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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - functionality unexpectedly after a routine system
upgrade; and inadvertent interactions between otherwise correctly … otherwise not
working as designed.(15)
Network problem prevented remote allergy checking
from working correctly … clinician to enter order for 38-fold
overdose of medication.(28)
Health IT is well-designed and working correctly … the room
following patient scan.(29)
Health IT is working as designed and was
configured and used correctly
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
August 01, 2024 - While the failure to correctly interpret a diagnostic test result may reflect knowledge gaps or cognitive
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfmeasures.pdf
June 02, 2025 - self-monitoring to assess level of asthma control
and to recognize signs of worsening asthma; taking medications correctly
-
digital.ahrq.gov/2018-year-review/executive-summary
January 01, 2018 - American Sign Language as a language option), functionality (e.g., implement voiceover and dictation correctly … Providers testing the prototype CPOE correctly placed medication orders 95 percent of the time, compared
-
www.ahrq.gov/patient-safety/reports/engage/appe.html
March 01, 2017 - Definition: Medication management on behalf of the patient is often a safety issue when patients do not correctly
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Lapane_Q2_Focus_Groups_Consent_Form.pdf
June 16, 2021 - information that you tell us to help us design materials aimed at helping
people take their medicines correctly … better materials to help people take
Patient/caregiver focus group consent 3
their medicines correctly
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/white-paper-machine-learning-tools-v2.pdf
July 01, 2025 - identified
relevant studies out of all relevant studies;
• Precision, defined as the number of correctly … They report that the tool correctly labeled a
median 81 percent of articles across 12 reviews (range … and 86
percent for differentiating distinct studies correctly.130 In 2020, an updated evaluation of … 20 ESPs
reported similar results: 91.4 percent for grouping papers from the same trial correctly and … 94
percent for differentiating distinct studies correctly.131
3.
-
psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - that the examiner not "help" the patient with verbal or non-verbal cues. 0 = Answers both questions correctly … . 1 = Answers one question correctly. 2 = Answers neither question correctly. ______ 1c. … Only the first attempt is scored. 0 = Performs both tasks correctly. 1 = Performs one task correctly … . 2 = Performs neither task correctly. ______ 2.
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psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
March 25, 2020 - Policies and processes (e.g., lack of standardized processes, procedures not followed correctly) was
-
psnet.ahrq.gov/issue/enhancing-high-alert-medication-knowledge-among-pharmacy-nursing-and-medical-staff
December 15, 2021 - knowledge of high-alert medications, confidence significantly increased, and most respondents could correctly
-
psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies
June 14, 2023 - were technical errors (63%) and commission errors (69%; defined as failure to perform a surgical step correctly
-
psnet.ahrq.gov/issue/errors-drug-computations-during-newborn-intensive-care
December 15, 2021 - a series of examples, study participants scored well if a high percentage of problems were answered correctly
-
psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
October 20, 2021 - a significant threat to patient safety, as participants had difficulty defining and describing, and correctly
-
psnet.ahrq.gov/issue/guidelines-us-hospitals-and-clinicians-assessment-electronic-health-record-safety-using-safer
June 24, 2020 - in clinical communication improvement while harboring threats to safety if not implemented and used correctly
-
psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
April 03, 2019 - Participants correctly identified the medications with icons slightly more often.
-
psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
June 23, 2021 - Dialysis is a common procedure that carries risks if not performed correctly.
-
psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
July 07, 2021 - studied medical records of heart attack victims and found that 12% did not have their tests interpreted correctly
-
psnet.ahrq.gov/issue/electronic-medication-reconciliation-tools-aimed-healthcare-professionals-support-medication
December 02, 2020 - Medication reconciliation at transition of care ensures patients are correctly receiving medications
-
psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children
October 20, 2021 - After implementation, the percentage of electronic health record (EHR) alerts correctly describing high-risk
-
www.ahrq.gov/news/newsroom/case-studies/202003.html
June 01, 2020 - clinical staff to verify that patients are taking the right medications, learn whether they're taking them correctly