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psnet.ahrq.gov/issue/hidden-plain-sight-reconsidering-use-race-correction-clinical-algorithms
September 23, 2020 - Commentary
Classic
Hidden in plain sight — reconsidering the use of race correction in clinical algorithms.
Citation Text:
Vyas DA, Eisenstein LG, Jones DS. Hidden in plain sight — reconsidering the use of race correction in clinical algorithms. N Engl J Med. 20…
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psnet.ahrq.gov/node/45953/psn-pdf
July 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission
Guide to Analysis and Corrective Action of Sentinel and
Adverse Events.
July 22, 2020
Oakbrook Terrace, IL: Joint Commission Resources; 2020. ISBN: 9781635851618.
https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-…
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psnet.ahrq.gov/node/43393/psn-pdf
July 30, 2014 - Effectiveness of the surgical safety checklist in correcting
errors: a literature review applying Reason's Swiss
cheese model.
July 30, 2014
Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a
literature review applying Reason's Swiss cheese model. AORN J…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-insertion/unlicensed-staff/scenarios-instr.html
March 01, 2017 - Urinary Catheter Types and How To Care for Them Activity
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Staff Role Play—How good are your catheter care skills?
Roleplaying can be a helpful training and educational tool. Roleplaying allows staff to actively practice the skills they are learni…
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psnet.ahrq.gov/node/37688/psn-pdf
April 16, 2008 - Role of registered nurses in error prevention, discovery
and correction.
April 16, 2008
Rogers AE, Dean GE, Hwang W-T, et al. Role of registered nurses in error prevention, discovery and
correction. Qual Saf Health Care. 2008;17(2):117-21. doi:10.1136/qshc.2007.022699.
https://psnet.ahrq.gov/issue/role-registered-…
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psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
June 09, 2011 - Book/Report
Classic
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.
Citation Text:
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-hospital-linkage-techdoc-rev.pdf
January 01, 2021 - ’ names and addresses, and when necessary, conducted a web
search to confirm whether the match was correct … hospitals within CCNs can use the linkage file to
assign the multiple hospitals under a CCN to the correct … Is the correct language of the document set? … TOC links Passed Please verify that the page numbers referenced in the highlighted TOC are correct.
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psnet.ahrq.gov/node/41796/psn-pdf
January 18, 2013 - commonly use to prevent RSIs, but in this
study 45 of 59 RSI cases had counts that were erroneously "correct
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psnet.ahrq.gov/node/36303/psn-pdf
October 25, 2010 - Bar code technology has been widely recommended to reduce adverse drug events (ADEs) by ensuring
the correct
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psnet.ahrq.gov/node/35906/psn-pdf
May 27, 2011 - that resulted from the FMEA and presentation of the error types (eg, order and
treatment plan match, correct
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psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-
practices
Although ensuring the correct
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psnet.ahrq.gov/node/46434/psn-pdf
December 21, 2018 - evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant
https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - The correct dose therefore would require 4 vials and be equal to 3.2 mL to be added to a small IV bag … Such instructions should include explicit details about how to prepare the correct amount of medication … from one of "this is unusual, but I'll just get it done" to "this is unusual, I wonder whether it is correct
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
January 01, 2023 - abandon and reorder - when a prescriber begins a medication order, abandons it, and reorders for the correct … retract and reorder - when a prescriber cancels an order soon after signing it, and then reorders for the correct
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psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-requested-corrections-medical-record-through-use
October 02, 2024 - Study
Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey.
Citation Text:
Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested correc…
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - Patients with milder symptoms can be managed by
administering 0.5-2.0 ml/kg/hr of 3% saline, which should correct
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - The correct dose therefore would require 4
vials and be equal to 3.2 mL to be added to a small IV bag … Such instructions should include explicit details about how to prepare the correct
amount of medication … from one of "this is unusual, but
I'll just get it done" to "this is unusual, I wonder whether it is correct
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psnet.ahrq.gov/node/35742/psn-pdf
July 15, 2010 - Interestingly, even when a physician
defied the aid for the correct reasons, they were perceived no
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - One such technique is root cause analysis (RCA), commonly used to identify and correct the factors that … If we are correct, then the RCA tool is not the problem. … In this environment, it's not surprising that an RCA fails to uncover and correct system failures.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - that saying that I know that your hospital in general has improved across all
composites over time, correct