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Showing results for "wrong".

1. Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery | PSNet
   psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
   September 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Citation Text: Wrong-Site, Wrong-Procedure … , Wrong-Procedure, and Wrong-Patient Surgery. … These "wrong-site, wrong-procedure, wrong-patient errors" (WSPEs) are rightly termed never events —errors … Preventing Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Early efforts to prevent WSPEs focused … , Wrong-Procedure, and Wrong-Patient Surgery.

2. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. | PSNet
   psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
   October 20, 2021 - Study Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person … Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective … Wrong-site, wrong-procedure, and wrong-patient errors (WSPEs) are serious adverse events. … Procedures on the wrong organ were most common (44%), followed by wrong side (39%), wrong person (13% … Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective

3. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet
   psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
   February 24, 2011 - Study Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? … Although instances of wrong-site, wrong-procedure, and wrong-patient adverse events (WSPEs) have been … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? … March 28, 2011 Operating room briefings and wrong-site surgery.

4. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet
   psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
   May 30, 2012 - Site, Wrong Procedure, Wrong Person Surgery. … Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. … , wrong-procedure, and wrong-person surgery. … Site, Wrong Procedure, Wrong Person Surgery. … Site, Wrong Procedure and Wrong Person Surgery.

5. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
   psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
   March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. … Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. … Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. … and missed patient information. 6 Case #1 is an example of dispensing the correct medication to the wrong … Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet].

6. Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. | PSNet
   psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
   June 09, 2021 - Book/Report Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient … Citation Text: Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. … Wrong site/wrong patent surgery is a persistent healthcare never event. … Copy Citation Related Resources From the Same Author(s) Wrong Site Surgery–Wrong … March 29, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or

7. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. | PSNet
   psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong-procedure-and
   September 28, 2010 - site, wrong procedure, and wrong patient operations. … Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and … wrong patient operations. … Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and … wrong patient operations.

8. The wrong patient. | PSNet
   psnet.ahrq.gov/issue/wrong-patient
   December 23, 2008 - Commentary Classic The wrong patient. … The wrong patient. Ann Intern Med. 2002;136(11):826-833. … The wrong patient. Ann Intern Med. 2002;136(11):826-833. … Related Resources Serious hazards of transfusion: evaluating the dangers of a wrong … April 30, 2014 Preventing wrong site, procedure, and patient events using a common cause

9. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. | PSNet
   psnet.ahrq.gov/issue/ahrq-report-diagnostic-errors-emergency-department-wrong-answer-wrong-question
   September 23, 2020 - Commentary The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question. … The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question … The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

10. Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. | PSNet
    psnet.ahrq.gov/issue/use-anatomic-marking-form-alternative-universal-protocol-preventing-wrong-site-wrong
    March 02, 2011 - Site, Wrong Procedure and Wrong Person Surgery. … , Wrong Procedure and Wrong Person Surgery. … , Wrong Procedure and Wrong Person Surgery. … December 21, 2014 Wrong-site and wrong-patient procedures in the Universal Protocol era … July 23, 2010 Avoiding wrong site surgery: a systematic review.

11. The Wrongful Resuscitation | PSNet
    psnet.ahrq.gov/web-mm/wrongful-resuscitation
    October 12, 2012 - I believe that such behavior should receive the same scrutiny as operating on the wrong side of the brain—each

12. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
    psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - SPOTLIGHT CASE “This is the wrong patient's blood!” … “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. … “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. … “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. … , wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.

13. Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. | PSNet
    psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
    August 31, 2016 - Study Wrong drug and wrong dose dispensing errors identified in pharmacist professional … Citation Text: Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability … This study used malpractice claims data to explore trends in wrong drug and wrong dose dispensing errors … Between 2013 and 2018, the percentage of claims associated with both wrong drug and wrong dose dispensing … drug and wrong dose dispensing errors identified in pharmacist professional liability claims.

14. Preventing Wrong-Drug and Wrong-Patient Errors with Indication Alerts in CPOE Systems – Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs024945-lambert-final-report-2022.pdf
    January 01, 2022 - Preventing Wrong-Drug and Wrong-Patient Errors with Indication Alerts in CPOE Systems – Final Report … and wrong-patient errors. … Wrong Patient Errors. … and wrong-patient retract and reorder events; wrong-drug and wrong- patient abandon-and-reorder events … Wrong Drug Definition.

15. Wrong Route for Nutrients | PSNet
    psnet.ahrq.gov/web-mm/wrong-route-nutrients
    September 04, 2010 - Wrong Route for Nutrients Citation Text: Scott-Cawiezell JR. Wrong Route for Nutrients. … Wrong Route for Nutrients. PSNet [internet]. … Wrong Route for Nutrients. PSNet [internet].

16. Root Cause Analysis Gone Wrong | PSNet
    psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
    August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. … Root Cause Analysis Gone Wrong. PSNet [internet]. … Root Cause Analysis Gone Wrong. PSNet [internet]. … solely focusing on active failures (in this case, the anesthesiologist's unfortunate drawing up of the wrong … Root Cause Analysis Gone Wrong. PSNet [internet].

17. Wrong Catheter in the Right Patient | PSNet
    psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - Wrong Catheter in the Right Patient Citation Text: Chia C, Molla M. … Wrong Catheter in the Right Patient. PSNet [internet]. … Wrong Catheter in the Right Patient. PSNet [internet]. … Approach to Improving Safety The Universal Protocol to prevent wrong site, wrong procedure, and wrong … Wrong Catheter in the Right Patient. PSNet [internet].

18. Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
    January 01, 2023 - Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems … and wrong-patient errors persist. … and wrong-patient errors. … patient retract and reorder (WP-RAR), wrong drug retract and reorder (WD-RAR), wrong patient abandon … Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report.

19. Bad Writing, Wrong Medication | PSNet
    psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
    March 01, 2015 - SPOTLIGHT CASE Bad Writing, Wrong Medication Citation Text: Devine B. … Bad Writing, Wrong Medication. PSNet [internet]. … Bad Writing, Wrong Medication. PSNet [internet]. … Bad Writing, Wrong Medication. PSNet [internet]. … December 21, 2016 Avoiding wrong site surgery: a systematic review.

20. Right Patient, Wrong Sample | PSNet
    psnet.ahrq.gov/web-mm/right-patient-wrong-sample
    June 01, 2004 - Right Patient, Wrong Sample Citation Text: Astion ML. Right Patient, Wrong Sample. … Right Patient, Wrong Sample. PSNet [internet]. … were so discrepant for this other patient was that today’s value was that of the 54-year-old man, the wrong … panic) results: unable to contact provider ___ Postanalytic delay in reporting ___ Results reported to wrong … Right Patient, Wrong Sample. PSNet [internet].