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psnet.ahrq.gov/issue/experts-offer-smart-tips-smart-pumps
May 20, 2020 - May 2, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
March 15, 2022 - June 10, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray
January 31, 2024
Wander J, Barnes DK. … A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024. … https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
Disclosure of Relevant Financial … Neither a sensory examination nor wound
https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
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psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
May 07, 2018 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/oral-syringes-crucial-and-economical-risk-reduction-strategy-has-not-been-fully-utilized
June 10, 2018 - December 27, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid
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psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events
June 10, 2018 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
May 02, 2018 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/improving-patient-and-worker-safety-opportunities-synergy-collaboration-and-innovation
May 30, 2012 - November 23, 2011
Patient safety begins with proper planning: a quantitative method to
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psnet.ahrq.gov/issue/how-hospital-design-saves-lives
July 06, 2011 - August 29, 2007
Proper positioning of pharmacy label on Hospira PCA vials will avoid
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psnet.ahrq.gov/issue/blind-obedience-and-unnecessary-workup-hypoglycemia-teachable-moment
March 14, 2022 - 30, 2022
Utilizing improvement science methods to improve physician compliance with proper
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psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - May 3, 2023
Patient death tied to lack of proper escalation process for barcode scanning
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psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion
May 03, 2023 - May 3, 2023
Patient death tied to lack of proper escalation process for barcode scanning
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psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
July 19, 2023 - 20, 2018
Utilizing improvement science methods to improve physician compliance with proper
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psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error
June 07, 2023 - June 27, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/interrogating-and-uprooting-systemic-racism-emergency-department
March 05, 2025 - 2024
WebM&M Cases
A Laceration that Needed a Proper
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psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
March 11, 2011 - of ADEs were caused by patient error, most often due to failure to administer the medication at the proper
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psnet.ahrq.gov/issue/reasons-drug-administration-problems-and-perceived-needs-assistance-patients-family
November 02, 2010 - Participants identified lack of training or education about proper administration as contributing to
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psnet.ahrq.gov/issue/decreasing-clinically-significant-adverse-events-using-feedback-emergency-physicians
January 21, 2015 - The authors conclude that, with proper feedback to physicians and resident education, such a program
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psnet.ahrq.gov/web-mm/staggered-sensitivity-results
May 01, 2013 - What measures can improve the proper administration of antibiotic prophylaxis? … Obstacles to proper timing of surgical antibiotic prophylaxis include the perception that timing of administration … Exploring obstacles to proper timing of prophylactic antibiotics for surgical site infections.
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - ensure that all team members are on the same page about the procedure at hand, including assurance of proper … Finally, awareness of language barriers should alert providers of the need for an increased focus on proper … Example of patient wrist band using patient name, date of birth, bar coding, and patient photo as aids to proper