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Total Results: 248 records

Showing results for "proper".

1. A Laceration that Needed a Proper Exam, Not an X-Ray | PSNet
   psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
   November 25, 2020 - SPOTLIGHT CASE A Laceration that Needed a Proper Exam, Not an X-Ray Citation Text … A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet]. … A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet]. … A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet].

2. Medical liability and patient safety: setting the proper course. | PSNet
   psnet.ahrq.gov/issue/medical-liability-and-patient-safety-setting-proper-course
   January 12, 2011 - Commentary Medical liability and patient safety: setting the proper course. … Medical liability and patient safety: setting the proper course. … Medical liability and patient safety: setting the proper course.

3. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. | PSNet
   psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
   April 13, 2011 - Study Utilizing improvement science methods to improve physician compliance with proper … Utilizing improvement science methods to improve physician compliance with proper hand hygiene. … Utilizing improvement science methods to improve physician compliance with proper hand hygiene.

4. Independent double checks: worth the effort if used judiciously and properly. | PSNet
   psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
   January 23, 2019 - Newspaper/Magazine Article Independent double checks: worth the effort if used judiciously and properly. Citation Text: Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. Copy Citation …

5. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
   psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
   July 22, 2020 - and helping providers to understand contributing factors are the first steps in preventing harm. 11 Proper … Proper handoff between providers . … At shift change and perhaps without a proper handoff, a different nurse took the tray with the prepared … A proper handoff report not only provides pertinent data about the patient, their condition, and case … In this case, proper pre-block checklists were not followed, medication labels were not checked by

6. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
   psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
   August 29, 2021 - : the appropriate documentation and recording of medications administered or wasted. 11 Lack of proper … These same principles apply to the proper timing and documentation of medication waste. … to expired/deteriorated medications that were prepared in a non-sterile environment. 1 In addition, proper … These policies should address the security and storage of medications, as well as proper oversight of … Organizations should ensure that staff are provided with proper education on wasting of medications.

7. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
   psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
   August 01, 2009 - irritation leading to gastrointestinal bleeding from gastritis or pressure necrosis. 2 Verification Methods Proper … crucial to patient safety, and handoff periods are particularly vulnerable to deficiencies in relaying proper … improve patient safety includes incorporating a low-cost, nursing-driven alternative technique to ensure proper … peripheral intravenous (IV) lines are flushed with saline and drawn back to ensure blood return to confirm proper … Take-Home Points Proper placement of an NG tube should always be confirmed prior to administration of

8. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
   psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
   March 15, 2023 - Understand how proper tracheostomy tube choice and sizing, as well knowledge of different tracheostomy … contribute to fluctuations in cuff pressures. 19 Hospital staff often have knowledge deficits about proper … teaching. 12,16 It is appropriate for ICU staff to check cuff pressures at the bedside when needed, but proper … Take-Home Points Proper tracheostomy tube choice and sizing can prevent leaks around cuffs and should

9. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/34909/psn-pdf
   February 27, 2009 - The authors conclude that, with proper feedback to physicians and resident education, such a program

10. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
    March 12, 2025 - The report makes recommendations for the proper use of monitoring equipment to ensure safety for intubated

11. Understanding and responding to adverse events. | PSNet
    psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
    July 19, 2019 - He also outlines steps for ensuring proper care of patients who have been harmed and providing adequate

12. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet
    psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
    November 16, 2022 - The authors suggest that the events were preventable had proper compliance with protocols taken place

13. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet
    psnet.ahrq.gov/issue/medication-dose-calculation-errors-and-other-numeracy-mishaps-hospitals-analysis-nature-and
    May 11, 2022 - These errors occurred due to lack of proper safeguards to intercept prescribing errors, stress, and bypassing

14. Rates of serious surgical errors in California and plans to prevent recurrence. | PSNet
    psnet.ahrq.gov/issue/rates-serious-surgical-errors-california-and-plans-prevent-recurrence
    March 09, 2022 - Recommended strategies to reduce and prevent never events include proper use of intraoperative checklists

15. Patient Safety in Canada: An Update. | PSNet
    psnet.ahrq.gov/issue/patient-safety-canada-update
    December 04, 2019 - October 31, 2023 Proper positioning of pharmacy label on Hospira PCA vials will avoid

16. Preventing patient positioning injuries in the nonoperating room setting. | PSNet
    psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
    November 21, 2012 - Proper positioning of the patient, with bolsters and padding, are illustrated.

17. Risk factors for adverse drug events: a 10-year analysis. | PSNet
    psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
    September 27, 2017 - Many medications remain at risk for producing an adverse drug event (ADE) despite proper ordering and

18. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867004/psn-pdf
    October 30, 2024 - network with the innovating organization, 3) completing the ED follow-up request form, and 4) making a proper … nurse case managers and cancer center navigators to ensure all patients with critical alerts receive proper

19. Patients with low health literacy make more errors interpreting instructions and warnings. | PSNet
    psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
    May 03, 2023 - May 3, 2023 Patient death tied to lack of proper escalation process for barcode scanning

20. A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety. | PSNet
    psnet.ahrq.gov/issue/proposal-use-common-ground-exists-between-medical-and-legal-professions-promote-culture
    December 15, 2021 - October 12, 2009 Medical liability and patient safety: setting the proper course.