Results

Total Results: 4,259 records

Showing results for "wrong".

3601. Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection. | PSNet
      psnet.ahrq.gov/issue/monitoring-harm-associated-use-anticoagulants-pediatric-populations-through-trigger-based
      November 11, 2015 - January 19, 2022 Automated detection of wrong-drug prescribing errors.

3602. Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. | PSNet
      psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
      June 16, 2021 - apprehension occurred especially if the concern was based on a general feeling that something might be wrong

3603. Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. | PSNet
      psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals
      October 20, 2021 - November 17, 2021 Wrong-patient blood transfusion error: leveraging technology to overcome

3604. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33813/psn-pdf
      August 01, 2016 - establishing a classification to help describe and organize the types of dental patient safety events (e.g., wrong … site or wrong patient), creating a severity scale for dental patient safety events, and developing

3605. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33633/psn-pdf
      May 01, 2006 - physicians and their staffs, it appears that practices more commonly prescribe the right drug at the wrong … dose, timing, or administration than they prescribe the wrong drug (or forget to prescribe a drug).

3606. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. | PSNet
      psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
      April 20, 2022 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

3607. We want to know: eliciting hospitalized patients' perspectives on breakdowns in care. | PSNet
      psnet.ahrq.gov/issue/we-want-know-eliciting-hospitalized-patients-perspectives-breakdowns-care
      January 12, 2022 - 23, 2020 More than words: patients' views on apology and disclosure when things go wrong

3608. Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or
      October 18, 2023 - June 15, 2022 Automated detection of wrong-drug prescribing errors.

3609. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. | PSNet
      psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
      February 19, 2010 - Association of display of patient photographs in the electronic health record with wrong-patient

3610. A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
      November 19, 2018 - May 25, 2022 View More Related Resources So many ways to be wrong

3611. Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. | PSNet
      psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center
      October 14, 2020 - Association of display of patient photographs in the electronic health record with wrong-patient

3612. Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. | PSNet
      psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical
      July 12, 2017 - Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong

3613. The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations. | PSNet
      psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
      September 23, 2020 - November 16, 2022 Electronic patient identification for sample labeling reduces wrong

3614. Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. | PSNet
      psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units
      November 11, 2020 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

3615. To Resuscitate or Not? | PSNet
      psnet.ahrq.gov/web-mm/resuscitate-or-not
      November 01, 2011 - Unfortunately, the wrong medication had already been given to the AIDS patient. … This action could be interpreted as the clinicians′ attempt to right their wrong, or to give a second

3616. Getting the (Right) Doctor, Right Away | PSNet
      psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
      July 01, 2011 - total of 10,190 pages (14%) were sent to the incorrect provider.( 5 ) A review of pages sent to the wrong … Frequency and clinical importance of pages sent to the wrong physician.

3617. If You Say So: Taking a Syringe at Face Value in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
      January 01, 2015 - included propofol, phenylephrine, and fentanyl, and errors occurred most commonly in labeling (24%), wrong … Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

3618. Back to Basics | PSNet
      psnet.ahrq.gov/web-mm/back-basics
      July 13, 2010 - This decision making represented the wrong approach in this setting, an example of a rule-based error … Reason characterizes such situations as "strong but wrong" rule-based errors—the rule is strong in general

3619. How Does Infection Prevention Fit Into a Safety Program? | PSNet
      psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
      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.

3620. Classics and Emerging Classics | PSNet
      psnet.ahrq.gov/classics
      August 01, 2023 - Governmental Reporting (4) Institutional Reporting (8) Never Events (12) Wrong … 6) Fatigue and Sleep Deprivation (35) Identification Errors (5) Wrong … Intraoperative Complications (16) Retained Surgical Instruments and Sponges (7) Wrong-Site