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psnet.ahrq.gov/node/47779/psn-pdf
June 12, 2019 - unstructured physician progress notes for antibiotic medications being used to treat keratitis, an eye
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-27
June 16, 2019 - includes examples of errors due to drug labels and dosage as well as danger with look-alike, color-coded eye
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digital.ahrq.gov/ahrq-funded-projects/exploring-clinically-relevant-image-retrieval-diabetic-retinopathy-diagnosis/final-report
January 01, 2023 - Population
Adults
Researcher
Medical Condition
Diabetes Mellitus
Ophthalmologic (Eye
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-chg-showering.docx
March 01, 2022 - Avoid eyes and ear canals.
· Tell patient this is their protective bath. … Avoid getting into eyes and ear canals.
5.
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psnet.ahrq.gov/node/35179/psn-pdf
June 06, 2016 - Eye (Lond). 2006;20(3):275-82.
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meps.ahrq.gov/data_files/publications/st518/stat518.shtml
December 01, 2018 - received the recommended monitoring tests examined in this Brief (blood cholesterol testing, foot exam, eye … by a health professional include blood cholesterol check, checking of feet for sores or irritations, eye … (59.3 percent) and Asians (56.5 percent) were less likely than whites (67.1 percent) to have had an eye … Which of the following year(s) did you have an eye exam in which your pupils were dilated? … Persons who did not respond to the eye exam (1.2 percent) are excluded from estimates.
-
psnet.ahrq.gov/node/38566/psn-pdf
April 15, 2009 - realizing the benefits of information technology, and approaching every issue through the patient's
eyes … psnet.ahrq.gov/issue/improving-safety-information-technology
https://psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
-
psnet.ahrq.gov/node/40659/psn-pdf
August 03, 2011 - psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
This study demonstrated the potential utility of eye-tracking
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-teach-back-inpatient-medical-guide.pdf
June 02, 2025 - She is not
interrupted, and the team displays attention with good eye contact:
• I am Concerned.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist4-cleaning-disinfect.pdf
June 02, 2025 - Disinfection of the Dialysis
Station Procedural Checklist #4
☐ Don gown, gloves, and impermeable mask/eye
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-chg-showering.pdf
March 01, 2022 - Avoid eyes and ear canals.
• Tell patient this is their protective bath. … Avoid getting into eyes and ear canals.
5.
-
www.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
December 01, 2020 - Slide 5
Typical Explanation
A bulls-eye graphic depicting how we typically try to move effective … A bulls-eye graphic depicting how we typically try to move effective practice to scale: We start with
-
psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report
May 03, 2023 - April 3, 2019
Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health … January 17, 2019
"It is the left eye, right?"
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psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
March 29, 2023 - View More
Related Resources
Prevent administration of ear drops into the eyes … April 22, 2017
Case report of a medication error: in the eye of the beholder.
-
psnet.ahrq.gov/node/38097/psn-pdf
January 02, 2017 - what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported
https://psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care … https://psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
-
psnet.ahrq.gov/node/34038/psn-pdf
December 22, 2008 - Discussion includes an eye toward the role that NASA's organizational culture and sharing of
knowledge
-
psnet.ahrq.gov/node/37483/psn-pdf
January 01, 2010 - nursing-and-patient-safety-operating-room
https://psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
-
www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
December 01, 2012 - Rounds
CUSP Toolkit
Communication among disciplines can be improved if viewed through the eyes … Communication among disciplines can be improved if viewed through the eyes of an objective observer.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
June 02, 2025 - review of 969 patients, 17 health centers
Processes of care improved (testing for HbA1c, foot exams, eye … Control (n = 8)†
Checklist or flow-sheet for:
HbA1c testing 4/5 6/8
Cholesterol testing 1/5 6/8
Eye … disease services 0/4 3/8
Shared communication:
HbA1c testing 2/4 2/8
Cholesterol testing 2/4 2/8
Eye … (n = 8)†
Checklist or flow-sheet for:
HbA1c testing 4/5 6/8
Cholesterol testing 1/5 6/8
Eye … services 0/4 3/8
Shared communication:
HbA1c testing 2/4 2/8
Cholesterol testing 2/4 2/8
Eye
-
psnet.ahrq.gov/node/37343/psn-pdf
December 02, 2008 - The most common adverse events included wrong lens implants and wrong eye
operations, and the authors