Results

Total Results: 4,259 records

Showing results for "wrong".

3421. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. | PSNet
      psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using
      February 10, 2021 - September 13, 2023 So many ways to be wrong: completeness and accuracy in a prospective

3422. Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. | PSNet
      psnet.ahrq.gov/issue/errors-and-electronic-prescribing-controlled-laboratory-study-examine-task-complexity-and
      September 24, 2016 - September 1, 2016 Indication-based prescribing prevents wrong-patient medication errors

3423. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. | PSNet
      psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
      January 02, 2017 - 2012 Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site

3424. Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. | PSNet
      psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities
      June 02, 2021 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

3425. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. | PSNet
      psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-incidents-after
      December 04, 2016 - 2013 Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site

3426. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. | PSNet
      psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
      February 15, 2023 - Association of display of patient photographs in the electronic health record with wrong-patient

3427. Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. | PSNet
      psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
      July 22, 2020 - restricting the number of concurrently open electronic health records did not significantly reduce wrong

3428. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. | PSNet
      psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming
      March 20, 2019 - RIS Download Citation Related Resources From the Same Author(s) Wrong-patient

3429. A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. | PSNet
      psnet.ahrq.gov/issue/new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery-rates-maternal-and
      March 16, 2022 - April 21, 2021 Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique

3430. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. | PSNet
      psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals
      July 31, 2019 - May 4, 2022 A contemporary analysis of closed claims related to wrong site surgery.

3431. Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. | PSNet
      psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized
      May 18, 2022 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

3432. Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/information-concerning-icu-patients-families-handover-clinicians-game-whispers-qualitative
      March 24, 2021 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

3433. How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. | PSNet
      psnet.ahrq.gov/issue/how-strong-evidence-use-perioperative-beta-blockers-non-cardiac-surgery-systematic-review-and
      August 04, 2021 - July 8, 2020 View More Related Resources Wrong-site surgery in

3434. A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery. | PSNet
      psnet.ahrq.gov/issue/systematic-review-interventions-used-enhance-implementation-and-compliance-world-health
      March 08, 2023 - July 27, 2022 Using performance improvement to enhance time-out compliance and prevent wrong-site

3435. Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. | PSNet
      psnet.ahrq.gov/issue/critical-care-nurses-physical-and-mental-health-worksite-wellness-support-and-medical-errors
      March 21, 2018 - January 12, 2022 A contemporary analysis of closed claims related to wrong site surgery

3436. Clinical predictors for unsafe direct discharge home patients from intensive care units. | PSNet
      psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units
      January 12, 2011 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

3437. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-pandemic
      October 07, 2020 - May 26, 2021 Wrong-patient blood transfusion error: leveraging technology to overcome

3438. Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
      October 07, 2020 - November 17, 2021 Using performance improvement to enhance time-out compliance and prevent wrong-site

3439. Patient characteristics and the occurrence of never events. | PSNet
      psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
      February 15, 2011 - term never event was originally coined to describe rare, devastating, and preventable events like wrong-site

3440. Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet
      psnet.ahrq.gov/issue/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp
      May 14, 2009 - A prior AHRQ WebM&M commentary describes a patient who inadvertently received the wrong chemotherapy