Results

Total Results: 1,062 records

Showing results for "wrong".

281. Costs and consequences associated with misdiagnosed lower extremity cellulitis. | PSNet
     psnet.ahrq.gov/issue/costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis
     November 12, 2014 - Association of display of patient photographs in the electronic health record with wrong-patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

282. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet
     psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
     June 16, 2011 - Related Resources WebM&M Cases “This is the wrong … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Patient safety

283. ROI for a fall prevention intervention: invest a little, save a lot. | PSNet
     psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
     September 13, 2017 - Association of display of patient photographs in the electronic health record with wrong-patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

284. Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. | PSNet
     psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained
     February 08, 2012 - Association of display of patient photographs in the electronic health record with wrong-patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

285. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
     April 18, 2018 - August 18, 2021 Evaluating serial strategies for preventing wrong-patient orders in the … December 21, 2017 Risk of wrong-patient orders among multiple vs singleton births in

286. Identifying resilience: a system safety review of trauma and orthopaedic theatres. | PSNet
     psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
     October 19, 2011 - April 8, 2020 Wrong-site surgery, retained surgical items, and surgical fires: a systematic … 2013 Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site

287. Pocket Syringe Swap | PSNet
     psnet.ahrq.gov/web-mm/pocket-syringe-swap
     July 01, 2006 - When the fellow retrieved a syringe from his pocket, he recognized that he had previously pulled the wrong … both known to contain high-risk drugs, didn't bother to read the label before casually injecting the wrong … one by the wrong route. … Blaming individuals for character defects when things go wrong, the so-called person-centered approach … Borderline December 1, 2006 WebM&M Cases The Wrong

288. Use barcode scanning to prevent errors with enteral nutrition feedings. | PSNet
     psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
     December 04, 2024 - Wrong patient errors, availability of expired human milk products, component shortages and recalls degrade

289. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-1
     June 16, 2019 - examples of drug misadministration, confusion with drug names, and administration of chemotherapy to the wrong

290. Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. | PSNet
     psnet.ahrq.gov/issue/beyond-surgical-safety-checklist-using-intraoperative-handoff-facilitate-team-situation
     June 13, 2018 - Association of display of patient photographs in the electronic health record with wrong-patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

291. Principles of conservative prescribing. | PSNet
     psnet.ahrq.gov/issue/principles-conservative-prescribing
     April 22, 2017 - April 22, 2017 Automated detection of wrong-drug prescribing errors. … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

292. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. | PSNet
     psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
     June 15, 2011 - July 19, 2023 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

293. Partners in our care: patient safety from a patient perspective. | PSNet
     psnet.ahrq.gov/issue/partners-our-care-patient-safety-patient-perspective
     December 04, 2016 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … July 19, 2023 Evaluating serial strategies for preventing wrong-patient orders in the

294. Real-time automated paging and decision support for critical laboratory abnormalities. | PSNet
     psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
     April 30, 2014 - Resources From the Same Author(s) Frequency and clinical importance of pages sent to the wrong … 2016 Getting the message: a quality improvement initiative to reduce pages sent to the wrong

295. Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet
     psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
     October 29, 2017 - May 18, 2022 Risk of wrong-patient orders among multiple vs singleton births in the neonatal … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

296. The effect of emergency department boarding on order completion. | PSNet
     psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion
     January 29, 2018 - April 11, 2011 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

297. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
     psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
     February 01, 2017 - Today's leaders need to stop and challenge themselves when things go wrong. … This also means that whatever went wrong presented a learning opportunity, not simply a disappointment … And, it's great, because when things go wrong, they can say, "It's not my fault." … But to suddenly discover that even though we're doing our best, sometimes what went wrong wasn't the … Second, the recognition that when things go wrong, it's often a system breakdown, not individual human

298. Medication Administration Errors | PSNet
     psnet.ahrq.gov/primer/medication-administration-errors
     December 15, 2024 - variability, dose preparation is uniquely challenging in pediatric populations, which increases risk for wrong … Wrong dose, missing doses, and wrong medication are the most commonly reported administration errors. … To help mitigate of wrong dose errors, warfarin tablet colors are standardized by their strength across

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849660/psn-pdf
     May 31, 2023 - adverse events associated with health literacy include mistakes in diabetes management;1 taking the wrong … of inhalers and aerosol medications;4 falls; delays in receiving treatment, surgery, or tests; and wrong … procedure or wrong site surgery.

300. Retained surgical items: a problem yet to be solved. | PSNet
     psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved
     September 24, 2014 - April 22, 2020 Wrong-site surgery, retained surgical items, and surgical fires: a systematic … 2013 Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site