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Total Results: 585 records

Showing results for "correctly".

81. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

82. Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet
    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…

83. Which End Is Which? | PSNet
    psnet.ahrq.gov/web-mm/which-end-which
    February 09, 2011 - bowel obstruction caused by reversing the colon loops during laparoscopic surgery, is preventable by correctly

84. Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. | PSNet
    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…

85. Check the Wristband | PSNet
    psnet.ahrq.gov/web-mm/check-wristband
    August 03, 2009 - check for the correct chart, failure to check the wristband, and failure to obtain patient information correctly

86. An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes? | PSNet
    psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy-corrective-action-and
    October 07, 2020 - Study An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes? Citation Text: Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensat…

87. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
    September 01, 2007 - Wachter, Editor, AHRQ WebM&M: You started Better with a story about the "eyeball test"—a resident correctly … Yes, some people will not use that information correctly or not use it at all, but the dominant effect

88. Strategies and Approaches for Investigating Patient Safety Events | PSNet
    psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
    March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events Citation Text: Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Fo…

89. The Forgotten Radiographic Read | PSNet
    psnet.ahrq.gov/web-mm/forgotten-radiographic-read
    June 07, 2016 - To say that the intern should have interpreted the image correctly while simultaneously confirming the

90. Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. | PSNet
    psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
    November 04, 2020 - Study Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. Citation Text: Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …

91. Undiagnosed Vaginal Bleeding | PSNet
    psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
    July 06, 2022 - It is well known that the Pap smear is an imperfect test, failing to correctly diagnose up to 50% of

92. Safety in the Prehospital Emergency Medical Services Setting | PSNet
    psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
    May 01, 2019 - set them up for failure because we don't set our equipment boxes or our ambulance stock cabinets up correctly … take a breath, before they engage in patient care to gather the appropriate information and to do it correctly

93. Evaluation of perioperative medication errors and adverse drug events. | PSNet
    psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
    July 16, 2019 - Study Classic Evaluation of perioperative medication errors and adverse drug events. Citation Text: Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000…

94. In Conversation with...Dean Schillinger, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
    March 01, 2009 - this core knowledge has been successfully digested, while confirming at each step that the patient correctly … providers should review key self-care activities and verify that patients are performing health behaviors correctly

95. The Role of Health Literacy in Patient Safety | PSNet
    psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
    March 22, 2009 - this core knowledge has been successfully digested, while confirming at each step that the patient correctly … providers should review key self-care activities and verify that patients are performing health behaviors correctly

96. In Conversation with…William B. Munier, MD, MBA | PSNet
    psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
    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.

97. Becoming a Patient Safety Organization | PSNet
    psnet.ahrq.gov/perspective/becoming-patient-safety-organization
    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.

98. Wrong Catheter in the Right Patient | PSNet
    psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - This helps ensure that one has heard and transcribed an order correctly.

99. Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. | PSNet
    psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level
    February 03, 2011 - Study Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. Citation Text: Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…

100. ABCDEF Bundle Data Literacy Training, Performance Measurement Tracking, and Performance Feedback | PSNet
     psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
     September 23, 2024 - bridge of knowledge connects clinical practice with IT data infrastructure so that reports are built correctly