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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - 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/37908/psn-pdf
June 10, 2010 - Investigators discovered that the majority of RFOs occurred in patients with reportedly correct
counts
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psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor
April 16, 2018 - September 16, 2009
What is Correct-Site Surgery?
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psnet.ahrq.gov/node/45483/psn-pdf
March 20, 2018 - In this study, researchers sought to assess whether a correct initial diagnosis had an
impact on the
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psnet.ahrq.gov/node/45880/psn-pdf
June 29, 2017 - tool improved diagnostic
accuracy significantly: 68% of visits using decision support reached the correct
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022927-primack-final-report-2017.pdf
January 01, 2017 - Each of
the items were designed to have five choices and one correct answer. … Performance characteristics of knowledge-based items were
quantitatively assessed based on: percentage of correct … answers at baseline (to detect items that
were too easy or assessed common knowledge), percent of correct … answers at follow-up (to assess
items that were too difficult), and pre-to-post change in percentage correct … We conducted descriptive analyses on individual items (e.g., mean
proportion of correct answers at
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psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
April 17, 2024 - Study
Putting the "action" in RCA(2): an analysis of intervention strength after adverse events.
Citation Text:
Zerillo JA, Tardiff SA, Flood D, et al. Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Jt Comm J Qual Patient Saf. 2024;50(7):492-49…
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psnet.ahrq.gov/node/44031/psn-pdf
November 03, 2015 - overdiagnose these specimens (i.e., ascribe a diagnosis of cancer or pre-
cancerous lesions when the correct
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www.uspreventiveservicestaskforce.org/uspstf/pdf-help
December 01, 2013 - Although PDF Files may print legibly on other printers, a PostScript® printer will ensure a correct rendering
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psnet.ahrq.gov/node/46196/psn-pdf
October 13, 2018 - used two different types of simulation—high fidelity (a cadaver)
and medium fidelity (an anatomically correct
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psnet.ahrq.gov/node/45553/psn-pdf
October 13, 2018 - previous studies, the most common types of CPOE errors included problems with transmitting
orders to the correct
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psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - Another way to look at it is that, in the health care industry, we are already pretty good at giving the correct … medication at the correct time to the correct patient. … For example, making
sure when patients have their EKGs done that the correct patient's identifier is
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hcup-us.ahrq.gov/db/state/siddist/2010_2011ARSIDCDDoc071414.pdf
January 01, 2010 - The HCUP Central Distributor State Inpatient Databases (SID) for Arkansas 2010 and 2011
contain incorrect expected payer information for two hospitals in 2010 (exactly 4 percent of all
discharges) and five hospitals in 2011 (about one percent of all discharges). The 2010 and 2011
AR SID have been recreated with corr…
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - the positive yeast culture had been correctly called in to the bedside nurse, who then relayed to the correct … The resident who placed the order had, in fact, called the infectious disease fellow, described the correct … would likely help providers avoid errors like the one in this case or recognize them immediately and correct … Review of significant positive microbiology results by infectious disease specialists can detect and correct
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
View more articles from the same authors.
Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - transfusion-associated infectious disease.(1) As is well demonstrated in this case, safe transfusion begins
with the correct … ED staffs are acutely sensitive to these issues and have adopted strategies
to help achieve the correct … Bar codes
were introduced to correct this flawed practice, but the solution provided merely an illusion
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www.ahrq.gov/hai/patient-safety-resources/cli-checklist/index.html
February 01, 2024 - Central Line Insertion Care Team Checklist
This checklist provides sequential critical steps that have shown to reduce central line-associated infections.
Clinicians can take steps to prevent central line-associated infections. This checklist from Johns Hopkins Medicine provides critical steps that have been …
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-hazard-manager/annual-summary/2012
January 01, 2012 - Detailed information about the urgency of hazard correction and the steps taken to correct or mitigate
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - With respect to the "content" of a time out, the Joint Commission requires confirmation of the correct … patient, correct side and site, agreement on the procedure to be performed, correct patient position … May 27, 2010
Doing the "right" things to correct wrong-site surgery.