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psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-potential-delays-cancer-diagnosis
January 19, 2012 - February 19, 2020
Automated detection of wrong-drug prescribing errors.
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psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression
April 15, 2020 - June 7, 2021
- June 8, 2021
Wrong-patient ordering errors in peripartum mother-newborn
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psnet.ahrq.gov/issue/its-two-worlds-apart-analysis-vulnerable-patient-handover-practices-discharge-hospital
January 15, 2025 - survey
December 22, 2021
Serious hazards of transfusion: evaluating the dangers of a wrong
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
December 21, 2014 - November 18, 2009
Errors upstream and downstream to the Universal Protocol associated with wrong
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psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
December 21, 2014 - August 21, 2019
Errors upstream and downstream to the Universal Protocol associated with wrong
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psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
November 03, 2021 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient
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psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study
December 02, 2020 - )
Association of display of patient photographs in the electronic health record with wrong-patient
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psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
March 14, 2022 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - In the story you mentioned from the book, the resident thought there was something wrong with this elderly … There's a saying about surgeons that I love, "Sometimes wrong, never in doubt." … prevent medication errors and trying to find the correct side of the body so you didn't chop off the wrong … 30, 2019
WebM&M Cases
Slow Down: Right Drug, Wrong
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - include increasing disclosure of adverse events; root cause analyses; and programs for preventing falls, wrong-site … among the internal VA doctors, to think it is command and control from my lips to their ears would be wrong … RW: So let's say, at my place in Des Moines, my second day on the job somebody operates on the wrong … for instance, to learn that 44% of incorrect surgeries were right-left mix-ups, versus 36% being the wrong
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psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - Then to say, "Doctor, you aren't sharing data, you are blocking," is just wrong. … How well did that work, where did they get it right, and where did they get it wrong? … Tell me why that's wrong. … They've tried it before in some cases and gotten it wrong.
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - important approach is to learn from minor errors and near-miss incidents, such as when a doctor records the wrong … among the internal VA doctors, to think it is command and control from my lips to their ears would be wrong … RW: So let's say, at my place in Des Moines, my second day on the job somebody operates on the wrong … for instance, to learn that 44% of incorrect surgeries were right-left mix-ups, versus 36% being the wrong
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - "We operated on the wrong patient" is so tangible. … much more concerned about health care–associated infections than whether the surgeon will remove the wrong … limb, operate on the wrong person, or give the wrong medication.
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psnet.ahrq.gov/issue/cancer-diagnostic-delay-northern-and-central-italy-during-2020-lockdown-due-coronavirus
March 08, 2023 - February 7, 2022
Adding automation and independent dual verification to reduce wrong
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psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - Resources
Machine learning models outperform manual result review for the identification of wrong
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psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
August 03, 2009 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong
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psnet.ahrq.gov/issue/role-hospital-managers-quality-and-patient-safety-systematic-review
December 30, 2014 - Time to reconsider whether organisations are silent or deaf when things go wrong.
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psnet.ahrq.gov/issue/patients-conceptualizations-responsibility-healthcare-typology-understanding-differing
January 08, 2020 - April 22, 2015
Should health care providers be forced to apologise after things go wrong
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psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration
August 04, 2021 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient
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psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
April 13, 2022 - Study
Charting diagnostic safety: exploring patient-provider discordance in medical record documentation.
Citation Text:
Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. J Gen Intern Med. 2025;…