-
psnet.ahrq.gov/node/39840/psn-pdf
September 15, 2010 - wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/45019/psn-pdf
April 27, 2016 - checklists
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/41835/psn-pdf
May 19, 2015 - never-events
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/46274/psn-pdf
September 13, 2017 - 2007-2014
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/39073/psn-pdf
February 20, 2010 - my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/43260/psn-pdf
June 11, 2014 - years-why-time-out-still-matters
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/45557/psn-pdf
October 27, 2016 - checklists
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/40547/psn-pdf
June 29, 2011 - what-context-features-might-be-important-determinants-effectiveness-patient-
safety-practice
Based on discussions from a 22-person
-
psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - tracking, and escalating (i.e., passing the message and the responsibility for its response to another person … account for user vulnerabilities, such as generation of a fail-safe alert in the EHR to a designated person … For example, it may be necessary to assign a person responsible for monitoring the change-of-shift assignment … report as well as a back-up person who can be reached if the first person, for any reason, does not
-
psnet.ahrq.gov/issue/prep-stop-block
March 14, 2018 - wrong-side peripheral nerve blocks that involves preparing for the procedure, stopping to perform a two-person
-
psnet.ahrq.gov/node/43139/psn-pdf
April 23, 2014 - case-study-systems-failure
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/45888/psn-pdf
December 19, 2017 - analysis of survey data from 340 inpatient nurses to determine how
different aspects of the work system—person
-
psnet.ahrq.gov/node/44421/psn-pdf
October 07, 2015 - The authors describe the five classifications
(person, technology, tasks, organization, and environment
-
psnet.ahrq.gov/node/46222/psn-pdf
June 21, 2017 - enhanced-time-out-improved-communication-process
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/44020/psn-pdf
March 25, 2015 - use-anatomic-marking-form-alternative-universal-protocol-preventing-wrong-site-wrong
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - Every single person said, "Oh, that just
happens, don't worry about it. We see that all the time. … found on the
street and brought in to the emergency room confused, it's very hard to know if that person … If an older person who is very, very sick and is also getting tremendously sleep-
deprived, it's not … They try to make it
a kind of homelike environment to make it more comfortable for the person and try … But if you do have to medicate, we still recommend
haloperidol, as long as the person can tolerate
-
psnet.ahrq.gov/node/41245/psn-pdf
March 29, 2012 - patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/43867/psn-pdf
March 11, 2015 - incidence-patterns-and-prevention-wrong-site-surgery
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/46657/psn-pdf
December 16, 2017 - of parent-submitted smartphone photographs for diagnosing
pediatric skin conditions compared to in-person
-
psnet.ahrq.gov/node/47157/psn-pdf
August 15, 2018 - evaluation-patient-safety-programme-surgical-safety-checklist-compliance-prospective
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery