Results

Total Results: 4,259 records

Showing results for "wrong".

141. Mark My Tooth | PSNet
     psnet.ahrq.gov/web-mm/mark-my-tooth
     June 01, 2014 - or wrong-site surgery performed by its 4300 members. … Site, Wrong Procedure, Wrong Person Surgery" into daily clinical practice. … surgery, including wrong-site tooth extraction. … Wrong-site surgery: a preventable complication. Clin Orthop Relat Res. 2005;433:26-29. … January 17, 2019 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong

142. When a surgeon should just say 'I'm sorry'. | PSNet
     psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry
     February 05, 2014 - November 16, 2016 When doctors get the wrong patient. … November 28, 2016 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong … May 21, 2013 The wrong foot, and other tales of surgical error. … November 25, 2009 Hospital tells of surgery on wrong side. … August 6, 2008 'Wrong site' surgeries on the rise.

143. Getting surgery right. | PSNet
     psnet.ahrq.gov/issue/getting-surgery-right
     February 15, 2011 - April 30, 2014 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … Site, Wrong Procedure and Wrong Person Surgery. … December 22, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … May 26, 2010 Wrong site surgery near misses and actual occurrences.

144. Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. | PSNet
     psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
     May 13, 2020 - Machine learning models outperform manual result review for the identification of wrong … Machine learning models outperform manual result review for the identification of wrong blood in tube … Wrong blood in tube (WBIT) errors can result in serious diagnostic and treatment errors, but may go … Machine learning models outperform manual result review for the identification of wrong blood in tube … July 5, 2023 Adding automation and independent dual verification to reduce wrong blood

145. Enhanced time out: an improved communication process. | PSNet
     psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
     October 19, 2022 - The Universal Protocol requires hospitals to adopt time outs as a strategy to prevent wrong-site surgeries … More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Facilitators … April 27, 2016 Wrong site surgery: a critical incident analysis of a near miss. … December 22, 2010 Avoiding wrong site surgery: a systematic review.

146. Preoperative site marking: are we adhering to good surgical practice? | PSNet
     psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
     August 02, 2017 - Wrong-site surgery represents a never event . … May 10, 2023 A contemporary analysis of closed claims related to wrong site surgery. … March 29, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person … August 11, 2021 Wrong Site Surgery–Wrong Tooth Extraction. … January 20, 2021 Incidence of wrong-site surgery list errors for a 2-year period in a

147. Are You Mrs. A? An Issue of Identification Over Telephone | PSNet
     psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
     January 01, 2016 - of wrong patient errors can be appreciated by looking at medication errors. … No simple fix will prevent all wrong patient errors. … However, double-checking identification will not solve all wrong patient errors. … Completely eliminating wrong patient errors will be a long journey. … Oops, sorry, wrong patient!

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60180/psn-pdf
     April 01, 2020 - - service-board Operating room list errors are often cited as leading to wrong-side, wrong-site or … wrong-procedure errors. … , wrong-site or wrong-procedure surgeries were performed during the period, 0.29% of cases (86 cases … Wrong-side list errors accounted for the majority of all list errors (72%). … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

149. Duplication of surgical site marking. | PSNet
     psnet.ahrq.gov/issue/duplication-surgical-site-marking
     November 18, 2016 - March 29, 2023 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient … June 23, 2021 Incidence of wrong-site surgery list errors for a 2-year period in a single … April 1, 2020 Wrong-site surgery. … Cheek March 1, 2012 Application of human error theory in case analysis of wrong … Site, Wrong Procedure and Wrong Person Surgery.

150. Surgical confusions in ophthalmology. | PSNet
     psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
     November 16, 2022 - The most common adverse events included wrong lens implants and wrong eye operations, and the authors … June 15, 2016 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … December 22, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Doing the "right" things to correct wrong-site surgery.

151. The evolution of patient safety procedures in an oral surgery department | PSNet
     psnet.ahrq.gov/issue/evolution-patient-safety-procedures-oral-surgery-department
     November 16, 2022 - Reporting and avoidance of “ never events ,” such as a wrong tooth extraction, is important for providing … Improving Diagnostic Safety and Quality April 26, 2023 Wrong … Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. … June 16, 2021 Wrong Site Surgery–Wrong Tooth Extraction. … January 13, 2021 Incidence of wrong-site surgery list errors for a 2-year period in a

152. Process changes to increase compliance with the Universal Protocol for bedside procedures. | PSNet
     psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
     December 01, 2014 - Site, Wrong Procedure and Wrong Person Surgery. … February 9, 2011 The wrong foot, and other tales of surgical error. … August 18, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … May 26, 2010 Wrong site surgery near misses and actual occurrences.

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846759/psn-pdf
     March 29, 2023 - A contemporary analysis of closed claims related to wrong site surgery. … A contemporary analysis of closed claims related to wrong site surgery. … https://psnet.ahrq.gov/issue/contemporary-analysis-closed-claims-related-wrong-site-surgery Wrong-site … /primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/primer/never-events … web-mm/two-wrongs-dont-make-right-kidney https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

154. Medical culture about errors may be changing. | PSNet
     psnet.ahrq.gov/issue/medical-culture-about-errors-may-be-changing
     September 19, 2018 - April 6, 2016 The pain of wrong site surgery. … July 6, 2011 Wrong body part, wrong patient surgeries continue despite new procedures … June 8, 2011 The wrong foot, and other tales of surgical error. … August 13, 2008 Hospital tells of surgery on wrong side. … August 6, 2008 'Wrong site' surgeries on the rise.

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61096/psn-pdf
     November 04, 2020 - Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. … https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-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 … https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867228/psn-pdf
     December 04, 2024 - Risk factors for wrong-patient medication orders in the emergency department. … Risk factors for wrong-patient medication orders in the emergency department. … https://psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department Wrong-patient … https://psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department https: … //psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue

157. Turn the Other Cheek | PSNet
     psnet.ahrq.gov/web-mm/turn-other-cheek
     October 26, 2010 - The Joint Commission defines wrong-site surgery as any surgery performed on the wrong site or the wrong … The patient in this case self-identified the wrong surgical site. … A follow-up review of wrong site surgery. Sentinel Event Alert. December 5, 2001. … Outcome of 6 years of protocol use for preventing wrong site office surgery. … July 28, 2021 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient

158. A surgical procedure grid for safety and operating room communication in multisite surgery. | PSNet
     psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
     June 17, 2014 - Wrong-patient and wrong-site surgeries are considered never events. … June 21, 2017 Wrong site surgery: a critical incident analysis of a near miss. … September 12, 2012 A 62-year-old woman with skin cancer who experienced 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.

159. When Things Go Wrong: Voices of Patients and Families. | PSNet
     psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
     November 19, 2015 - Audiovisual When Things Go Wrong: Voices of Patients and Families. … Citation Text: When Things Go Wrong: Voices of Patients and Families. … Copy URL Cite Citation Citation Text: When Things Go Wrong

160. Ventilator-associated pneumonia—the wrong quality measure for benchmarking. | PSNet
     psnet.ahrq.gov/issue/ventilator-associated-pneumonia-wrong-quality-measure-benchmarking
     March 28, 2012 - Commentary Ventilator-associated pneumonia—the wrong quality measure for benchmarking … Ventilator-associated pneumonia—the wrong quality measure for benchmarking. … Ventilator-associated pneumonia—the wrong quality measure for benchmarking.