-
psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - Lessons learned: wrong site surgery. … A follow-up review of wrong site surgery. … Joint Commission
on Accreditation of Healthcare Organizations Web site. … Available at: [ go to related site ]. … Joint Commission on Accreditation of Healthcare Organizations Web
site.
-
psnet.ahrq.gov/node/42677/psn-pdf
July 16, 2015 - Using "near misses" analysis to prevent wrong-site
surgery. … Using "near misses" analysis to prevent wrong-site surgery. … https://psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
By tracking improper … surgical bookings and observing time-out procedures, this study measured near
misses for wrong-site … https://psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/36315/psn-pdf
July 10, 2008 - Wrong-side/wrong-site, wrong-procedure, and wrong-
patient adverse events: are they preventable? … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are
they preventable? … https://psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events- … are-they-preventable
Although instances of wrong-site, wrong-procedure, and wrong-patient adverse events … https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
-
psnet.ahrq.gov/node/41502/psn-pdf
October 03, 2012 - Implementation of a surgical comprehensive unit-based
safety program to reduce surgical site infections … Implementation of a surgical comprehensive unit-based safety
program to reduce surgical site infections … psnet.ahrq.gov/issue/implementation-surgical-comprehensive-unit-based-safety-program-reduce-
surgical-site … psnet.ahrq.gov/issue/implementation-surgical-comprehensive-unit-based-safety-program-reduce-surgical-site … psnet.ahrq.gov/issue/implementation-surgical-comprehensive-unit-based-safety-program-reduce-surgical-site
-
psnet.ahrq.gov/node/36177/psn-pdf
April 19, 2011 - Wrong site surgery.
April 19, 2011
Fraser SG, Adams W. Wrong site surgery. … https://psnet.ahrq.gov/issue/wrong-site-surgery
The authors provide an overview of wrong site surgery … https://psnet.ahrq.gov/issue/wrong-site-surgery
-
psnet.ahrq.gov/node/39732/psn-pdf
August 04, 2010 - A comparative resident site visit project: a novel
approach for implementing programmatic change in … A comparative resident site visit project: a novel approach
for implementing programmatic change in … https://psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-
programmatic-change-duty … This study describes the Resident Site Visit Project (RSVP), which sent teams of internal medicine … https://psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty
-
psnet.ahrq.gov/node/40736/psn-pdf
January 04, 2012 - Preventing wrong site, procedure, and patient events
using a common cause analysis. … Preventing wrong site, procedure, and patient events using a
common cause analysis. … https://psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause- … https://psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/45634/psn-pdf
January 11, 2017 - Operating room traffic as a modifiable risk factor for
surgical site infection. … Operating Room Traffic as a Modifiable Risk Factor for
Surgical Site Infection. … https://psnet.ahrq.gov/issue/operating-room-traffic-modifiable-risk-factor-surgical-site-infection
Surgical … site infections are an important type of health care–associated infection that safety efforts aim to … https://psnet.ahrq.gov/issue/operating-room-traffic-modifiable-risk-factor-surgical-site-infection
https
-
psnet.ahrq.gov/node/46227/psn-pdf
October 30, 2017 - Patient engagement with surgical site infection
prevention: an expert panel perspective. … Patient engagement with surgical site infection prevention: an
expert panel perspective. … https://psnet.ahrq.gov/issue/patient-engagement-surgical-site-infection-prevention-expert-panel-perspective … commentary provides expert
review of the evidence on how to engage patients in preventing surgical site … https://psnet.ahrq.gov/issue/patient-engagement-surgical-site-infection-prevention-expert-panel-perspective
-
psnet.ahrq.gov/node/37492/psn-pdf
March 18, 2010 - Insight into preventing wrong-site surgery. … https://psnet.ahrq.gov/issue/insight-preventing-wrong-site-surgery
This article summarizes a state-level … analysis that used site visits along with near miss and error reports to
evaluate wrong-site surgeries … https://psnet.ahrq.gov/issue/insight-preventing-wrong-site-surgery
-
psnet.ahrq.gov/node/35885/psn-pdf
December 14, 2007 - 'Wrong site' surgeries on the rise.
