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psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
April 12, 2017 - Study
Automated detection of wrong-drug prescribing errors. … Automated detection of wrong-drug prescribing errors. … Automated detection of wrong-drug prescribing errors. … October 10, 2018
Indication-based prescribing prevents wrong-patient medication errors … 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/wrong-site-surgery-near-misses-and-actual-occurrences
November 30, 2012 - Study
Wrong site surgery near misses and actual occurrences. … Wrong site surgery near misses and actual occurrences. … Wrong site surgery near misses and actual occurrences. … April 30, 2014
The pain of wrong site surgery. … Site, Wrong Procedure and Wrong Person Surgery.
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psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
February 22, 2023 - Study
Retrospective cohort study of wrong-patient imaging order errors: how many … Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? … The researchers estimated an overall rate of 51.5 per 100,000 imaging orders involving wrong-patient … Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? … February 22, 2023
Wrong-patient orders in obstetrics.
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
July 22, 2020 - Review
Wrong-site nerve blocks: a systematic literature review to guide principles … Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. … Wrong-site procedures are considered never events , yet they continue to occur. … March 6, 2019
Wrong-site surgery. … May 26, 2016
Concept analysis: wrong-site surgery.
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psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks
December 18, 2019 - Newspaper/Magazine Article
When surgery goes wrong: weighing up the risks. … Citation Text:
When surgery goes wrong: weighing up the risks. Feinmann J. The Independent. … Copy URL
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When surgery goes wrong … March 24, 2021
Adding automation and independent dual verification to reduce wrong blood
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psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
December 01, 2021 - Classic
A 62-year-old woman with skin cancer who experienced wrong-site … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. … Site, Wrong Procedure and Wrong Person Surgery. … September 15, 2010
Avoiding wrong site surgery: a systematic review. … May 26, 2010
Wrong site surgery near misses and actual occurrences.
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psnet.ahrq.gov/issue/wrong-site-surgery-pennsylvania-during-2015-2019-study-variables-associated-368-events-178
October 09, 2024 - Study
Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated … Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events … Wrong-site surgeries can lead to serious patient harm and are considered never events by the National … The authors present several evidence-based strategies to reduce the likelihood of wrong-site surgery, … Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events
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psnet.ahrq.gov/issue/factors-associated-wrong-blood-tube-errors-international-case-series-best-collaborative-study
September 29, 2021 - Study
Factors associated with wrong blood in tube errors: an international case series … Factors associated with wrong blood in tube errors: an international case series – The BEST collaborative … Wrong blood in tube (WBIT) errors can be classified as intended patient drawn/wrong label applied or … wrong patient/intended label applied. … May 10, 2023
Serious hazards of transfusion: evaluating the dangers of a wrong patient
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psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
May 29, 2019 - Study
Effect of number of open charts on intercepted wrong-patient medication orders … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department … Researchers analyzed intercepted wrong-patient medication orders in an emergency department over a 6- … January 26, 2022
Risk of wrong-patient orders among multiple vs singleton births in the … December 2, 2020
Retrospective cohort study of wrong-patient imaging order errors: how
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psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
November 16, 2022 - Study
Wrong-site craniotomy: analysis of 35 cases and systems for prevention. … Wrong-site craniotomy: analysis of 35 cases and systems for prevention. … Wrong-site craniotomy: analysis of 35 cases and systems for prevention. … —An OR Fire
April 1, 2015
Wrong-site and wrong-patient procedures in the Universal … July 23, 2010
Avoiding wrong site surgery: a systematic review.
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psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system
May 29, 2019 - Study
Intercepting wrong-patient orders in a computerized provider order entry system … Intercepting wrong-patient orders in a computerized provider order entry system. … Intercepting wrong-patient orders in a computerized provider order entry system. … January 31, 2018
Retrospective cohort study of wrong-patient imaging order errors: how … May 29, 2019
Effect of number of open charts on intercepted wrong-patient medication
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psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
June 03, 2020 - Study
The occurrence of wrong-site surgery self-reported by candidates for certification … The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board … This study found that wrong-site surgeries continued to occur despite adoption of " Sign Your Site … The most common errors reported were related to wrong-level spine surgery. … Patient and Wrong Side.
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psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
April 29, 2020 - Study
Incidence and root cause analysis of wrong-site pain management procedures: … Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. … Wrong-site surgeries are considered rare but devastating never events . … A wrong-site surgery near miss is discussed in this AHRQ WebM&M commentary . … May 6, 2015
Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - Study
Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent … Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors … March 29, 2023
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or … wrong-person surgical errors: a retrospective study for 10 years. … June 11, 2014
Incidence, patterns, and prevention of wrong-site surgery.
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psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
September 09, 2015 - Applying fault tree analysis to the prevention of wrong-site surgery. … Applying fault tree analysis to the prevention of wrong-site surgery. … August 8, 2018
Wrong-site surgery. … May 26, 2016
Concept analysis: wrong-site surgery. … site, wrong procedure, and wrong patient operations.
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psnet.ahrq.gov/issue/secure-messaging-use-and-wrong-patient-ordering-errors-among-inpatient-clinicians
July 20, 2022 - Study
Secure messaging use and wrong-patient ordering errors among inpatient clinicians … Secure messaging use and wrong-patient ordering errors among inpatient clinicians. … Secure messaging use and wrong-patient ordering errors among inpatient clinicians. … March 10, 2021
Effect of number of open charts on intercepted wrong-patient medication … January 25, 2023
Wrong-patient orders in obstetrics.
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psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
August 07, 2024 - Newspaper/Magazine Article
Getting the wrong person's medicine at the pharmacy: easy … Citation Text:
Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to … Copy URL
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Getting the wrong … Patient, Wrong Instructions. … September 25, 2008
Buying the wrong medicine overseas.
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psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
August 06, 2008 - Newspaper/Magazine Article
Most surgery in wrong spot done on spine: 11 such cases … March 25, 2015
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … March 29, 2012
The pain of wrong site surgery. … July 6, 2011
Wrong body part, wrong patient surgeries continue despite new procedures … June 8, 2011
The wrong foot, and other tales of surgical error.
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psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - SPOTLIGHT CASE
Right Regimen, Wrong Cancer: Patient Catches Medical Error
Citation … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. … The initial error—pulling the wrong paper order set—went undetected by the outpatient oncologist, the … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet].
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - Wrong-side surgery is a surgical procedure that involves operating on the wrong extremity or wrong side … Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. … Wrong Site All surgical procedures performed on the wrong body part or wrong patient. … Often used as a general term for wrong level or part, wrong patient, and wrong side surgery. … Site, Wrong Procedure and Wrong Person Surgery.