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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Strengthening a teamwork environment and ensuring proper staffing levels will support healthcare workers
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psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - implement a Plan of Correction is if it is determined that based on facility records, there was no proper
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - 2024
WebM&M Cases
A Laceration that Needed a Proper
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - strengthening connections between the care team and the patient. 6 Specific examples include (a) bringing the proper
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psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - A cotton tape or other commercially available device can be used for this purpose. 21,22 With proper
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psnet.ahrq.gov/web-mm/magnetic-deflection
November 18, 2016 - The Magnetic Deflection
Citation Text:
Kanal E. The Magnetic Deflection. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - Importantly, proper identification includes other steps, such as checking the patient’s name against
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - compliance with a Universal Protocol.( 1,2 ) The Universal Protocol requires three separate steps: the proper
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions
January 19, 2022 - Commentary
Classic
STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress.
Citation Text:
O’Mahony D. STOPP/START criteria for potentially inappropriate medications/potential prescribin…
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - In summary, early identification of infection and sepsis is critical to providing the proper and timely
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Proper application of the terms RSI and RFO/RFB will identify different elements of causation and different
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - Undiagnosed Vaginal Bleeding
Citation Text:
Mandelblatt J. Undiagnosed Vaginal Bleeding . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - provider noted the radiologist’s finding during a routine visit for healthcare maintenance, and ordered a proper
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psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
March 15, 2023 - In hospitals that do permit e-cigarette use, specific safety measures need to be in place to address proper
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Standardizing training of pharmacy personnel ensures staff are educated in the proper safety protocols
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses
Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015
View more articles from the same authors.
Citation Text:
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps
Citation Text:
Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - It's All in the Syringe
Citation Text:
Weingart SN. It's All in the Syringe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - Electronic Err
Citation Text:
Tang PC. Electronic Err. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - Do Me a Favor
Citation Text:
Williamson A. Do Me a Favor. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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