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Total Results: 4,259 records

Showing results for "wrong".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45948/psn-pdf
     January 01, 2021 - https://psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice Wrong-site … preoperative-site-marking-are-we-adhering-good-surgical-practice https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery … joint-commission-center-transforming-healthcare https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40714/psn-pdf
     October 04, 2011 - Outcome of 6 years of protocol use for preventing wrong site office surgery. … Outcome of 6 years of protocol use for preventing wrong site office surgery. … https://psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery This … study describes the use of a tool to prevent wrong site procedures in a dermatologic surgery setting. … //psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42103/psn-pdf
     January 07, 2015 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order … Indication-based prescribing prevents wrong-patient medication errors in computerized provider order … https://psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors- … computerized-provider Wrong-patient errors have long been a risk in hospitals. … the era of electronic medical records, errors such as entering notes or ordering medications for the wrong

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41535/psn-pdf
     December 31, 2014 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. … Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. … https://psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized- … controlled-trial Patient misidentification errors—such as laboratory results or notes being entered into the wrong … re- entry of patient identifiers before allowing order entry resulted in significant reduction in wrong-patient

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42677/psn-pdf
     July 16, 2015 - Using "near misses" analysis to prevent wrong-site surgery. … Using "near misses" analysis to prevent wrong-site surgery. … https://psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery By tracking improper … surgical bookings and observing time-out procedures, this study measured near misses for wrong-site … /glossary-0#glossary-heading-term-73842 https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

286. Variation in surgical time-out and site marking within pediatric otolaryngology. | PSNet
     psnet.ahrq.gov/issue/variation-surgical-time-out-and-site-marking-within-pediatric-otolaryngology
     October 27, 2010 - March 29, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or … wrong-person surgical errors: a retrospective study for 10 years. … February 8, 2023 When it's surgery, don't get it wrong. … November 28, 2016 Wrong-site and wrong-patient procedures in the Universal Protocol era … Site, Wrong Procedure and Wrong Person Surgery.

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49694/psn-pdf
     October 01, 2013 - 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!

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40736/psn-pdf
     January 04, 2012 - Preventing wrong site, procedure, and patient events using a common cause analysis. … Preventing wrong site, procedure, and patient events using a common cause analysis. … https://psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause- … https://psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov

289. High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet
     psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
     May 18, 2022 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong … High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? … High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? … May 18, 2022 Evaluating serial strategies for preventing wrong-patient orders in the … March 22, 2017 Risk of wrong-patient orders among multiple vs singleton births in the

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39939/psn-pdf
     June 27, 2018 - Hospitals collaborate to prevent wrong-site surgery. … https://psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery This article describes … a wrong-site surgery prevention program and how it was successfully implemented in 30 hospitals. … https://psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery https://psnet.ahrq.gov/ … primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

291. 2022 John M. Eisenberg Patient Safety and Quality Awards. | PSNet
     psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
     August 02, 2023 - More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Technology, … November 29, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35868/psn-pdf
     July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery. … Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. … https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery This AHRQ-supported … They also point out that while wrong- site surgery is a devastating and unacceptable outcome, current … /issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery https://psnet.ahrq.gov

293. Listen to the Family | PSNet
     psnet.ahrq.gov/web-mm/listen-family
     April 15, 2015 - Wrong side, wrong site, or wrong patient surgery is no small problem. … In 2003, JCAHO published "The Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … , wrong-patient, wrong-procedure surgery … Take-Home Points Of wrong side, wrong site, and wrong patient mistakes, 35% involve operating on … Universal protocol for preventing wrong site, wrong procedure, wrong person surgery.

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851189/psn-pdf
     July 05, 2023 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization … So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization … https://psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or- icu-handoff … https://psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff … https://psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72726/psn-pdf
     February 10, 2021 - Wrong administration route of medications in the domestic setting: a review of an underestimated public … Wrong administration route of medications in the domestic setting: a review of an underestimated public … https://psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review- underestimated-public-health … https://psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health … https://psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41931/psn-pdf
     December 19, 2012 - Preventing wrong-site surgery in Minnesota: a 5-year journey. … https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey Discussing a 5-year … effort to report, analyze, and reduce wrong-site procedures, this magazine article details the lessons … https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey https://psnet.ahrq.gov … /issue/adverse-health-events-minnesota-15th-annual-public-report https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39730/psn-pdf
     December 21, 2014 - This study explored a less understood risk for wrong-site surgery by focusing on the documentation transition … While no wrong-site surgeries occurred, there were nearly 800 cases where this potential was noted and … Past AHRQ WebM&M commentaries have discussed the factors contributing to a near-miss wrong-site surgery … https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery … https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery https://psnet.ahrq.gov/

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45540/psn-pdf
     November 01, 2016 - Performing the wrong procedure. November 1, 2016 Minnier T, Phrampus P, Waddell L. … Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. … https://psnet.ahrq.gov/issue/performing-wrong-procedure Describing an incorrect procedure incident which … https://psnet.ahrq.gov/issue/performing-wrong-procedure https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40486/psn-pdf
     June 01, 2011 - functions resulted in significantly improved adherence to the Universal Protocol for prevention of wrong-site … process-changes-increase-compliance-universal-protocol-bedside-procedures https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40943/psn-pdf
     September 26, 2012 - Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. … Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. … https://psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong- … physician This study redesigned a hospital's paging process to reduce pages sent to the wrong physician … https://psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician