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psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
May 25, 2022 - outpatient dermatology practice, including medication errors, diagnostic errors, office-based surgery, wrong-site … Other Cheek
March 1, 2012
Outcome of 6 years of protocol use for preventing wrong
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psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice
November 16, 2022 - April 25, 2016
Interventions for reducing wrong-site surgery and invasive procedures. … December 23, 2020
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Wrong drug and wrong
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psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
November 10, 2021 - More
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Patient Safety Primers
Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery
December 15, 2024
Remote assessment
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psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
August 01, 2018 - June 17, 2010
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events
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psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient
June 13, 2018 - August 5, 2008
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events
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psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
December 02, 2014 - May 30, 2018
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events
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psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
September 07, 2016 - More
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Patient Safety Primers
Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery
December 15, 2024
Perspectives … Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
February 12, 2020 - High reliability organizations consistently examine what goes wrong and remain aware that failure … June 26, 2019
Preventing wrong-site surgery in Minnesota: a 5-year journey.
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - patient. 17 In one reported case, such an error resulted in the wrong patient receiving a pulmonary … In another example, post-analytical reporting of results into the wrong patient electronic chart has … Blood bank safety practices: Mislabeled samples and wrong blood in tube – a Q-Probes analysis of 122 … : Evaluating a Near-Miss Wrong Transfusion Event
January 29, 2020 … July 23, 2008
WebM&M Cases
Right Patient, Wrong Sample
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psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
February 22, 2011 - October 28, 2009
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events
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psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
November 16, 2022 - 16, 2022
Potentially inappropriate prescribing in elderly veterans: are we using the wrong … drug, wrong dose, or wrong duration?
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psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis-recommendation
April 15, 2020 - More
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Patient Safety Primers
Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery
December 15, 2024
Identifying
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
June 17, 2020 - WebM&M Cases
Medication Errors in Retail Pharmacies: Wrong … Patient, Wrong Instructions. … September 24, 2008
Buying the wrong medicine overseas.
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psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
September 23, 2020 - 19, 2022
Potentially inappropriate prescribing in elderly veterans: are we using the wrong … drug, wrong dose, or wrong duration?
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psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
April 27, 2019 - 27, 2009
Potentially inappropriate prescribing in elderly veterans: are we using the wrong … drug, wrong dose, or wrong duration?
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psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative
August 17, 2022 - January 8, 2025
Patient Safety Primers
Wrong-Site, Wrong-Procedure … , and Wrong-Patient Surgery
December 15, 2024
Improving team members' attention
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psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication
August 28, 2019 - Citation
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Automated detection of wrong-drug … April 12, 2017
Indication-based prescribing prevents wrong-patient medication errors … 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/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
December 02, 2020 - Prevention
February 26, 2025
Patient Safety Primers
Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery
December 15, 2024
Patient falls
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psnet.ahrq.gov/issue/anatomy-cyberattack-part-4-quality-assurance-and-error-reduction-billing-and-compliance
April 27, 2022 - September 30, 2020
Adding automation and independent dual verification to reduce wrong … Machine learning models outperform manual result review for the identification of wrong … June 29, 2022
Factors associated with wrong blood in tube errors: an international case
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psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review
March 01, 2023 - focuses on designing systems that make it easy for workers to do the right thing and difficult to do the wrong … December 19, 2014
When surgery goes wrong: weighing up the risks.