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Total Results: 4,259 records

Showing results for "wrong".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44481/psn-pdf
    September 09, 2015 - When doctors get it wrong: misdiagnoses are getting a closer look. September 9, 2015 Olsen J. … https://psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look Diagnostic … https://psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look https://psnet.ahrq.gov

  2. Advancing Patient Safety Through State Reporting Systems | PSNet

    psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
    June 01, 2007 - Analysis of wrong-patient/wrong-site surgical errors led to development of the New York preoperative … (Go to table citation in commentary) Surgical Events Surgery performed on the wrong body … part Surgery performed on the wrong patient Wrong surgical procedure performed on a patient Unintended … Patient death or serious disability associated with a medication error (e.g., errors involving the wrong … drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation, or wrong route of administration

  3. Implementing safety hotlines: Stamford Health's experience and future opportunities. | PSNet

    psnet.ahrq.gov/issue/implementing-safety-hotlines-stamford-healths-experience-and-future-opportunities
    March 23, 2011 - August 17, 2018 Experience of wrong site surgery and surgical marking practices among … August 5, 2008 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40474/psn-pdf
    July 02, 2011 - survey-use-time-out-protocols-emergency-medicine https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38048/psn-pdf
    October 03, 2017 - preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  6. Misidentifying the Unidentified – John Doe and the EHR | PSNet

    psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
    September 27, 2017 - data to the wrong patient have been opened. … And while labs and diagnostics that are erroneously linked to the wrong patient can lead to secondary … or tertiary errors such as wrong treatments based on interpreting wrong information, blood banking errors—a … May 10, 2023 Adding automation and independent dual verification to reduce wrong blood … May 29, 2019 Wrong-patient blood transfusion error: leveraging technology to overcome

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43232/psn-pdf
    June 04, 2014 - psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47275/psn-pdf
    November 19, 2018 - safety-stop-valuable-addition-pediatric-universal-protocol https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  9. Mistaken Identity | PSNet

    psnet.ahrq.gov/web-mm/mistaken-identity
    December 18, 2014 - After further investigation, the intern realized that the orthopedic team had evaluated the wrong patient—the … For example, the Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery … The wrong patient. Ann Intern Med. 2002;136:826-833. [go to PubMed] 4. Seiden SC, Barach P. … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? … Universal protocol for preventing wrong site, wrong procedure, wrong person surgery.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45251/psn-pdf
    August 24, 2016 - 5 cataract surgeries, 5 people blinded: what went wrong? August 24, 2016 Kowalczyk L. … https://psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong Certain elements … https://psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong https://psnet.ahrq.gov

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45019/psn-pdf
    April 27, 2016 - https://psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45557/psn-pdf
    October 27, 2016 - https://psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44140/psn-pdf
    July 15, 2015 - Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. … https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour Open … https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour https

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39073/psn-pdf
    February 20, 2010 - my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44520/psn-pdf
    September 30, 2015 - issue/quantifying-and-characterizing-adverse-events-dermatologic-surgery https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  16. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. | PSNet

    psnet.ahrq.gov/issue/systematic-workup-transfusion-reactions-reveals-passive-co-reporting-handling-errors
    December 21, 2016 - Related Resources Serious hazards of transfusion: evaluating the dangers of a wrong … October 5, 2022 Adding automation and independent dual verification to reduce wrong blood … 2022 Machine learning models outperform manual result review for the identification of wrong … December 16, 2020 WebM&M Cases “This is the wrong patient's … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Safety incident

  17. Safety incident reports associated with blood transfusions. | PSNet

    psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions
    July 13, 2010 - July 13, 2010 Electronic patient identification for sample labeling reduces wrong blood … September 6, 2023 Serious hazards of transfusion: evaluating the dangers of a wrong patient … 2022 Machine learning models outperform manual result review for the identification of wrong … December 16, 2020 WebM&M Cases “This is the wrong patient's … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Hospital-based

  18. Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
    July 03, 2016 - April 12, 2011 Patients use an internet technology to report when things go wrong. … January 18, 2011 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

  19. Patient misidentifications caused by errors in standard barcode technology. | PSNet

    psnet.ahrq.gov/issue/patient-misidentifications-caused-errors-standard-barcode-technology
    June 13, 2012 - February 1, 2023 Adding automation and independent dual verification to reduce wrong … Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient … May 29, 2019 Wrong-patient blood transfusion error: leveraging technology to overcome … March 20, 2019 Electronic patient identification for sample labeling reduces wrong blood … See More About The Topic Quality and Safety Professionals Information Professionals Wrong

  20. Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. | PSNet

    psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry
    September 28, 2017 - May 24, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person … 2020 Assessment of the implementation of a national patient safety alert to reduce wrong
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