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Total Results: 4,258 records

Showing results for "wrong".

3101. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. | PSNet
      psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency-department-claims
      May 18, 2022 - October 21, 2020 A contemporary analysis of closed claims related to wrong site surgery

3102. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. | PSNet
      psnet.ahrq.gov/issue/health-care-risk-managers-consensus-management-inappropriate-behaviors-among-hospital-staff
      June 16, 2021 - June 16, 2021 Risk of wrong-patient orders among multiple vs singleton births in the

3103. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. | PSNet
      psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
      August 11, 2021 - Association of display of patient photographs in the electronic health record with wrong-patient

3104. Errare humanum est: frequency of laterality errors in radiology reports. | PSNet
      psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
      September 13, 2023 - December 14, 2016 Increasing rate of detection of wrong-patient radiographs: use of photographs

3105. Double checking the administration of medicines: what is the evidence? A systematic review. | PSNet
      psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review
      June 18, 2014 - May 7, 2008 Preventing wrong site, procedure, and patient events using a common cause

3106. Implementing safety hotlines: Stamford Health's experience and future opportunities. | PSNet
      psnet.ahrq.gov/issue/implementing-safety-hotlines-stamford-healths-experience-and-future-opportunities
      March 23, 2011 - August 17, 2018 Experience of wrong site surgery and surgical marking practices among … August 5, 2008 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

3107. 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

3108. 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

3109. 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

3110. 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

3111. 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

3112. 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

3113. 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

3114. 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

3115. 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

3116. 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//#

3117. 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

3118. 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

3119. 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

3120. 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.