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Total Results: 360 records

Showing results for "wrong".

161. Appendix A: Draft Key Informant Interview Protocol | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapa.html
     July 01, 2018 - Please remember that we want to know what you think and feel and that there are no right or wrong answers

162. Ed-Catheter-Insertions-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
     September 10, 2013 - you know, babies to the very old, and the most important thing is that we don’t really know what’s wrong … We have a sense of how they’re responding to whatever’s wrong with them, but we don’t really know. … there has to be because we’re all working together with patients that we’re not really sure what’s wrong

163. Coaching (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
     July 01, 2023 - Without accurate assessment, coaching efforts might be spent addressing the wrong problem or a nonexistent … Without accurate assessment, your coaching efforts might all be spent on addressing the wrong problem

164. Coaching (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
     July 01, 2023 - Without accurate assessment, coaching efforts might be spent addressing the wrong problem or a nonexistent … Without accurate assessment, your coaching efforts might all be spent on addressing the wrong problem

165. Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
     April 01, 2025 - recognition of error  ( the failure of a planned action to be completed as intended or the use of a wrong

166. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - events occurred because of user error in operating the device, or because a device was used with the wrong … Additional near misses occurred when the wrong blood product (e.g., fresh frozen plasma versus COVID

167. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - conduct a step-by-step analysis staff can use to understand how the various parts of a process could go wrong … rule-based failure occurs when a person does not carry out a procedure or protocol correctly or chooses the wrong

168. Presentation: Tools for Sustainability: Premortem and Scorecard
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
     January 01, 2017 - mechanical ventilation safety program has failed—catastrophically Many things have gone completely wrong

169. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
     June 01, 2023 - The billing specialist then called the insurer and clarified that the insurer had the wrong dates and

170. Information to Help Hospitals Get Started (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
     January 01, 2012 - Hospitals are becoming increasingly frustrated - and wasting money - trying to hit the wrong target.

171. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
     February 01, 2017 - Are there aspects of your patient safety culture that promote doing the wrong thing or engaging in a

172. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
     August 01, 2024 - testing.23-25 Diagnostic Error in the Testing Process Diagnostic errors include missed, delayed, and wrong … ordering urine cultures in patients without urinary tract symptoms, which can increase the risk of wrong … specimen mishandling; for instance, contamination of specimens at the time of collection can result in wrong … an analysis of recurring diagnostic “pitfalls,” Schiff and colleagues identified multiple cases of wrong

173. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
     December 27, 2021 - Human causes involve someone doing something wrong, not doing something that should be done, or doing … Categories of Root Causes: Examples Human causes: Medical assistant is entering information in the wrong

174. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
     February 01, 2023 - Transporter: “Did I do something wrong?” Nurse: “Not exactly. … In this scenario, the transporter didn’t understand what might happen because of wrong bag placement

175. Appropriate Assertion Call (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
     April 01, 2013 - You want to try to avoid the issue of who is right and who is wrong. … You are trying to avoid this notion of “I am right and you are wrong” or wherever the disagreement may … is how we are doing it here and if you are asked to stop the insertion and address something that’s wrong

176. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
     December 01, 2017 - you know, babies to the very old, and the most important thing is that we don’t really know what’s wrong … We have a sense of how they’re responding to whatever’s wrong with them, but we don’t really know. … there has to be because we’re all working together with patients that we’re not really sure what’s wrong

177. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
     January 01, 2017 - Are there aspects of your patient safety culture that promote doing the wrong thing or engaging in a

178. Special Considerations for Measurement of Diagnostic Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
     June 01, 2020 - a complex, adaptive sociotechnical system. 25,26 Safe diagnosis (as opposed to missed, delayed, or wrong

179. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - Errors are defined as an act of commission (doing something wrong) or omission (failing to do the right

180. Information to Help Hospitals Get Started (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
     January 01, 2012 - Hospitals are becoming increasingly frustrated - and wasting money - trying to hit the wrong target