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Total Results: 4,259 records

Showing results for "wrong".

3181. Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. | PSNet
      psnet.ahrq.gov/issue/drug-related-hospitalizations-tertiary-care-internal-medicine-service-canadian-hospital
      April 22, 2011 - Quality April 26, 2023 Neuromuscular blocking agents: reducing associated wrong-drug

3182. The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. | PSNet
      psnet.ahrq.gov/issue/impact-nursing-skill-mix-adverse-events-intensive-care-single-centre-cohort-study
      November 21, 2021 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

3183. Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet
      psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases
      June 19, 2019 - November 26, 2014 Doing right by our patients when things go wrong in the ambulatory

3184. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. | PSNet
      psnet.ahrq.gov/issue/fast-forward-rounds-effective-method-teaching-medical-students-transition-patients-safely
      March 14, 2018 - Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong

3185. Improving patient safety via automated laboratory-based adverse event grading. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
      October 19, 2022 - 2023 Machine learning models outperform manual result review for the identification of wrong

3186. 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

3187. 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

3188. 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

3189. 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

3190. 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

3191. 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

3192. 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

3193. 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

3194. 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

3195. 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

3196. 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//#

3197. 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

3198. 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

3199. 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

3200. 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.