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Total Results: 1,062 records

Showing results for "wrong".

81. Access to Clinical Information at the Bedside. | PSNet
    psnet.ahrq.gov/issue/access-clinical-information-bedside
    March 16, 2022 - patient (who had a do-not-resuscitate order) and withheld cardiopulmonary resuscitation (CPR) from the wrong … April 5, 2023 Wrong Site Surgery–Wrong Tooth Extraction.

82. Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. | PSNet
    psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
    March 30, 2022 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Association of display of patient photographs in the electronic health record with wrong-patient … April 4, 2011 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

83. Priority patient safety issues identified by perioperative nurses. | PSNet
    psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
    June 19, 2013 - Perioperative nurses identified wrong-site surgery and medication errors as the most pressing patient … May 10, 2023 Using performance improvement to enhance time-out compliance and prevent wrong-site … October 14, 2020 Wrong site surgery: a critical incident analysis of a near miss. … March 16, 2016 Concept analysis: wrong-site surgery.

84. Surgical never events in the United States. | PSNet
    psnet.ahrq.gov/issue/surgical-never-events-united-states
    September 10, 2014 - More than a decade ago, stories of wrong site surgeries and retained surgical objects galvanized … An incident of wrong-site surgery is discussed in an AHRQ WebM&M commentary . … April 8, 2020 Wrong-site surgery, retained surgical items, and surgical fires: a systematic … 2014 Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site

85. Check the Wristband | PSNet
    psnet.ahrq.gov/web-mm/check-wristband
    August 03, 2009 - I apologized, explained she was in the wrong room, and asked that she return to the waiting area. … the wrong information. … When unchecked, such errors result in major patient misidentifications such as wrong site, wrong person … , or wrong procedure surgery.( 2 ) The Joint Commission on Accreditation of Healthcare Organization’s … The wrong patient. Ann Intern Med. 2002;136:826-33.[ go to PubMed ] 4.

86. Theme Issue on Medical Error. | PSNet
    psnet.ahrq.gov/issue/theme-issue-medical-error
    October 01, 2024 - February 10, 2010 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

87. Which Line: Ordering Provider or Proceduralist? | PSNet
    psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
    September 16, 2015 - When the patient presented for apheresis treatment, providers recognized that the wrong catheter had … patient or side, wrong exam or procedure (i.e., CT versus MRI), and incorrect details of how the exam … Evaluation of near-miss wrong-patient events in radiology reports. … Quality improvement guidelines for preventing wrong site, wrong procedure, and wrong person errors: application … of the Joint Commission "Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person

88. 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.

89. 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. 

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854639/psn-pdf
    October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. … https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm … https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive https://psnet.ahrq.gov

91. Doctor uses 'pre-flight' checklist. | PSNet
    psnet.ahrq.gov/issue/doctor-uses-pre-flight-checklist
    May 22, 2019 - More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Facilitators … June 16, 2011 When surgery goes wrong: weighing up the risks.

92. 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

93. ISMP Targeted Medication Safety Best Practices for Community Pharmacy. | PSNet
    psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
    March 21, 2012 - This guidance shares evidence-based steps to address problems such as wrong patient errors and lack … WebM&M Cases Medication Errors in Retail Pharmacies: Wrong … Patient, Wrong Instructions.

94. Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. | PSNet
    psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
    July 12, 2023 - March 23, 2012 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

95. People, processes, health IT and accurate patient identification. | PSNet
    psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
    April 11, 2018 - A WebM&M commentary discussed an incident involving a wrong-patient order in an electronic record … Delayed Diagnoses of Cancer July 31, 2023 Health information technology-related wrong-patient … More About The Topic Health Care Executives and Administrators Information Professionals Wrong

96. Sentinel Event Data Summary. | PSNet
    psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
    February 28, 2018 - Falls , wrong surgery and unintended retained foreign bodies were among the most frequently submitted … 2013 Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site … and Safety Professionals Information Professionals Retained Surgical Instruments and Sponges Wrong-Site

97. 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

98. Drug-induced hypoglycaemia--new insight into an old problem. | PSNet
    psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
    October 19, 2022 - June 22, 2009 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

99. Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet
    psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
    August 03, 2022 - June 17, 2010 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

100. Varying rates of patient identity verification when using computerized provider order entry. | PSNet
     psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry
     July 07, 2021 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … May 29, 2019 Wrong-patient blood transfusion error: leveraging technology to overcome … March 20, 2019 Intercepting wrong-patient orders in a computerized provider order entry … Topic Researchers Emergency Departments Information Professionals Emergency Medicine Wrong