Pin Index System played no role here, since it forces the correct regulator on the matching tank … gas: - Eliminate air flowmeters; - Permanently fix Christmas tree adapters to the correct … The air and oxygen flowmeters with the correct Christmas tree adapters.
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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - • Differentiate the human and technologic roles involved in delivering the correct
blood to the … correct patient
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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician/annual-summary/2010
January 01, 2010 - The report is delivered to the correct printer at the correct clinic within 1 to 2 minutes of the patient
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www.ahrq.gov/news/newsroom/case-studies/cquips0611.html
October 01, 2014 - County Health Department in Oregon Launches Performance Improvement Activities With AHRQ's Patient Safety Culture Survey
Search All Impact Case Studies
September 2006
The Multnomah County Health Department in Portland, Oregon, initiated a patient safety culture project in 2005 using AHRQ's Hospital Survey o…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology4.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Types of Evidence Used To Assess Diagnosis
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Diagnostic Improvement
D…
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - The ED physician ordered the correct
loading dose of intravenous (IV) phenytoin, to be administered … computerized prescribing systems should have checks in place that flag
potential dosing errors and provide correct … systems should have dosing checks in place that not only flag potential
dosing errors, but also provide correct
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - Just Culture Webcast Presentation
University of North Carolina Health System
13
Celeste Mayer, PhD
University of North Carolina Health Care
System, Chapel Hill, NC
UNC Medical Center
• Public Academic Medical Center
• Memorial, Children’s, Neurosciences, Women’s and
Cancer Hospital
• ~850 beds
• Chapel Hill, N…
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psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - implementing-online-medication-reconciliation-large-academic-medical-center
Medication reconciliation—the process of cross-checking patients' medication lists to correct
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psnet.ahrq.gov/node/46550/psn-pdf
November 15, 2017 - professional interpreter perceptions regarding their role in patient safety
and found that it extends beyond correct
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psnet.ahrq.gov/node/47598/psn-pdf
November 28, 2018 - hospital-admissions-associated-medication-non-adherence-systematic-review-prospective
https://psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
July 05, 2011 - Results “well in utero surgeries can prevent elective abortions
of some fetuses, the ability to correct … difference in renal
failurebetween treated and untreated patients, the main
reasonto treat is to correct … We have changed the text
to reflect the correct name. … You are correct - we have deleted the
word "formal." … You are correct - we have deleted the
word "formal."
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixF_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - hardware for system,
clean existing heat exchange 1
“Definitive Fix”
HIM approved workflow to correct
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psnet.ahrq.gov/node/36975/psn-pdf
March 24, 2011 - Safety of telephone triage in general practitioner
cooperatives: do triage nurses correctly estimate
urgency?
March 24, 2011
Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do
triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4.
…
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psnet.ahrq.gov/node/42515/psn-pdf
October 24, 2013 - Using four-phased unit-based patient safety walkrounds
to uncover correctable system flaws.
October 24, 2013
Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to
uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39(9):396-403.
https://psnet.ahrq.g…
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meps.ahrq.gov/data_stats/nhc/fac-lvl.pdf
September 30, 1997 - Is that correct? … BACK UP TO CORRECT. … Is that correct? … Is that correct? … {FAVERIF1 IS SF’S NAME CORRECT?}
{FAVERIF3 IS SF’S ADDRESS CORRECT?}
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - drug–drug interactions and allergies, then release the appropriate quantity of the medication in the correct … Administration : the medication must be received by the correct person and supplied to the correct patient
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psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
September 02, 2020 - Study
Registration-associated patient misidentification in an academic medical center: causes and corrections.
Citation Text:
Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…