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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - step: 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.
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psnet.ahrq.gov/node/48072/psn-pdf
June 19, 2019 - Independent double checks: worth the effort if used
judiciously and properly.
June 19, 2019
ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7.
https://psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
Independent double checks can reduce risk of human …
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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.
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psnet.ahrq.gov/node/838184/psn-pdf
September 28, 2022 - Understanding the proper use of the wheelchair, particularly
folding wheelchairs, is crucial to ensuring
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psnet.ahrq.gov/node/837898/psn-pdf
August 24, 2022 - Proper positioning of the patient, with bolsters and padding, are illustrated.
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psnet.ahrq.gov/node/37885/psn-pdf
July 02, 2008 - patient-misidentification-oncology-care
This article describes factors contributing to wrong patient incidents and highlights proper
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psnet.ahrq.gov/node/36567/psn-pdf
August 05, 2008 - that consumers can avoid by asking the right
questions and being familiar with prescriptions and the proper
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - The case highlights the importance of a proper time out and appropriate communication among all team … A proper time-out includes identifying the patient, indicating the procedure and the site with confirmation … reporting program for hospital adverse events, including wrong site and wrong patient procedures. 9 Proper … that include more extensive information depending on team needs and clinical circumstances. 11,12 Proper … Summary In conclusion, this case illustrated the importance of a proper time-out and making sure all
-
psnet.ahrq.gov/node/60153/psn-pdf
March 25, 2020 - includes requirements for personal protective equipment for hazardous drugs, the
use of spill kits, and proper
-
psnet.ahrq.gov/node/48039/psn-pdf
August 07, 2019 - The authors recommend implementation
of this highly feasible solution to enhance proper role identification
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - The case highlights the importance of a proper time out and appropriate
communication among all team … A proper time-out includes identifying the patient, indicating the
https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side … reporting program for hospital
adverse events, including wrong site and wrong patient procedures.9
Proper … time-outs that include more extensive information depending on team needs and
clinical circumstances.11,12 Proper … Summary
In conclusion, this case illustrated the importance of a proper time-out and making sure all
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - Anesth Analg. 1979;58:345-347. http://www.ncbi.nlm.nih.gov/pubmed/572186
*
Prevention Strategies
Proper … Proper Positioning
*
Illustration © Chris Gralapp
Illustration © Chris Gralapp 2010.
*
*
Take-Home … For induction of general anesthesia, always ensure proper positioning to maximize oxygen reserves.
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psnet.ahrq.gov/node/73280/psn-pdf
May 19, 2021 - Recommended strategies to reduce and prevent
never events include proper use of intraoperative checklists
-
psnet.ahrq.gov/node/60600/psn-pdf
June 17, 2020 - Participants identified lack of training or education about proper administration as
contributing to
-
psnet.ahrq.gov/node/40939/psn-pdf
January 04, 2012 - being in a vegetative state and that using a
specific electroencephalogram method may assist with proper
-
psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - 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
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psnet.ahrq.gov/node/74059/psn-pdf
January 01, 2022 - These errors occurred due to lack of proper safeguards to
intercept prescribing errors, stress, and
-
psnet.ahrq.gov/node/41781/psn-pdf
October 24, 2012 - transforming-hospitals-designing-safety-and-quality
https://psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design
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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
-
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