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Total Results: 4,259 records

Showing results for "wrong".

  1. Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. | PSNet

    psnet.ahrq.gov/issue/elder-abuse-and-neglect-overlooked-patient-safety-issue-focus-group-study-nursing-home
    March 20, 2019 - RIS Download Citation Related Resources From the Same Author(s) Wrong-patient

  2. Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. | PSNet

    psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety-primary-care
    February 09, 2016 - April 29, 2020 Experience of wrong site surgery and surgical marking practices among

  3. Measuring psychological safety and local learning to enable high reliability organisational change. | PSNet

    psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational
    May 05, 2021 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

  4. Patient safety in inpatient mental health settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review
    November 13, 2019 - Association of display of patient photographs in the electronic health record with wrong-patient

  5. Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial. | PSNet

    psnet.ahrq.gov/issue/decreasing-prescribing-errors-during-pediatric-emergencies-randomized-simulation-trial
    October 08, 2013 - July 24, 2019 WebM&M Cases The Wrong Blade: A Lack of

  6. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. | PSNet

    psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
    December 21, 2017 - August 31, 2022 Electronic patient identification for sample labeling reduces wrong blood

  7. Bad things can happen: are medical students aware of patient centered care and safety? | PSNet

    psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety
    July 06, 2022 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

  8. Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. | PSNet

    psnet.ahrq.gov/issue/association-between-workarounds-and-medication-administration-errors-bar-code-assisted
    August 26, 2020 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient

  9. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
    March 24, 2021 - September 19, 2016 Incidence and root cause analysis of wrong-site pain management procedures

  10. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. | PSNet

    psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
    March 24, 2019 - February 11, 2015 Indication-based prescribing prevents wrong-patient medication errors

  11. Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. | PSNet

    psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
    December 19, 2018 - July 14, 2010 When Things Go Wrong: Responding to Adverse Events.

  12. Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. | PSNet

    psnet.ahrq.gov/issue/patients-and-family-members-views-how-clinicians-enact-and-how-they-should-enact-incident
    September 29, 2017 - Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong

  13. Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. | PSNet

    psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
    December 16, 2020 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

  14. Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. | PSNet

    psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective
    September 26, 2012 - (s) Getting the message: a quality improvement initiative to reduce pages sent to the wrong

  15. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. | PSNet

    psnet.ahrq.gov/issue/go-between-study-simulation-study-comparing-traffic-lights-and-sbar-tools-means-communication
    March 01, 2023 - 2014 Assessment of the implementation of a national patient safety alert to reduce wrong

  16. Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management
    September 23, 2020 - July 19, 2023 So many ways to be wrong: completeness and accuracy in a prospective study

  17. Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. | PSNet

    psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach
    June 27, 2012 - 1, 2005 View More Related Resources So many ways to be wrong

  18. Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
    October 07, 2020 - contributing to patient harm occurred during order entry/transcription and resulted most frequently in the wrong

  19. Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review. | PSNet

    psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital-settings
    March 02, 2022 - February 10, 2021 Wrong administration route of medications in the domestic setting:

  20. Association of nurse workload with missed nursing care in the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit
    September 27, 2017 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient
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