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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - on understanding why most healthcare delivery processes are
successful and how they are performed correctly
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psnet.ahrq.gov/node/49464/psn-pdf
December 27, 2020 - Even when all the heat-dissipating mechanisms are in place and are functioning correctly, the temperature
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - overwhelmingly sought nondiagnostic data that fit their initial impressions, while only 17% of students correctly … One system correctly identified the correct diagnosis for 96% (n=50) of case records published in the
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psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
November 16, 2022 - Study
Surgical confusions in ophthalmology.
Citation Text:
Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol. 2007;125(11):1515-22.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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psnet.ahrq.gov/node/49822/psn-pdf
March 01, 2018 - and
expose patients to increased bleeding risk.(9)
Make sure thrombophilia testing is indicated and correctly … Make sure thrombophilia testing is indicated and correctly performed
7.
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - reports are all discoverable in court, if I understand the Florida
constitution as it affects this issue correctly … Those are all events that obviously have changed the reporting landscape, as you correctly note.
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
https://psnet.ahrq.gov//#references
impressions, while only 17% of students correctly … One system
correctly identified the correct diagnosis for 96% (n=50) of case records published in the
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psnet.ahrq.gov/issue/catching-and-correcting-near-misses-collective-vigilance-and-individual-accountability-trade
March 24, 2012 - Study
Catching and correcting near misses: the collective vigilance and individual accountability trade-off.
Citation Text:
Jeffs LP, Lingard LA, Berta W, et al. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. J Interprof Care. 201…
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psnet.ahrq.gov/issue/strategies-used-critical-care-nurses-identify-interrupt-and-correct-medical-errors
September 27, 2016 - Study
Strategies used by critical care nurses to identify, interrupt, and correct medical errors.
Citation Text:
Henneman EA, Gawlinski A, Blank FS, et al. Strategies used by critical care nurses to identify, interrupt, and correct medical errors. Am J Crit Care. 2010;19(6):500-9. doi:10…
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - The order was written correctly in the electronic medical record (EMR) for phenytoin, 800 mg IV.
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psnet.ahrq.gov/issue/intraoperative-communications-between-pathologists-and-surgeons-do-we-understand-each-other
June 28, 2023 - Study
Intraoperative communications between pathologists and surgeons: do we understand each other?
Citation Text:
Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arp…
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
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psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices
October 18, 2018 - Study
Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices.
Citation Text:
Lyons I, Blandford A. Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. App Ergon. 2018;67(Feb):104-114. doi:…
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psnet.ahrq.gov/issue/detection-classification-and-correction-defective-chemotherapy-orders-through-nursing-and
May 27, 2011 - Study
Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight.
Citation Text:
Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversig…
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - Study
Is the test result correct? A questionnaire study of blood collection practices in primary health care.
Citation Text:
Söderberg J, Wallin O, Grankvist K, et al. Is the test result correct? A questionnaire study of blood collection practices in primary health care. J Eval Clin Pr…
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psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
September 26, 2016 - Study
Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.
Citation Text:
Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - individual
clinician can also verify whether administering a loading dose is warranted and ordered correctly
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psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - Getting the (Right) Doctor, Right Away
August 21, 2016
Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
The Case
A 57-year-old woman with a history of chronic obstructive pulmonary disease underwent hip surgery.
Postop…
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - In contrast, all biopsy sites were correctly identified when using prebiopsy photographs of skin lesions
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - April 5, 2017
Are physician assistants able to correctly identify prescribing errors?