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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
August 01, 2023 - safety I, focus on creating standard processes and systems that limit the opportunity for things to go wrong
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.pdf
November 01, 2023 - in which a large opening is made in
the abdominal wall (the belly area) to take a look at what is wrong … Then, the surgeon takes a look to see what’s
wrong and repair it. … ■ If you feel sick to your stomach or you are throwing up
Call as soon as you think something is wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/child-hcahps-english-survey-954a.pdf
May 12, 2016 - Mistakes in your child’s health care can
include things like giving the wrong
medicine or doing the … wrong surgery.
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - Fairbanks, these advances also have led to serious unintended consequences, such as wrong-patient orders
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-pilot-study-report.pdf
April 01, 2021 - reporting system that has a specific coded category to
document diagnostic errors such as missed, wrong … ; communications with providers who may have missed a diagnosis; and being
informed when a missed, wrong
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact5.html
July 01, 2024 - mistakes in diagnoses, medical history, medications, physical examination, and test results, notes on the wrong
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
October 01, 2014 - safety – it’s hard to disagree with safe, high-quality care
Avoid the issue of who’s right and who’s wrong
-
www.ahrq.gov/sites/default/files/publications/files/bloodclots.pdf
May 01, 2009 - If you notice something
wrong that you think may be caused by your medication, call your doctor.
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-presenting-data.pdf
April 02, 2025 - Stages of Data Grief
Denial These data are all wrong and we can't do anything.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation a…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - The tool, "When Things Go Wrong in the Ambulatory Setting," contains "tips and suggested language for … apology, and offer needed emotional support" ( http://www.macrmi.info/blog/valuable-tool-when-things-go-wrong-ambulatory-setting-guideline-communication-and-resolution-outpatient-practices
-
www.ahrq.gov/patients-consumers/prevention/disease/bloodclots.html
August 01, 2017 - If you notice something wrong that you think may be caused by your medication, call your doctor.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
August 01, 2018 - a culture of safety
Easy to use:
Efficient
Continuity
Non-punitive:
“What” went wrong … , not “Who” went wrong
Ownership:
Engages frontline staff
Collaborative, multidisciplinary
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/6-gap-analysis-goal.docx
June 01, 2023 - There are no “right” or “wrong” answers.
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
February 18, 2025 - errors
• Unsafe workarounds for entering orders, notes, or
referrals
• Data entry or review of the wrong
-
www.ahrq.gov/sops/international/medical-office/translators.html
January 01, 2010 - The wrong chart/medical record was used for a patient.
Charts/Medical Records
A3. … Medical information was filed, scanned, or entered into the wrong patient's chart/medical record.
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - errors can be defined as the failure of a planned
action to be completed as intended or the use of a wrong … medical malpractice claims
• Diagnostic errors can be costly - unnecessary office
and hospital visits, wrong
-
www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
January 01, 2005 - It identifies what went
wrong, and situates where in the diagnostic process the failure occurred (Table … Taxonomy of where and what errors occurred
Where in Diagnostic
Process
What Went Wrong
(~Anatomic … Failure/delay in performing ordered test(s)
Suboptimal test sequencing
Ordering of wrong … test(s)
Performance
Sample mix-up/mislabeled (e.g., wrong patient)
Technical errors … How did the error in the diagnostic process contribute to making the
wrong diagnosis and wrong treatment
-
www.ahrq.gov/hai/cusp/modules/apply/sl-cusp.html
December 01, 2012 - Understanding Risk and Human Behavior 1
Human Error:
Inadvertently completing the wrong action
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
January 01, 2025 - promote the design of medical
technology so that it's easy to do the right thing
and hard to do the wrong … promote the design of medical
technology so that it's easy to do the right thing
and hard to do the wrong … promote the design of medical
technology so that it's easy to do the right thing
and hard to do the wrong