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Total Results: 725 records

Showing results for "wrong".

161. National Content Series Facilitator’s Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/role-play.html
     May 01, 2017 - What went wrong during this interaction between Nurse Nohai and Dr. Killbug? … Not give up if she knows something is wrong with the resident.

162. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
     March 01, 2017 - What went wrong during this interaction between Nurse Nohai and Dr. Killbug? … Mullins’ current state and case history. · Not give up if she knows something is wrong with the resident

163. SOPS Medical Office Survey (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english-2023.docx
     January 01, 2023 - The wrong chart/medical record was used for a patient 1 2 3 4 5 6 9 Charts/Medical Records … Medical information was filed, scanned, or entered into the wrong patient’s chart/medical record 1

164. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - She went home still feeling worried that she didn’t really know what was wrong. … was struggling with digestive issues… got allergy testing as well as scoping… still unclear what was wrong

165. Final Progress Report: Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/etchegaray2-report.pdf
     January 01, 2024 - I tell the healthcare team when I feel like something is wrong in the NICU. 13. … The healthcare team responds quickly when something is wrong with my baby. 30.

166. A Future Vision for Better Diagnostic Outcomes | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load5.html
     May 01, 2024 - Monitor EHR audit log data to determine which clinicians may be at risk of cognitive overload (e.g., via “wrong

167. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
     January 01, 2024 - Most report they have encountered only medication-related errors (the wrong time, dose, drug, or mode … influence behavior was showcased by a nurse in our study who had attended a seminar on prevention of wrong-site … during a knee surgery and she and other staff suspected that the surgeon might be operating on the wrong … When the nurse gives the wrong dose, it is recognized as an error. … But when a physician orders a wrong dose, the pharmacist corrects the order and it is not viewed as

168. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
     January 01, 2024 - Vulnerability is defined as the potential for something to go wrong, the potential for harm, or a snippet … , delays • Computer/fax machine error – doesn’t go through, pharmacy doesn’t receive • Faxed to wrong … Walmart, wrong location Getting medication from the pharmacy • Can’t afford to pick it up, no money … refill dates Transfers pills from original container to pill box or other organizer • Put pills in wrong … slot – e.g., forget what time pill should be taken – might take at wrong time • Not enough time slots

169. Regulation of Health Policy: Patient Safety and the States (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
     March 01, 2004 - lapses in outpatient settings.8, 9 Earlier research on patient safety focused on errors of commission (wrong … surgery, wrong patient, wrong medication).10 Errors of omission (failure to prescribe or diagnose) … loss of function … not present when the patient …[was] admitted to the facility; [or] surgery on the wrong … patient or wrong body part…” Minnesota was the first State to specifically incorporate the 27 “adverse … Universal protocol for preventing wrong site, wrong procedure, wrong person surgery.

170. Give People a Reason To Look at a Health Care Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/explain/communicate/reason.html
     November 01, 2018 - example of a negative frame: "Use this information to avoid the problems that can arise if you pick the wrong

171. Chapter 1. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
     April 01, 2018 - These risks can result in surgical mishaps, ranging from infections to wrong site surgeries.

172. SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-2022-1215-ENGLISH-508.pdf
     January 01, 2022 - When a missed, wrong, or delayed diagnosis happens in this office, we are informed about it ...

173. SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-12-15-2022.docx
     January 01, 2022 - When a missed, wrong, or delayed diagnosis happens in this office, we are informed about it 1 2 3

174. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
     March 15, 2004 - Safety: Vol. 1 278 surgical occurrences for an elderly population, such as pulmonary embolism or wrong … displacement/migration/ breakage of implant, thrombosis requiring repair, postoperative wound infection, wrong … voided because they did not meet inclusion criteria (22); key-question data were not available (1); wrong … As a result of the exclusions, one of the NYPORTS categories, wrong-side surgery/wrong patient, was

175. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
     April 01, 2025 - Learn, don’t just recover, when things go wrong.  … Services AHRQ Safety Program for MRSA Prevention | Surgical Services The Science of Safety 24 What’s Wrong

176. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
     January 01, 2022 - pathology, imaging, and physiologic test results 0 22678 0.0 0.0 – 0.0 AE due to the receipt of wrong … AE related to a radiologic or imaging study including radiation overdose, imaging procedure on wrong … person or wrong body region, event related to introduction of inappropriate metallic object in MRI … At Risk AE Rate (%) 95% CI AE due to the receipt of wrong, contaminated, or no anesthesia … At Risk AE Rate (%) 95% CI (%) AE due to the receipt of wrong, contaminated, or no anesthesia

177. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
     January 01, 2022 - pathology, imaging, and physiologic test results 0 22678 0.0 0.0 – 0.0 AE due to the receipt of wrong … AE related to a radiologic or imaging study including radiation overdose, imaging procedure on wrong … person or wrong body region, event related to introduction of inappropriate metallic object in MRI … At Risk AE Rate (%) 95% CI AE due to the receipt of wrong, contaminated, or no anesthesia … At Risk AE Rate (%) 95% CI (%) AE due to the receipt of wrong, contaminated, or no anesthesia

178. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
     January 01, 2022 - pathology, imaging, and physiologic test results 0 22678 0.0 0.0 – 0.0 AE due to the receipt of wrong … AE related to a radiologic or imaging study including radiation overdose, imaging procedure on wrong … person or wrong body region, event related to introduction of inappropriate metallic object in MRI … At Risk AE Rate (%) 95% CI AE due to the receipt of wrong, contaminated, or no anesthesia … At Risk AE Rate (%) 95% CI (%) AE due to the receipt of wrong, contaminated, or no anesthesia

179. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
     January 01, 2024 - Adverse events occur when nurses push intravenous medications at the wrong rate, through a catheter … medication, or through IV lines that carry incompatible drugs; prepare medications with the wrong … strategies can reduce the incidence of medication errors related to the administration of drugs to the wrong … patient, wrong drug, wrong drug amount, and wrong administration time (10-12). … units was cited as one reason that there was less chance that a medication would be given to the wrong

180. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
     January 01, 2003 - Both medication errors and procedural errors, such as performing the wrong test on a patient, were included … The most frequent type of medication error was giving the wrong dose of medication to the patient ( … Other types of medication errors included wrong medication (12 percent), wrong patient (20 percent), … missed dose (10 percent), wrong route (6 percent), intravenous pump errors (5 percent), and near misses