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Total Results: 4,254 records

Showing results for "wrong".

2961. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. | PSNet
      psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube
      November 17, 2021 - April 30, 2014 Wrong-site craniotomy: analysis of 35 cases and systems for prevention

2962. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. | PSNet
      psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
      November 16, 2022 - cross-sectional study April 8, 2020 Evaluating serial strategies for preventing wrong-patient

2963. Americans' Experiences With Medical Errors and Views on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
      January 06, 2015 - May 24, 2015 Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint

2964. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
      December 21, 2017 - September 20, 2012 Electronic patient identification for sample labeling reduces wrong

2965. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. | PSNet
      psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
      November 01, 2017 - November 13, 2024 Wrong administration route of medications in the domestic setting:

2966. Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). | PSNet
      psnet.ahrq.gov/issue/improving-resident-engagement-quality-improvement-and-patient-safety-initiatives-bedside
      December 21, 2017 - November 20, 2015 Electronic patient identification for sample labeling reduces wrong

2967. 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. | PSNet
      psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-and-unprofessional-behaviour-among-residents
      December 21, 2017 - September 20, 2012 Electronic patient identification for sample labeling reduces wrong

2968. Missed diagnosis of cancer in primary care: insights from malpractice claims data. | PSNet
      psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data
      March 15, 2017 - December 21, 2014 Doing right by our patients when things go wrong in the ambulatory

2969. Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital. | PSNet
      psnet.ahrq.gov/issue/surgical-safety-checklist-successfully-conducted-observational-study-social-interactions
      November 29, 2023 - August 2, 2015 Compliance with a time-out procedure intended to prevent wrong surgery

2970. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. | PSNet
      psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
      December 15, 2021 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

2971. 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

2972. 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

2973. 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

2974. 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

2975. 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

2976. 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//#

2977. 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

2978. 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

2979. 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

2980. 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.