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Total Results: 4,259 records

Showing results for "wrong".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73109/psn-pdf
     April 07, 2021 - 2020 in the National Health Service (NHS) England and categorized them into three main categories: wrong-site … surgery (53.58%), retained items post-procedure (44.54%), and wrong implant/prosthesis (1.88%). … common-general-surgical-never-events-analysis-nhs-england-never-event-data https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39769/psn-pdf
     August 18, 2010 - elements that led to successful implementation of the Joint Commission's Universal Protocol to prevent wrong-site … determining-state-knowledge-implementing-universal-protocol-recommendations-integrative 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

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867021/psn-pdf
     October 23, 2024 - Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. … Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. … https://psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-what-it-means-our-health Respectful … https://psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-what-it-means-our-health https

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49541/psn-pdf
     August 21, 2007 - The Commentary Wrong-site tooth extraction is both a significant medical error and one of the major … or wrong-site surgery performed by its 4300 members. … Site, Wrong Procedure, Wrong Person Surgery" into daily clinical practice. … surgery, including wrong-site tooth extraction. … Wrong-site surgery: a preventable complication. Clin Orthop Relat Res. 2005;433:26-29.

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49468/psn-pdf
     December 16, 2004 - body site (usually right versus left mistakes) or on the wrong patient, or the performance of the wrong … The Joint Commission's Universal Protocol for the Prevention of Wrong Site, Wrong Procedure, and Wrong … Lessons learned: wrong site surgery. … A follow-up review of wrong site surgery. … Universal protocol for preventing wrong site, wrong procedure, wrong person surgery.

306. Impact of preoperative briefings on operating room delays. | PSNet
     psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
     July 28, 2010 - investigators reported that implementation of time outs also improved teamwork and reduced the overall risk for wrong-site … Related Resources From the Same Author(s) Operating room briefings and wrong-site … January 2, 2017 Achieving the National Quality Forum's "Never Events": prevention of wrong … site, wrong procedure, and wrong patient operations. … January 13, 2010 Wrong site surgery near misses and actual occurrences.

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43260/psn-pdf
     June 11, 2014 - Successful utilization of the protocol to prevent wrong-site surgery has been determined to extend beyond … issue/10-years-why-time-out-still-matters 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 https://psnet.ahrq.gov

308. Side errors in neurosurgery. | PSNet
     psnet.ahrq.gov/issue/side-errors-neurosurgery
     November 17, 2010 - The authors interviewed surgeons involved in wrong-site incidents and found that the errors of omission … November 14, 2012 Experience of wrong site surgery and surgical marking practices among … March 28, 2011 Wrong-site craniotomy: analysis of 35 cases and systems for prevention … July 23, 2010 Third wrong-sided brain surgery at R.I. hospital. … See More About The Topic Operating Room Physicians Risk Managers Neurosurgery Wrong-Site

309. New Patient Mistakenly Checked in as Another | PSNet
     psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
     October 01, 2013 - Factors believed to contribute to wrong-patient errors include selecting the wrong record when multiple … Wrong-patient errors are a serious threat to patient safety. … Are patients with similar names at greater risk for wrong-patient orders? … Intercepting wrong-patient orders in a computerized provider order entry system. … Wrong-Patient Errors by Visit Type.  

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40753/psn-pdf
     September 07, 2011 - checklist, are intended to create shared situational awareness and thereby avert serious errors such as wrong-site … preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery … https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery … https://psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

311. When doctors get it wrong: misdiagnoses are getting a closer look. | PSNet
     psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look
     October 24, 2012 - Newspaper/Magazine Article When doctors get it wrong: misdiagnoses are getting a … Citation Text: When doctors get it wrong: misdiagnoses are getting a closer look. Olsen J. … URL Cite Citation Citation Text: When doctors get it wrong … July 2, 2009 Interventions for reducing wrong-site surgery and invasive procedures. … Improving Diagnostic Safety and Quality April 26, 2023 Your diagnosis was wrong

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41266/psn-pdf
     January 03, 2017 - operating room briefings or "time-outs" are mandated by the Joint Commission as a strategy to prevent wrong-site … surfacing-safety-hazards-using-standardized-operating-room-briefings-and-debriefings-large https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery … 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 https://psnet.ahrq.gov

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49751/psn-pdf
     January 01, 2016 - Factors believed to contribute to wrong-patient errors include selecting the wrong record when multiple … Wrong-patient errors are a serious threat to patient safety. … Are patients with similar names at greater risk for wrong-patient orders? … Intercepting wrong-patient orders in a computerized provider order entry system. … Wrong-Patient Errors by Visit Type.  

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40553/psn-pdf
     June 22, 2011 - psnet.ahrq.gov/issue/applying-universal-protocol-improve-patient-safety-radiology-services Exploring causes of wrong-site … , wrong patient, and wrong procedure errors in radiology, this piece suggests strategies to reduce the … applying-universal-protocol-improve-patient-safety-radiology-services https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

315. Specimen labeling errors in surgical pathology: an 18-month experience. | PSNet
     psnet.ahrq.gov/issue/specimen-labeling-errors-surgical-pathology-18-month-experience
     January 04, 2012 - Specimen labeling errors, most frequently involving labeling specimens with the wrong patient's name, … July 17, 2024 Emergency departments are higher-risk locations for wrong blood in tube … September 29, 2021 Electronic patient identification for sample labeling reduces wrong … March 20, 2019 A crack in our best armor: "wrong patient" injections from insulin pens … Health Care Providers Quality and Safety Professionals Pathology and Laboratory Medicine Wrong

316. Bridging the communication gap in the operating room with medical team training. | PSNet
     psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training
     March 05, 2025 - July 29, 2020 Risk of wrong-patient orders among multiple vs singleton births in the … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … December 17, 2008 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

317. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
     August 28, 2024 - Related Resources Serious hazards of transfusion: evaluating the dangers of a wrong … October 5, 2022 Factors associated with wrong blood in tube errors: an international … December 16, 2020 WebM&M Cases “This is the wrong patient's … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Transfusion … June 2, 2019 Electronic patient identification for sample labeling reduces wrong blood

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37500/psn-pdf
     January 30, 2008 - The prevalence of wrong level surgery among spine surgeons. … The prevalence of wrong level surgery among spine surgeons. … https://psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons This study surveyed … more than 400 neurosurgeons and found that 50% reported performing a wrong level surgery at least once … /issue/incidence-patterns-and-prevention-wrong-site-surgery

319. Transfusion safety: the nature and outcomes of errors in patient registration. | PSNet
     psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration
     December 16, 2020 - July 21, 2021 Understanding and preventing wrong-patient electronic orders: a randomized … May 10, 2023 Adding automation and independent dual verification to reduce wrong blood … June 29, 2022 Factors associated with wrong blood in tube errors: an international case … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 The wicked … June 14, 2019 Electronic patient identification for sample labeling reduces wrong blood

320. Never Events Analysis of HSIB's National Investigations Report. | PSNet
     psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
     June 09, 2021 - nbsp;  Copy Citation Related Resources From the Same Author(s) Wrong … Site Surgery–Wrong Tooth Extraction. … June 9, 2021 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings … Improving Diagnostic Safety and Quality April 26, 2023 Wrong … Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.