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Total Results: 4,259 records

Showing results for "wrong".

121. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet
     psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
     October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint … Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission … Wrong-site surgery is a never event , but still occurs at alarming rates. … Charles Vincent discussed a case of a wrong-site procedure. … January 4, 2012 Incidence, patterns, and prevention of wrong-site surgery.

122. Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet
     psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
     December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … Following a sentinel wrong-patient event , a multidisciplinary quality improvement team worked to enhance … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … May 10, 2023 Adding automation and independent dual verification to reduce wrong blood

123. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. | PSNet
     psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
     July 28, 2021 - Commentary Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in … This commentary presents two cases of near-miss wrong-patient order errors between mother-newborn pairs … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in … November 30, 2022 Risk of wrong-patient orders among multiple vs singleton births in

124. Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. | PSNet
     psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
     June 13, 2015 - Study Improvement in detection of wrong-patient errors when radiologists include … Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their … This innovative pilot study found significant improvement in radiologists' ability to detect wrong-patient … Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their … June 13, 2015 Evaluation of near-miss wrong-patient events in radiology reports.

125. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). | PSNet
     psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
     September 01, 2016 - Study Indication-based prescribing prevents wrong-patient medication errors in computerized … Indication-based prescribing prevents wrong-patient medication errors in computerized provider order … Wrong-patient errors have long been a risk in hospitals. … Indication-based prescribing prevents wrong-patient medication errors in computerized provider order … April 12, 2017 Automated detection of wrong-drug prescribing errors.

126. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. | PSNet
     psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
     April 25, 2018 - Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong … Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong … Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong … April 4, 2011 The wrong foot, and other tales of surgical error. … February 8, 2011 Incidence, patterns, and prevention of wrong-site surgery.

127. Medical errors in orthopaedics. Results of an AAOS member survey. | PSNet
     psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
     August 04, 2021 - January 12, 2022 Risk of wrong-patient orders among multiple vs singleton births in the … , wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. … December 21, 2014 Preventing wrong site, procedure, and patient events using a common … January 4, 2012 Application of human error theory in case analysis of wrong procedures … Site, Wrong Procedure and Wrong Person Surgery.

128. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet
     psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
     October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians … Experience of wrong site surgery and surgical marking practices among clinicians in the UK. … Experience of wrong site surgery and surgical marking practices among clinicians in the UK. … August 2, 2015 Wrong site surgery. … October 26, 2010 Operating room briefings and wrong-site surgery.

129. Spinal surgery and patient safety: a systems approach. | PSNet
     psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
     January 12, 2022 - July 25, 2011 View More Related Resources Wrong-site orthopedic … Site, Wrong Procedure and Wrong Person Surgery. … September 15, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … August 13, 2008 The prevalence of wrong level surgery among spine surgeons.

130. Using "near misses" analysis to prevent wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
     April 24, 2018 - Study Using "near misses" analysis to prevent wrong-site surgery. … Using "near misses" analysis to prevent wrong-site surgery. … Using "near misses" analysis to prevent wrong-site surgery. … June 15, 2011 Operating room briefings and wrong-site surgery. … July 28, 2010 Wrong site surgery near misses and actual occurrences.

131. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet
     psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
     March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong … Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … Wrong-site surgery is a rare yet devastating outcome. … Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … March 29, 2012 Wrong site surgery.

132. Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors. | PSNet
     psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
     October 19, 2022 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient … Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning Protocol to Prevent Wrong-Patient … administration and a standardized electronic health record–integrated workflow to successfully reduce wrong-patient … May 18, 2022 Risk of wrong-patient orders among multiple vs singleton births in the neonatal … September 26, 2016 A crack in our best armor: "wrong patient" injections from insulin

133. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? | PSNet
     psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
     March 14, 2022 - Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site … Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site … Wrong-site surgeries remain a persistent safety issue , despite extensive efforts by regulatory bodies … While only a few patients committed an overt error (i.e., signing the wrong site), the suboptimal adherence … Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site

134. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. | PSNet
     psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and
     October 12, 2022 - March 19, 2019 View More Related Resources Insurance claims for wrong-side … , wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. … January 17, 2019 Using "near misses" analysis to prevent wrong-site surgery. … Other Cheek March 1, 2012 Outcome of 6 years of protocol use for preventing wrong … October 4, 2011 Wrong-patient, wrong-site procedures persist despite safety protocol.

135. A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. | PSNet
     psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site-surgery-development
     February 01, 2013 - EMERGING INNOVATIONS A standardized marking procedure for ENT operations to prevent wrong-site surgery … A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment … Although wrong-site surgeries are rare , the consequences can be very serious . … April 19, 2023 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient … June 15, 2011 Wrong-site sinus surgery in otolaryngology.

136. Risk factors for wrong-patient medication orders in the emergency department. | PSNet
     psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department
     June 08, 2022 - Study Risk factors for wrong-patient medication orders in the emergency department … Risk factors for wrong-patient medication orders in the emergency department. … Wrong-patient errors have the potential to cause serious patient harm. … This study analyzed retract-and-reorder (RaR) medication orders to examine risk factors for wrong-patient … Risk factors for wrong-patient medication orders in the emergency department.

137. Electronic patient identification for sample labeling reduces wrong blood in tube errors. | PSNet
     psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
     September 20, 2012 - Emerging Classic Electronic patient identification for sample labeling reduces wrong … Electronic patient identification for sample labeling reduces wrong blood in tube errors. … Wrong-patient errors in blood transfusion can lead to serious patient harm. … This pre–post study examined the impact of barcode labeling on the rate of wrong blood in tube errors … Electronic patient identification for sample labeling reduces wrong blood in tube errors.

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33576/psn-pdf
     December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are … 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 … Current Context Wrong-patient, wrong-site, and wrong-procedure errors are all considered never events

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844051/psn-pdf
     February 08, 2023 - Insurance claims for wrong-side, wrong-organ, wrong- procedure, or wrong-person surgical errors: a … Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective … https://psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person- … https://psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors … https://psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors

140. "It is the left eye, right?" | PSNet
     psnet.ahrq.gov/issue/it-left-eye-right
     September 06, 2023 - August 2, 2015 Using "near misses" analysis to prevent wrong-site surgery. … December 21, 2014 Application of human error theory in case analysis of wrong procedures … June 15, 2011 Wrong site surgery. … Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong … Site, Wrong Procedure and Wrong Person Surgery.