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Total Results: 4,254 records

Showing results for "wrong".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47275/psn-pdf
    November 19, 2018 - safety-stop-valuable-addition-pediatric-universal-protocol https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43232/psn-pdf
    June 04, 2014 - psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45251/psn-pdf
    August 24, 2016 - 5 cataract surgeries, 5 people blinded: what went wrong? August 24, 2016 Kowalczyk L. … https://psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong Certain elements … https://psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong https://psnet.ahrq.gov

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45019/psn-pdf
    April 27, 2016 - https://psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  5. What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/what-has-airbus-a380-captain-got-do-omfs-lessons-aviation-improve-patient-safety
    October 04, 2023 - January 18, 2013 When surgery goes wrong: weighing up the risks.

  6. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. | PSNet

    psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer
    September 15, 2021 - September 27, 2016 Prevention of a wrong-location misadministration through the use of

  7. Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. | PSNet

    psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
    November 04, 2020 - Analyses indicate that incorrect medication and wrong dose selections account for approximately 22% of

  8. Electronic detection of delayed test result follow-up in patients with hypothyroidism. | PSNet

    psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
    September 27, 2017 - Writing the wrong.

  9. Measuring harm in health care: optimizing adverse event review. | PSNet

    psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
    May 15, 2013 - 17, 2021 More than words: patients' views on apology and disclosure when things go wrong

  10. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. | PSNet

    psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
    September 13, 2017 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44140/psn-pdf
    July 15, 2015 - Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. … https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour Open … https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour https

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39073/psn-pdf
    February 20, 2010 - my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44520/psn-pdf
    September 30, 2015 - issue/quantifying-and-characterizing-adverse-events-dermatologic-surgery https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45557/psn-pdf
    October 27, 2016 - https://psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  15. Advancing Patient Safety Through State Reporting Systems | PSNet

    psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
    June 01, 2007 - Analysis of wrong-patient/wrong-site surgical errors led to development of the New York preoperative … (Go to table citation in commentary) Surgical Events Surgery performed on the wrong body … part Surgery performed on the wrong patient Wrong surgical procedure performed on a patient Unintended … Patient death or serious disability associated with a medication error (e.g., errors involving the wrong … drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation, or wrong route of administration

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35786/psn-pdf
    May 07, 2007 - When Things Go Wrong: Responding to Adverse Events. … https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events This consensus paper of … https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events https://psnet.ahrq.gov//#

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39710/psn-pdf
    July 28, 2010 - found that 37% of medication errors were repeated one or more times in nursing home settings, with wrong … dosage and wrong administration as the most frequent causes. … repeat-medication-errors-nursing-homes-contributing-factors-and-their-association-patient https://psnet.ahrq.gov/issue/medication-errors-involving-wrong-administration-technique

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43139/psn-pdf
    April 23, 2014 - first-do-no-harm-part-1-case-study-systems-failure https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  19. Misidentifying the Unidentified – John Doe and the EHR | PSNet

    psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
    September 27, 2017 - data to the wrong patient have been opened. … And while labs and diagnostics that are erroneously linked to the wrong patient can lead to secondary … or tertiary errors such as wrong treatments based on interpreting wrong information, blood banking errors—a … May 10, 2023 Adding automation and independent dual verification to reduce wrong blood … May 29, 2019 Wrong-patient blood transfusion error: leveraging technology to overcome

  20. Mistaken Identity | PSNet

    psnet.ahrq.gov/web-mm/mistaken-identity
    December 18, 2014 - After further investigation, the intern realized that the orthopedic team had evaluated the wrong patient—the … For example, the Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery … The wrong patient. Ann Intern Med. 2002;136:826-833. [go to PubMed] 4. Seiden SC, Barach P. … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? … Universal protocol for preventing wrong site, wrong procedure, wrong person surgery.
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