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Total Results: 4,259 records

Showing results for "wrong".

  1. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. | PSNet

    psnet.ahrq.gov/issue/supporting-error-management-and-safety-climate-ambulatory-care-practices-cirsforte-study
    September 07, 2022 - April 11, 2018 Risk factors for wrong-patient medication orders in the emergency department … October 7, 2020 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

  2. The use of patient pictures and verification screens to reduce computerized provider order entry errors. | PSNet

    psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
    November 16, 2022 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … September 1, 2016 Intercepting wrong-patient orders in a computerized provider order … July 16, 2015 Indication-based prescribing prevents wrong-patient medication errors in … January 7, 2015 Understanding and preventing wrong-patient electronic orders: a randomized … Topic Hospitals Quality and Safety Professionals Information Professionals Medicine Wrong

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44531/psn-pdf
    September 30, 2015 - effort to determine a list of never events for hospital care in Canada, including patient suicide, wrong-site … follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-department https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44255/psn-pdf
    November 09, 2015 - accurately identify the correct biopsy site for subsequent surgical excision, potentially avoiding wrong-site … multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  5. High-Alert Medication Learning Guides for Consumers. | PSNet

    psnet.ahrq.gov/issue/high-alert-medication-learning-guides-consumers
    April 30, 2019 - WebM&M Cases Medication Errors in Retail Pharmacies: Wrong … Patient, Wrong Instructions. … July 28, 2021 Getting the wrong person's medicine at the pharmacy: easy steps consumers … June 22, 2009 Buying the wrong medicine overseas. 

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34636/psn-pdf
    June 14, 2011 - The wrong patient. June 14, 2011 Chassin MR, Becher EC. The wrong patient. … https://psnet.ahrq.gov/issue/wrong-patient This case study describes the events of a patient who underwent … https://psnet.ahrq.gov/issue/wrong-patient https://psnet.ahrq.gov/primer/root-cause-analysis

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49387/psn-pdf
    February 01, 2003 - She was about to administer the haloperidol to the wrong Mr. … Moreover, the error of commission—administering the wrong drug to Joe Smith—would in this case likely … of the personnel being observed.(2) In one study that used a variety of record review approaches, “wrong … Table How Wrong Patient Medication Errors Occur Stage at Which Error Is Introduced Example Error … Ordering Order written in the wrong chart (or entered into the wrong computerized record) Transcription

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49562/psn-pdf
    May 01, 2008 - site surgery.(3-5) Wrong Site Surgeries Debate over the exact incidence of wrong site surgery cases … Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. … Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141:353-358. … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? … Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204:236-243.

  9. The Inside of a Time Out | PSNet

    psnet.ahrq.gov/web-mm/inside-time-out
    March 01, 2004 - site surgery.( 3-5 ) Wrong Site Surgeries Debate over the exact incidence of wrong site surgery … Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? … Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204:236-243. … August 26, 2011 Operating room briefings and wrong-site surgery.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46733/psn-pdf
    February 14, 2018 - randomized-controlled-evaluation-insulin-pen-storage-policy This quality improvement intervention sought to decrease wrong-patient … psnet.ahrq.gov/issue/randomized-controlled-evaluation-insulin-pen-storage-policy https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44099/psn-pdf
    November 06, 2015 - psnet.ahrq.gov/issue/sorry-i-meant-patients-left-side-impact-distraction-left-right-discrimination Wrong-side … sorry-i-meant-patients-left-side-impact-distraction-left-right-discrimination https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44833/psn-pdf
    April 22, 2016 - The most frequently identified health IT–related sentinel events were medication errors, wrong-site … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44979/psn-pdf
    April 06, 2016 - Reporting on a case involving disclosure of a wrong-site surgery, this news article describes a resolution … standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45228/psn-pdf
    June 29, 2016 - authors review the results of the program since its inception in 2011 which includes no incidents of wrong-site … safe-surgery-saves-lives-second-global-patient-safety-challenge https://psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43045/psn-pdf
    August 02, 2015 - performed many days after an initial biopsy by a different physician, making it particularly vulnerable to wrong-site … multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34861/psn-pdf
    November 11, 2015 - When things go wrong: how health care organizations deal with major failures. … When things go wrong: how health care organizations deal with major failures. … https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures … https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures https

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43519/psn-pdf
    June 13, 2015 - effects of including point-of- care patient photographs with portable radiography: a means to detect wrong-patient … effects of including point- of-care patient photographs with portable radiography: a means to detect wrong-patient … point-of-care facial photographs obtained with portable chest radiographs increased the identification of wrong-patient … multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography https://psnet.ahrq.gov/issue/increasing-rate-detection-wrong-patient-radiographs-use-photographs-obtained-time-radiography

  18. Why isn't 'time out' being implemented? An exploratory study. | PSNet

    psnet.ahrq.gov/issue/why-isnt-time-out-being-implemented-exploratory-study
    May 04, 2010 - Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong … Site, Wrong Procedure and Wrong Person Surgery. … December 6, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … January 28, 2010 Wrong site surgery near misses and actual occurrences.

  19. Patient Identification Errors: A Systems Challenge | PSNet

    psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
    February 23, 2011 - Are patients with similar names at greater risk for wrong-patient orders? … Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. … Evaluating Serial Strategies for Preventing Wrong-Patient Orders in the NICU. Pediatrics. U.S. … Patient and Wrong Side. … November 9, 2022 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43662/psn-pdf
    November 05, 2014 - A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with … https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly- … https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode … https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
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