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Total Results: 1,062 records

Showing results for "wrong".

241. Examining medication ordering errors using AHRQ Network of Patient Safety Databases. | PSNet
     psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases
     November 30, 2022 - March 22, 2023 Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique … February 15, 2023 Retrospective cohort study of wrong-patient imaging order errors: how

242. Diagnostic Errors in the Emergency Department: A Systematic Review. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-emergency-department-systematic-review
     October 27, 2021 - Related Resources The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

243. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. | PSNet
     psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
     June 22, 2022 - October 18, 2023 WebM&M Cases A Double “Never Event”: Wrong … Patient and Wrong Side.

244. How can never event data be used to reflect or improve hospital safety performance? | PSNet
     psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance
     March 30, 2022 - August 31, 2022 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient

245. How hospital design saves lives. | PSNet
     psnet.ahrq.gov/issue/how-hospital-design-saves-lives
     July 06, 2011 - August 18, 2021 When surgery goes wrong: weighing up the risks. … March 29, 2010 5 cataract surgeries, 5 people blinded: what went wrong?

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33735/psn-pdf
     August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. … Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. … https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it Perspective … categories—including antipsychotic https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49565/psn-pdf
     July 01, 2008 - Wrong Route for Nutrients July 1, 2008 Scott-Cawiezell JR. Wrong Route for Nutrients. … https://psnet.ahrq.gov/web-mm/wrong-route-nutrients The Case An 82-year-old man living in a skilled … cast blame.(1,2) In long-term care, this tendency to cast blame and https://psnet.ahrq.gov/web-mm/wrong-route-nutrients

248. Low on the Totem Pole | PSNet
     psnet.ahrq.gov/web-mm/low-totem-pole
     October 01, 2003 - to be in your position, wondering whether you knew enough to be sure that what you were seeing was wrong … airline pilots whether they would want someone to question them if they thought they were doing something wrong … He or she witnesses something that seems wrong—perhaps the OR is calling for a patient but there is no … you’re not sure everything is right, rather than doing so only when you’re absolutely sure they are wrong—are … The wrong patient. Ann Intern Med. 2002;136:826-833. [ go to PubMed ] 6.

249. In Conversation With… Michael Cohen, RPh, MS, ScD (hon) | PSNet
     psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
     October 24, 2021 - Unfortunately, we do sometimes have people choosing the wrong item off a drop-down list, particularly … Then immediately they realize they've selected the wrong drug off the drop-down list. … WebM&M Cases Medication Errors in Retail Pharmacies: Wrong … Patient, Wrong Instructions. … July 28, 2021 Wrong drug and wrong dose dispensing errors identified in pharmacist

250. Rx for errors: speed, high volume can trigger mistakes. | PSNet
     psnet.ahrq.gov/issue/rx-errors-speed-high-volume-can-trigger-mistakes
     September 24, 2017 - January 23, 2019 Getting the wrong person's medicine at the pharmacy: easy steps consumers … June 29, 2011 Buying the wrong medicine overseas. 

251. Sway: Unravelling Unconscious Bias | PSNet
     psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias
     August 02, 2016 - June 23, 2021 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings

252. Medication errors affecting pediatric patients: unique challenges for this special population. | PSNet
     psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
     January 20, 2016 - January 7, 2015 Wrong-patient medication errors: an analysis of event reports in Pennsylvania … January 16, 2019 Wrong-site orthopedic operations on the extremities: the Pennsylvania

253. Analysis of reported drug interactions: a recipe for harm to patients. | PSNet
     psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
     January 20, 2016 - April 17, 2017 Wrong-patient medication errors: an analysis of event reports in Pennsylvania … July 13, 2016 View More Related Resources Wrong-patient medication

254. Using Six Sigma to improve patient safety in the perioperative process. | PSNet
     psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process
     June 27, 2018 - June 27, 2018 Wrong-patient medication errors: an analysis of event reports in Pennsylvania … July 31, 2013 When surgery goes wrong: weighing up the risks.

255. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. | PSNet
     psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
     September 08, 2021 - March 3, 2021 Wrong drug and wrong dose dispensing errors identified in pharmacist professional

256. Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. | PSNet
     psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
     February 01, 2023 - April 5, 2023 Serious hazards of transfusion: evaluating the dangers of a wrong patient … October 5, 2022 Adding automation and independent dual verification to reduce wrong blood

257. Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. | PSNet
     psnet.ahrq.gov/issue/addition-electronic-prescription-transmission-computerized-prescriber-order-entry-effect
     March 13, 2019 - WebM&M Cases Medication Errors in Retail Pharmacies: Wrong … Patient, Wrong Instructions.

258. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
     August 04, 2021 - Related Resources The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

259. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. | PSNet
     psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
     September 23, 2020 - RIS Download Citation Related Resources From the Same Author(s) Wrong-patient … September 23, 2020 Wrong-patient orders in obstetrics.

260. Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. | PSNet
     psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
     October 19, 2022 - September 23, 2020 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.