-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
September 01, 2021 - Safe diagnosis (as opposed to missed, delayed, or wrong) is an intermediate outcome compared with more
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
March 25, 2008 - failure of a planned
action to be completed as intended—i.e., an error of execution—or the use of a wrong … inadequate attribution of
causality may create the potential for misguided actions to “solve” the wrong … Wrong site surgeries are known to be preventable through use of the universal protocol.48 Failure
to … Universal protocol for preventing wrong site, wrong
procedure, wrong person surgery.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/conflict_resolution-slides/Conflict-Resolution-Oct-12-2010-508.ppt
January 01, 2010 - 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/hai/tools/surgery/tools/surgical-complication-prevention/normothermia-audit.html
December 01, 2017 - We recommend that you collect data from 10 surgical patents, but there is no right or wrong number of
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/normothermia_audit.docx
December 01, 2017 - We recommend that you collect data from 10 surgical patents, but there is no right or wrong number of
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/surgical-skin-prep-audit-tool.docx
December 01, 2017 - We recommend that you collect data from 10 patients undergoing surgery, but there is no right or wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/casalino.ppt
February 16, 2011 - of the “short list”
see the reasons given for selecting these areas
better to be provocative and wrong
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apd.html
December 01, 2013 - There are no right or wrong answers, and often the first answer that comes to mind is best.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apd.html
December 01, 2013 - There are no right or wrong answers, and often the first answer that comes to mind is best.
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - diagnostic errors were found in 23 percent of cases.4 While the cause of these delayed, missed,
or wrong … Retract-And-Reorder”
(Wrong-Patient RAR) tool. … Similarly, improvement efforts that decrease the RAR
rate should also decrease the number of wrong-patient … EHR audit log data to determine which clinicians may be at
risk of cognitive overload (e.g., via “wrong … Understanding and preventing wrong-patient electronic orders: a
randomized controlled trial.
-
www.ahrq.gov/ncepcr/tools/confid-report/foreword.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Fundamentals
…
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
January 10, 2022 - Speaking up could ensure results are entered into the records and potentially avert a missed or wrong … diagnostic process safer and offers the potential for fewer missed diagnoses, delayed diagnoses, and wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
January 10, 2022 - Speaking up
could ensure results are entered into the records and potentially avert a missed or
wrong … diagnostic process safer and offers the potential for fewer missed diagnoses, delayed
diagnoses, and wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Item-Set-English-12-15-22.docx
December 01, 2022 - Information was entered into the wrong patient health record.......................................
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - surgical instrument); an event without ensuing harm is
called either a near miss or a close call (e.g., wrong … When a patient receives the wrong medication, the steps upstream from the drug administration
are visible … For example, hospitals could determine
whether they have a behavior-specific policy for preventing wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - , the rate of
potentially dangerous medication errors is three times that of adults and outpatient wrong … bottles from home medicines. 51%
medications not recorded; 29% not
taking medications on list; 20% wrong … grouped in broad categories that reflect types
of medication delivery system failures (e.g., use of the wrong … Wrong frequency
c. Wrong route
d. Wrong instrument (e.g., tablespoon instead of teaspoon)
e.
-
www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-audit.html
December 01, 2017 - We recommend that you collect data from 10 surgical patents, but there is no right or wrong number of
-
www.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - Care)
Feedback helps teams improve by providing timely, specific information on what went right or wrong
-
www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
December 01, 2017 - Better to be provocative and wrong than to be too general.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_audit.docx
December 01, 2017 - We recommend that you collect data from 10 surgical patents, but there is no right or wrong number of