Results

Total Results: 725 records

Showing results for "wrong".

  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
    July 01, 2024 - recent investigations 114 have brought to light patient-reported concerns (e.g., access problems, wrong
  2. www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
    December 01, 2017 - Are there aspects of your patient safety culture that promote doing the wrong thing or engaging in a … Attending notes that a transfusion has started, and that the unit of blood has the wrong patient’s name … However, the wrong chart was sent with the patient from the ICU.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
    March 01, 2017 - type of knee-jerk or reflexive reaction can drive the resident workup and course of treatment in the wrong … Nausea, diarrhea Allergic reactions Antibiotic-related infections Clostridium difficile Candida (yeast) Wrong … urine culture is also bad way to determine infection and subsequent treatment because you may make the wrong
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - Are there aspects of your patient safety culture that promote doing the wrong thing or engaging in a … Are there aspects of the patient safety culture that promote doing the wrong things? … The attending anesthesiologist then read the wrong patient’s name on the blood transfusion bag. … It was later determined that the wrong stamp had left the ICU with the patient at 5:30 a.m. … Frankly, wrong-site surgeries are too important a defect to merely hope for success.
  5. www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Are there aspects of the patient safety culture that promote doing the wrong things? … The attending anesthesiologist then read the wrong patient’s name on the blood transfusion bag. … Slide 27: Case Study: Renal Transplant Say: The attending anesthesiologist asked about the wrong … It was later determined that the wrong stamp had left the ICU with the patient at 5:30 a.m. … Frankly, wrong-site surgeries are too important a defect to merely hope for success.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - Are there aspects of the patient safety culture that promote doing the wrong things? … The attending anesthesiologist then read the wrong patient’s name on the blood transfusion bag. … It was later determined that the wrong stamp had left the ICU with the patient at 5:30 a.m. … SAY: However, interventions to reduce wrong-site surgeries may take years of collecting data before it … Frankly, wrong-site surgeries are too important a defect to merely hope for success.
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - 33.3% 31.3% Type not determined 10.8% 0.1% 9.2% 0.02% Unauthorized drug 8.6% 10.7% 7.3% 12.6% Wrong … administration technique 1.8% 1.3% 0.6% 1.2% Wrong dosage form 2.8% 1.5% 8.1% 7.1% Wrong drug preparation … 6.1% 3.7% 9.7% 8.1% Wrong patient 4.6% 4.2% 8.1% 9.2% Wrong route 1.2% 1.6% 0.5% 0.8% Wrong time
  8. www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
    January 01, 2024 - Safety hazards that may be a result of increased workload include ordering the wrong medication, ordering … the wrong lab or imaging study, or selecting the wrong patient from the electronic health record.
  9. www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
    July 01, 2018 - Three Principles of Safe Design Standardize Create independent checks Learn when things go wrong … Slide 24 Learn When Things Go Wrong First vs.
  10. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-practice-assessments.pdf
    June 02, 2025 -  Establish ground rules for discussion: o There are no right or wrong answers.
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship8.html
    August 01, 2024 - an analysis of recurring diagnostic “pitfalls,” Schiff and colleagues identified multiple cases of wrong
  12. www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/surgical-skinprep-audit.html
    September 01, 2024 - We recommend that you collect data from 10 patients undergoing surgery, but there is no right or wrong
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
    June 02, 2025 - thorough analysis and team discussion can result in the pursuit of a solution that is headed in the wrong
  14. www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp.html
    October 01, 2024 - By imagining scenarios where things go wrong, teams can spot vulnerabilities and plan to mitigate them
  15. www.ahrq.gov/talkingquality/resources/design/testing.html
    September 01, 2019 - how they happened to choose those particular ones; sometimes people get the "right" answer for the wrong
  16. www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
    January 01, 2024 - For example, we needed frequencies for events such as “lab results are faxed to the wrong office,” “ … Asks Wrong Question (probability reduced by 25%) • Probability decreases from .3643 to .3369 (a reduction … CPOE Offers Wrong Frequency (probability reduced to 0%) b. … Discharge Summary Wrong (probability reduced to 0%) h.
  17. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
    May 01, 2017 - thorough analysis and team discussion can result in the pursuit of a solution that is headed in the wrong
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
    October 01, 2024 - Learn, don’t just recover, when things go wrong.  … | 23 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Science of Safety 23 What’s Wrong
  19. www.ahrq.gov/hai/tools/mrsa-prevention/surgery/cusp-mrsa-prevention.html
    April 01, 2025 - By imagining scenarios where things go wrong, teams can spot vulnerabilities and plan to mitigate them
  20. www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
    January 01, 2024 - The most common errors were dosing errors (28%) followed by the wrong choice of drug and errors of … ANA Sample (n=199)1 AACN Sample (n=224)2 Medication Errors 114 (57.3%) 127 (56.7%) Wrong … patient 9 6 Wrong drug 20 13 Wrong dose 27 26 Wrong route 3 5 Wrong time 38 48 Omission

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site: