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Total Results: 360 records

Showing results for "wrong".

21. Appropriate Assertion (Slide Presentation) | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion-slides/assertion-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 … “Patient-centered care”– It is not who is right or who is wrong, it is what is best for the patient

22. Sustainability and the Premortem Tool: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-fac-notes.html
    December 01, 2017 - Ask: What might have gone wrong? Say: Let’s assume patient care hasn’t improved. … Ask each team member what she or he thinks could go wrong. Ask: Was staff overburdened?

23. Module 2: Urinary Catheter Maintenance Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.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

24. Innovative Use of Technology in Primary Care Delivery - Slide Presentation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
    September 14, 2023 - developers made prototype changes within and between sessions Example Prompts “Where can things go wrong … “What have you done to keep things from going wrong?” … can be very dangerous if he gets too much… I’ve even caught medications that someone has drawn up wrong … , or even medications that I’ve drawn up wrong.”

25. Premortem Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
    January 01, 2017 - Things have gone completely wrong on a number of fronts. What could have caused this?" … Things have gone completely wrong on a number of fronts. What could have caused this?

26. Contributions to Patient Safety and Medical Liability | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/contributions.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

27. Tool 1. Staff Meeting Discussion Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool1.html
    May 01, 2014 - Address ground rules: There are no right or wrong answers.

28. Tool: Premortem (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
    January 01, 2017 - Things have gone completely wrong on a number of fronts. What could have caused this?” … Things have gone completely wrong on a number of fronts. What could have caused this?

29. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
    January 01, 2024 - reporting system that has a specific coded category to document diagnostic errors such as missed, wrong … (Item DXC3, NA/DK/MI = 50%) 56 When a missed, wrong, or delayed diagnosis happens in this office, … (Item DXC3) 56% 68% 49% 55% When a missed, wrong, or delayed diagnosis happens in this office, we are … (Item DXC3) 54% 54% 45% 59% 74% 56% When a missed, wrong, or delayed diagnosis happens in this office … (Item DXC3) 45% 58% 54% When a missed, wrong, or delayed diagnosis happens in this office, we are informed

30. Preventing-Cauti-Icu-Setting-Module 2-Speaker-Notes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_2-speaker-notes.docx
    September 01, 2015 - 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

31. Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
    January 01, 2024 - image guided radiotherapy, which would allow detection and prevention of delivery of radiation to the wrong … error leads to so-called never events: treatments with serious alignment errors 2 or with the wrong … interlock the radiotherapy machine to prevent treatment if the patient is not correctly aligned or if the wrong … Results have been obtained from 2018-2020 and indicate 2 unreported near-miss wrong-patient treatments

32. Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
    December 01, 2017 - I got tongue tied at the wrong point in the conversation, so thanks so much for that. … But maybe I'm wrong about that. … If I'm not wrong, we can think of a way, perhaps, to deal with some of the barriers that we saw, and … Something can go wrong at any point. … I keep pushing the wrong button to advance the slide, sorry.

33. Breaking-Down-Barriers-Transcript (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
    May 12, 2015 - I got tongue tied at the wrong point in the conversation, so thanks so much for that. … Maybe I'm wrong, but my guess is that our hospital and our experience is not unique. … But maybe I'm wrong about that. … Something can go wrong at any point. … I keep pushing the wrong button to advance the slide, sorry.

34. Terminology and Language Used by Patients and Caregivers | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology8.html
    April 01, 2025 - When things go wrong, they may speak not of errors, but rather mistakes, problems, mishaps, misunderstandings

35. Why Checklists for Diagnosis Are Not Performing as Expected | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-5.html
    September 01, 2020 - task but erred only in the execution (e.g., forgetting a step in the preoperative process, marking the wrong

36. Module 2: Urinary Catheter Maintenance | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2.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

37. 170-Cusp-Science-Safety-Notes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
    October 01, 2024 - Safe systems have a mechanism to learn from events when something goes wrong. … For example, an anesthesiologist gives a patient the wrong antibiotic or the wrong dose of an antibiotic … Slide 23 What’s Wrong With This Picture?

38. 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
    January 01, 2022 - reporting system that has a specific coded category to document diagnostic errors such as missed, wrong … diagnosis; communicating with providers who may have missed a diagnosis; and being informed when a missed, wrong … (Item DXC3, NA/DK/MI = 49%) 55 When a missed, wrong, or delayed diagnosis happens in this office, … (Item DXC3) 51% 69% 55% 55% 62% 47% When a missed, wrong, or delayed diagnosis happens in this office … (Item DXC3) 58% 54% 58% When a missed, wrong, or delayed diagnosis happens in this office, we are informed

39. NAA National Webinar August 2024 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
    January 01, 2024 - Alignment with Surgery Rotations https://www.aorn.org/outpatient-surgery/article/the-big- three-wrong-site-specialties … orthopedics, neurosurgery, urology https://www.aorn.org/outpatient-surgery/article/the-big-three-wrong-site-specialties … https://www.aorn.org/outpatient-surgery/article/the-big-three-wrong-site-specialties © 2023-2024

40. Slide 1 (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
    July 01, 2013 - Focus on key messages and repeat Patients should leave you knowing 3 things: What is wrong? … Steps to Improve YOUR Skills * EXAMPLE 1: One Key Message for a Patient with a Catheter What’s wrong … EXAMPLE 2: One Key Message for a Patient with a Catheter * What’s wrong?