Results

Total Results: 1,062 records

Showing results for "wrong".

181. HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. | PSNet
     psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and
     September 14, 2022 - February 16, 2022 Wrong Site Surgery–Wrong Tooth Extraction.

182. My patient almost died from a mistake I made. I apologized and it changed my life. | PSNet
     psnet.ahrq.gov/issue/my-patient-almost-died-mistake-i-made-i-apologized-and-it-changed-my-life
     October 23, 2019 - September 11, 2019 Your diagnosis was wrong. … August 24, 2011 Hospital tells of surgery on wrong side.

183. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. | PSNet
     psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
     January 22, 2025 - July 10, 2017 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33579/psn-pdf
     September 15, 2024 - process mapping is complete, the FMEA then continues by identifying the ways in which each step can go wrong … psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

185. Strategies and Approaches for Investigating Patient Safety Events | PSNet
     psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
     March 15, 2025 - to improve patient safety have included initiatives to reduce patient falls, medication errors, and wrong-site … and wrong-patient surgical errors . … included identifying reasons for diagnosis and treatment delays, reducing patient falls, preventing wrong-patient … or wrong-site errors, addressing device malfunction, and preventing medication errors .

186. Topics | PSNet
     psnet.ahrq.gov/topics-0
     March 03, 2025 - Never Events Go to this topic Inpatient Suicide Go to this topic Wrong … Patient Go to this topic Wrong-Site Surgery Go to this topic Nongovernmental … Deprivation Go to this topic Identification Errors Go to this topic Wrong … to this topic Retained Surgical Instruments and Sponges Go to this topic Wrong-Site

187. Situational Awareness and Patient Safety | PSNet
     psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
     May 01, 2012 - The intern immediately notified the nurse that argatroban had been administered to the wrong patient … with the situation, and it supports the ability to anticipate what may go wrong in the future. … Related Resources Serious hazards of transfusion: evaluating the dangers of a wrong … Overload November 1, 2012 Application of human error theory in case analysis of wrong … The Topic Hospitals Health Care Executives and Administrators Hematology Surgery Wrong

188. Preventable errors in the operating room: retained foreign bodies after surgery--part I. | PSNet
     psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
     April 28, 2021 - July 1, 2016 Wrong-site surgery, retained surgical items, and surgical fires: a systematic … Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong

189. Non-accidental Injuries in Infants Attending the Emergency Department. | PSNet
     psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
     May 31, 2023 - May 31, 2023 Wrong Site Surgery–Wrong Tooth Extraction.

190. Harm Caused by Delays in Transferring Patients to the Right Place of Care. | PSNet
     psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care
     March 01, 2023 - April 5, 2023 Wrong Site Surgery–Wrong Tooth Extraction.

191. Independent double checks: worth the effort if used judiciously and properly. | PSNet
     psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
     January 23, 2019 - June 10, 2018 Administering a saline flush "site unseen" can lead to a wrong route error … December 30, 2014 A crack in our best armor: "wrong patient" injections from insulin

192. Racism and electronic health records (EHRs): perspectives for research and practice. | PSNet
     psnet.ahrq.gov/issue/racism-and-electronic-health-records-ehrs-perspectives-research-and-practice
     March 27, 2024 - January 26, 2022 Risk of wrong-patient orders among multiple vs singleton births in the … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

193. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
     December 21, 2017 - The investigators found that IT introduced new types of errors (for example, choosing the wrong medication … exacerbated errors that had previously occurred with paper records (such as entering information into the wrong

194. Retained Surgical Items: Definition and Epidemiology. | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
     September 15, 2024 - References Related Patient Safety Primers Never Events September 15, 2024 Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Editor's Picks Sentinel … Prevention February 26, 2025 Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Patient falls

195. Disclosure of Errors | PSNet
     psnet.ahrq.gov/primer/disclosure-errors
     September 15, 2024 - Patient Safety Primers Never Events September 15, 2024 Culture of Safety September 15, 2024 Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Editor's Picks Strengthening

196. Checklists | PSNet
     psnet.ahrq.gov/primer/checklists
     September 15, 2024 - Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867850/psn-pdf
     February 26, 2025 - orientation can help is by helping people be systematic and intentional about things that have gone wrong … of the system,” we invite ourselves to think more intentionally and anticipate things that might go wrong … And then, when things do go wrong, how do we put a process in place to adapt and contain them? … Let us talk about what went wrong. Who did not get listened to in our team?” … Are we making sure we are thinking preemptively about what could go wrong?

198. Understanding risk factors for complaints against pharmacists: a content analysis. | PSNet
     psnet.ahrq.gov/issue/understanding-risk-factors-complaints-against-pharmacists-content-analysis
     February 07, 2024 - May 5, 2021 Wrong drug and wrong dose dispensing errors identified in pharmacist professional

199. Digital Clinical Safety Strategy | PSNet
     psnet.ahrq.gov/issue/digital-clinical-safety-strategy
     March 01, 2023 - March 30, 2022 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient

200. Do No Harm: Stories of Life, Death, and Brain Surgery. | PSNet
     psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
     January 07, 2019 - November 3, 2015 Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. … April 2, 2014 Third wrong-sided brain surgery at R.I. hospital.