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psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
November 06, 2015 - July 10, 2024
Are physician assistants able to correctly identify prescribing errors?
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psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
September 11, 2013 - 2011
Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - supports greater use of information technology to improve medication safety.( 12 ) CPOE systems, when correctly … Pharmacists are accustomed to correctly interpreting handwritten prescriptions. … Electronic medical records with computerized provider order entry systems, when implemented correctly
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psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
December 02, 2020 - Correctly assessing a patient’s functional cognitive status and using their functional status to inform
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psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication
December 30, 2014 - 2011
Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - interact regularly to ensure drug libraries are updated, the electronic health record (EHR) is interfacing correctly … multimodal interventions and improved medication labeling lead to fewer medication errors. 1 Each correctly … In this case, a nurse prepared and labeled the medications correctly, but apparently placed all medications
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - x-rays (who are the content experts in image interpretation) the surgeon
“read” the image and did not correctly … Later review of the x-ray by radiologists correctly
identified the lap pad marker and the patient was
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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - Used correctly, SBAR can be
an effective tool to minimize authority gradients.
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - When the trigger correctly identifies an adverse event, causative factors can be
determined and interventions
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - Not only must care be performed correctly and safely, but for a subset of patients experiencing time-sensitive … It is critical that clinical assessments and procedures be performed correctly and safely to reduce the … adds on top of that is the assessment of when medical interventions are needed, are they done and done correctly … So, within that entire span of care for that individual, did we do our part in getting it set up correctly
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - anticoagulant, with 30 million prescriptions written per year in the United States alone.( 1 ) When taken correctly … The medical team correctly continued the patient's warfarin on admission; patients in whom warfarin is
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psnet.ahrq.gov/web-mm/worst-headache
July 01, 2016 - diagnosis, (ii) not understanding the limitations of computed tomography (CT), and (iii) not performing or correctly … Even when these tests are performed, however, clinicians sometimes fail to interpret the results correctly
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psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - Used correctly, SBAR can be an effective tool to minimize authority gradients.
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - same as simply repeating the order, as “read back” helps ensure the recipient has both heard the order correctly … and transcribed it correctly. 1 However, an ISMP member survey in 2017 revealed that the practice of
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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/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
May 18, 2022 - Commentary
Health care quality and safety in a correctional system: creating goals and performance measures for improvement.
Citation Text:
Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating goals and performance measures for improve…
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - 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/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention
Citation Text:
Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Cop…
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - When the trigger correctly identifies an adverse event, causative factors can be determined and interventions
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - model these skills and be vigilant to ensure that what they are passing on is accurate and performed correctly … .( 6 ) The reassurance offered to those in training by watching their faculty member correctly make diagnoses