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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.
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction
April 01, 2019 - Book/Report
Wrong Site Surgery–Wrong Tooth Extraction. … Citation Text:
Wrong Site Surgery–Wrong Tooth Extraction. … Wrong-site surgery in dentistry is a frequent and persistent never event . … Site Surgery–Wrong Tooth Extraction. … February 3, 2021
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient
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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
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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.
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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.
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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].
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psnet.ahrq.gov/issue/wrong-goodbye
October 05, 2022 - Newspaper/Magazine Article
The wrong goodbye. … Citation Text:
The wrong goodbye. Sexton J, Schweber N. ProPublica. October 31, 2019. … Linkedin
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The wrong … View More
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Hospitals
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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
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psnet.ahrq.gov/issue/wrong-site-surgery-1
September 02, 2020 - Commentary
Wrong-site surgery. … Wrong-Site Surgery. JAMA. 2017;318(20):2033-2034. doi:10.1001/jama.2017.17177. … Wrong-Site Surgery. JAMA. 2017;318(20):2033-2034. doi:10.1001/jama.2017.17177. … April 27, 2016
Concept analysis: wrong-site surgery. … November 9, 2015
Using "near misses" analysis to prevent wrong-site surgery.
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side. … A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. … A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. … patient, wrong side, wrong site, or wrong procedure cases (28%), followed by structural or human factors … A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet].
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psnet.ahrq.gov/issue/wrong-patient-wrong-site-procedures-persist-despite-safety-protocol
April 24, 2013 - Newspaper/Magazine Article
Wrong-patient, wrong-site procedures persist despite safety … Citation Text:
Wrong-patient, wrong-site procedures persist despite safety protocol. … , wrong-site procedures. … April 30, 2014
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … Site, Wrong Procedure and Wrong Person Surgery.
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-veterans-are-we-using-wrong-drug-wrong-dose-or
August 15, 2012 - drug, wrong dose, or wrong duration? … Potentially Inappropriate Prescribing in Elderly Veterans: Are We Using the Wrong Drug, Wrong Dose, or … Wrong Duration? … Potentially Inappropriate Prescribing in Elderly Veterans: Are We Using the Wrong Drug, Wrong Dose, or … Wrong Duration?
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psnet.ahrq.gov/web-mm/wrong-channel
February 01, 2003 - The Wrong Channel
Citation Text:
Gosbee JW. The Wrong Channel
. PSNet [internet]. … The Wrong Channel
. PSNet [internet]. … The Commentary We have all seen “someone else” turn on the wrong burner on the stove and burn themselves … Many of us have seen “other people” futilely try to unlock the door of the wrong automobile that looks … The Wrong Channel
. PSNet [internet].
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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
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psnet.ahrq.gov/issue/wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures
May 19, 2010 - Newspaper/Magazine Article
Wrong body part, wrong patient surgeries continue despite … Citation Text:
Wrong body part, wrong patient surgeries continue despite new procedures. … body part, wrong patient surgeries continue despite new procedures. … March 25, 2015
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … January 23, 2012
The pain of wrong site surgery.
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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.
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psnet.ahrq.gov/issue/wrong-site-surgery
March 13, 2013 - Commentary
Wrong site surgery.
Citation Text:
Fraser SG, Adams W. … Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6. … The authors provide an overview of wrong site surgery, with special attention to incidents in ophthalmology … Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6. … October 20, 2010
Operating room briefings and wrong-site surgery.
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psnet.ahrq.gov/issue/getting-diagnosis-wrong
January 20, 2021 - Newspaper/Magazine Article
Getting the diagnosis wrong. … Citation Text:
Getting the diagnosis wrong. Ofri D. New York Times. October 8, 2015. … URL
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Getting the diagnosis wrong … December 4, 2013
Misdiagnosis is more common than drug errors or wrong-site surgery.
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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
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - Right Electrocardiogram, Wrong Patient
Citation Text:
Chen C, Venugopal S. … Right Electrocardiogram, Wrong Patient. PSNet [internet]. … Right Electrocardiogram, Wrong Patient. PSNet [internet]. … Oops, Sorry, Wrong Patient! … Right Electrocardiogram, Wrong Patient. PSNet [internet].