December 14, 2007
Davis R. … https://psnet.ahrq.gov/issue/wrong-site-surgeries-rise
This article reports on a recent AHRQ-funded … study on the incidence of wrong-site surgery and shares
various perspectives on the issue. … https://psnet.ahrq.gov/issue/wrong-site-surgeries-rise
https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
-
psnet.ahrq.gov/node/39906/psn-pdf
July 08, 2013 - Safe Site Invasive Procedure—Non-Operating Room. … https://psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room
This protocol is designed … to protect against wrong-site incidents in ambulatory care and to improve team
communication and patient … https://psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room
https://psnet.ahrq.gov/primer … /wrong-site-wrong-procedure-and-wrong-patient-surgery
-
psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - 2
Pain at the infusion site
Localized swelling affecting up to 25% of extremity (above or below site … site
Rapid (1-2 s) capillary refill below the site
3
Pain at the infusion site
Moderate swelling … area of the site of extravasation
Pulses are still detectable below the site
Rapid (1-2 s) capillary … 4
Pain at the infusion site
Severe swelling affecting >50% of extremity (above or below site)
Severe … the site assessed.
-
psnet.ahrq.gov/node/39999/psn-pdf
November 10, 2010 - Wrong-patient, wrong-site procedures persist despite
safety protocol. … https://psnet.ahrq.gov/issue/wrong-patient-wrong-site-procedures-persist-despite-safety-protocol
This … recent study findings indicating that the Universal Protocol has not stopped wrong-
patient, wrong-site … https://psnet.ahrq.gov/issue/wrong-patient-wrong-site-procedures-persist-despite-safety-protocol
https … ://psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
-
psnet.ahrq.gov/node/39939/psn-pdf
June 27, 2018 - Hospitals collaborate to prevent wrong-site surgery. … https://psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery
This article describes … a wrong-site surgery prevention program and how it was successfully implemented in
30 hospitals. … https://psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery
https://psnet.ahrq.gov/ … primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
-
psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
May 29, 2019 - June 21, 2023
View More
Related Resources
Incidence of wrong-site … June 13, 2018
Wrong-site surgery. … July 30, 2014
Preventing wrong-site surgery in Minnesota: a 5-year journey. … December 19, 2012
Surgical site verification: A through Z. … December 22, 2010
Avoiding wrong site surgery: a systematic review.
-
psnet.ahrq.gov/node/39730/psn-pdf
December 21, 2014 - /issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-
center
Wrong-site … This study explored a less understood risk for wrong-site surgery by focusing on the
documentation transition … While no wrong-site surgeries occurred,
there were nearly 800 cases where this potential was noted and … Past AHRQ
WebM&M commentaries have discussed the factors contributing to a near-miss wrong-site surgery … https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
https://psnet.ahrq.gov/
-
psnet.ahrq.gov/node/38796/psn-pdf
April 04, 2011 - A 62-year-old woman with skin cancer who experienced
wrong-site surgery. … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of
medical error. … https://psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
This case … presentation describes a wrong-site surgery incident, provides perspectives from the
patient, clinician … https://psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
-
psnet.ahrq.gov/node/37268/psn-pdf
December 16, 2011 - Prevention of wrong-site tooth extraction: clinical
guidelines. … Prevention of wrong-site tooth extraction: clinical guidelines. … https://psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines
This article … discusses strategies to prevent wrong-site tooth extraction including education, improving
referral … https://psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/39697/psn-pdf
January 04, 2011 - Compliance with guidelines to prevent surgical site
infections: as simple as 1-2-3? … Compliance with guidelines to prevent surgical site infections: As
simple as 1-2-3? … https://psnet.ahrq.gov/issue/compliance-guidelines-prevent-surgical-site-infections-simple-1-2-3
This … despite the existence of a positive safety climate, adherence to recommended
prophylaxis for surgical site … https://psnet.ahrq.gov/issue/compliance-guidelines-prevent-surgical-site-infections-simple-1-2-3
https