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Total Results: 1,062 records

Showing results for "wrong".

41. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet
    psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
    October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in … Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. … Wrong blood in tube (WBIT) errors are rare but can lead to complications . … Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. … June 2, 2019 Wrong-patient blood transfusion error: leveraging technology to overcome

42. Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. | PSNet
    psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
    July 09, 2018 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Effect of Restriction of the Number of Concurrently Open Records in an Electronic Health Record on Wrong-Patient … September 4, 2019 Evaluating serial strategies for preventing wrong-patient orders in … June 2, 2019 Wrong-patient blood transfusion error: leveraging technology to overcome … September 1, 2016 Intercepting wrong-patient orders in a computerized provider order

43. Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet
    psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
    December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … Following a sentinel wrong-patient event , a multidisciplinary quality improvement team worked to enhance … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … May 10, 2023 Adding automation and independent dual verification to reduce wrong blood

44. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. | PSNet
    psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
    July 28, 2021 - Commentary Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in … This commentary presents two cases of near-miss wrong-patient order errors between mother-newborn pairs … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in … November 30, 2022 Risk of wrong-patient orders among multiple vs singleton births in

45. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet
    psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
    March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic … Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never … Incidence estimates for retained surgical items and wrong-site surgery varied across studies, with … April 7, 2021 Concept analysis: wrong-site surgery. … site, wrong procedure, and wrong patient operations.

46. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet
    psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
    October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint … Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission … Wrong-site surgery is a never event , but still occurs at alarming rates. … Charles Vincent discussed a case of a wrong-site procedure. … January 4, 2012 Incidence, patterns, and prevention of wrong-site surgery.

47. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet
    psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
    March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong … Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … Wrong-site surgery is a rare yet devastating outcome. … Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … March 29, 2012 Wrong site surgery.

48. A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. | PSNet
    psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site-surgery-development
    February 01, 2013 - EMERGING INNOVATIONS A standardized marking procedure for ENT operations to prevent wrong-site surgery … A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment … Although wrong-site surgeries are rare , the consequences can be very serious . … April 19, 2023 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient … June 15, 2011 Wrong-site sinus surgery in otolaryngology.

49. Electronic patient identification for sample labeling reduces wrong blood in tube errors. | PSNet
    psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
    September 20, 2012 - Emerging Classic Electronic patient identification for sample labeling reduces wrong … Electronic patient identification for sample labeling reduces wrong blood in tube errors. … Wrong-patient errors in blood transfusion can lead to serious patient harm. … This pre–post study examined the impact of barcode labeling on the rate of wrong blood in tube errors … Electronic patient identification for sample labeling reduces wrong blood in tube errors.

50. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. | PSNet
    psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and
    October 12, 2022 - March 19, 2019 View More Related Resources Insurance claims for wrong-side … , wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. … January 17, 2019 Using "near misses" analysis to prevent wrong-site surgery. … Other Cheek March 1, 2012 Outcome of 6 years of protocol use for preventing wrong … October 4, 2011 Wrong-patient, wrong-site procedures persist despite safety protocol.

51. Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. | PSNet
    psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
    May 13, 2020 - Machine learning models outperform manual result review for the identification of wrong … Machine learning models outperform manual result review for the identification of wrong blood in tube … Wrong blood in tube (WBIT) errors can result in serious diagnostic and treatment errors, but may go … Machine learning models outperform manual result review for the identification of wrong blood in tube … July 5, 2023 Adding automation and independent dual verification to reduce wrong blood

52. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33576/psn-pdf
    December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are … These "wrong-site, wrong-procedure, wrong-patient errors" (WSPEs) are rightly termed never events—errors … Preventing Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Early efforts to prevent WSPEs focused … Current Context Wrong-patient, wrong-site, and wrong-procedure errors are all considered never events

53. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment | PSNet
    psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
    June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment Citation Text: … The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. … The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. … The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet].

54. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet
    psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
    August 24, 2022 - Of the 293 reported incidents, the most common errors were missing wristbands , wrong charts or notes … in files, administrative issues, and wrong labeling. … March 29, 2023 Adding automation and independent dual verification to reduce wrong blood … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 … May 29, 2019 Wrong-patient blood transfusion error: leveraging technology to overcome

55. The Other Side | PSNet
    psnet.ahrq.gov/web-mm/other-side
    May 01, 2007 - Understand the key components of the Universal Protocol for eliminating wrong site, wrong procedure, … wrong person surgery. … Recently, JCAHO released a Universal Protocol for preventing wrong person, wrong procedure, and wrong … Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. [ go to related … Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. [ go to related

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33561/psn-pdf
    September 15, 2024 - site Surgery or other invasive procedure performed on the wrong patient Wrong surgical or other invasive … drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation, or wrong route of administration … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event … https://psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov

57. Preventing wrong site, procedure, and patient events using a common cause analysis. | PSNet
    psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
    October 03, 2017 - Study Preventing wrong site, procedure, and patient events using a common cause analysis … Preventing wrong site, procedure, and patient events using a common cause analysis. … Preventing wrong site, procedure, and patient events using a common cause analysis. … June 27, 2018 Wrong-site and wrong-patient procedures in the Universal Protocol era: … Site, Wrong Procedure and Wrong Person Surgery.

58. Common general surgical never events: analysis of NHS England never event data. | PSNet
    psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
    April 14, 2021 - 2020 in the National Health Service (NHS) England and categorized them into three main categories: wrong-site … surgery (53.58%), retained items post-procedure (44.54%), and wrong implant/prosthesis (1.88%). … More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 … 2013 Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site

59. X-ray Flip | PSNet
    psnet.ahrq.gov/web-mm/x-ray-flip
    August 10, 2019 - site, wrong person, and wrong procedure surgery. … In a recent study looking at the incidence of wrong site surgery among hand surgeons, 21% (217/1050) … of physicians reported having performed wrong site surgery at least once in their career.( 5 ) Of an … In our large (approximately 600 beds), urban teaching hospital, we have seen two wrong side invasive … Incidence of wrong-site surgery among hand surgeons.

60. Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases. | PSNet
    psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
    August 27, 2012 - Wrong-side and wrong-patient surgical errors can have devastating consequences. … More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Grading recommendations … November 15, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person