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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-tree
January 01, 2023 - BRAINSTORM QUESTIONS that you need to answer in order to arrive on the correct decision.
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - The above outlined process performed by the surgical team ensures that the correct medications are selected … medication dispensing machine serving the ophthalmology operating room would only be stocked with the correct … Because the label was correct on the container, the surgical team was able to identify the error quickly … This case illustrates how it can be challenging to ensure that the correct diluent is selected for either … to discuss all medications prior to the start of an operation. 18 The opportune time to ensure that correct
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - The above outlined process performed by the surgical team ensures that the correct medications are
selected … medication dispensing machine serving the
ophthalmology operating room would only be stocked with the correct … Because the label was correct
on the container, the surgical team was able to identify the error quickly … This case illustrates how it can be challenging to ensure that the correct diluent is selected for either … to discuss all medications
prior to the start of an operation.18 The opportune time to ensure that correct
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psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - It also highlights that the correct diagnosis and treatment of LAST in the operating
room is critically … member should introduce him or herself by name and role, confirm out loud that they are
performing the correct … operation on the correct patient and site and then verbally review with one another,
in turn, the critical
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - information-gathering—such as the appearance of the pleural fluid—frequently help point physicians to the correct … fluid resuscitation, and early antibiotics, some or all of which occurred in this case even without the correct … picture archiving and communication systems), concerted emphasis on other aspects of safety besides correct
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - but a recount does, one simply stops there—ignoring the possibility that the previous discrepancy was correct … Incorrect counts and incorrect "correct" counts should trigger an adjunctive procedure, such as a portable … The critical question is not "Was the count correct?"
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psnet.ahrq.gov/node/46267/psn-pdf
December 21, 2017 - In
this randomized controlled trial, parents of children younger than 9 were able to demonstrate a correct
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psnet.ahrq.gov/node/44244/psn-pdf
November 03, 2015 - It is not clear how often the second opinions were correct and
whether they actually led to better patient
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www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
December 01, 2024 - to assure the accuracy of the information within these pages, the ultimate
responsibility for the correct
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psnet.ahrq.gov/node/40200/psn-pdf
July 02, 2014 - prompts providers to optimize their cognitive approach, a differential diagnosis checklist to ensure correct
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psnet.ahrq.gov/node/44112/psn-pdf
November 03, 2015 - Investigators found
failure to initiate the correct treatment and failure to order a needed diagnostic
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - wrong-site surgery ( Table 1 ).( 2 ) Wrong-level or -part surgery is a surgical procedure performed at the correct … intraoperative imaging following exposure and marking a fixed anatomic structure should be used to determine the correct … would have been given the opportunity to review the imaging and identify the renal mass and thus, the correct … Wrong Level or Part A surgical procedure performed at the correct site but at the wrong level or part
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-comments.pdf
March 28, 2019 - If it is describing a
number, fewer would be correct.
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - professionals and administrators
have often showed greater engagement in patient safety than physicians, but correct … certification examination showed that, for cases involving
diagnosis, changing an answer from incorrect to correct … occurred nearly twice as often as changing an
answer from correct to incorrect.
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Although inserting an NG tube appears to be a relatively simple procedure, one must follow correct placement … Other ways of assessing correct tube placement include capnography and radiography. … Capnography confirms correct feeding tube placement in intensive care unit patients.
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psnet.ahrq.gov/node/836935/psn-pdf
April 13, 2019 - Root Cause Analysis: The Core of Problem Solving and
Corrective Action, Second Edition.
April 13, 2019
Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. ISBN: 9780873899826.
https://psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
Root cause analysis is a widely use…
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psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - a recount does, one simply stops
there—ignoring the possibility that the previous discrepancy was correct … Incorrect counts and incorrect "correct" counts should trigger
an adjunctive procedure, such as a portable … The critical question is not "Was the count correct?"
-
digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain/annual-summary/2010
January 01, 2010 - They achieved a 70 percent rate of correct identification of patient complaints when chest pain was the … single patient complaint, and a 50 percent rate of correct identification when the patient had multiple
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
May 01, 2017 - Appendix K. Quality Improvement Study Framework - Implementation Guide
Study Elements
Element
Definition
Things To Keep in Mind
The Purpose
Define the problem and why it is important.
Avoid suggesting causes in the purpose statement. Cause determination will come later afte…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
June 02, 2025 - Quality Improvement Study Framework
Element
Definition
Things To Keep in Mind
The Purpose
Define the problem and why it is important.
· Avoid suggesting causes in the purpose statement. Cause determination will come later after the data have been analyzed.
· Speculating about the cause of a problem before a th…