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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap5.html
June 01, 2014 - Quality item with the highest average percent positive response (98 percent positive) was: (A2) "The wrong
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - The following questions are typically asked (Table 5):
• “What can go wrong?” … If info is wrong, the
Fenwal armband on
patient will catch the error. … handwritten) blood
unit tag to donor
blood and Fenwal
# sticker
Correct tag on
correct unit
Put wrong
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www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
January 01, 2025 - Moreover, studies of patient safety mainly focus on errors of commission6,10-13—
doing something wrong … , such as administering wrong medication11,14,15 or giving wrong
diagnoses10,12,16 —as opposed to errors
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www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
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Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Mill…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Items-2022-1215-ENGLISH-508.pdf
January 01, 2022 - Information was entered into
the wrong patient health
record.....................................
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apd.pdf
June 02, 2025 - There are no
right or wrong answers, and often the first answer that comes to mind is best.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - Making sure that someone gets to see a doctor when they show up on the wrong day is an example of the … the patient or member is a prime candidate for overt retaliation. 3 Communication about what went wrong
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - the failure to provide complete discharge
instruction, with the effect that a patient might take the wrong … discharge instructions may
frequently be incomplete, but less frequently result in the patient taking a wrong … information transfer
The major failures associated with medication information transfer are (1)
wrong … Transmission errors include discharge summaries sent to wrong physicians,
wrong clinics, or not sent
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
July 25, 2018 - Some sample quotes are "A lot of the medication
lists are either wrong or patients are having to call … "I do a lot of chart
reviews and I frequently find wrong information in physician progress notes." … Yount, Slide 37
Finally, we see 32% of respondents said that information was entered into the wrong … patient health record, or
they discovered that it was entered into the wrong patient health record at … Just one simple quote here is "Patient information is scanned in the wrong patient chart.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-2.pdf
January 01, 2016 - The wrong chart/medical record was used for a patient. … The wrong chart/medical record was used for a patient. … The wrong chart/medical record was used for a patient. … The wrong chart/medical record was used for a patient. … The wrong chart/medical record was used for a patient.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/applycusp.pptx
August 18, 2011 - accountable
5
5
6
Understanding Risk and
Human Behavior1
Human Error: Inadvertently completing the wrong
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www.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - , Edward Drost, Daryl Elder, Yvonne Heib
Surgical Safety: Addressing the JCAHO Goals for Reducing Wrong-site … , Wrong-patient, Wrong-procedure Events ( PDF , 403 KB)
Sandra Ludwick
Voluntary Hospital Coalitions
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-appendix.pdf
January 01, 2024 - (Item A1) 69% 70% 66% 64% 61% 63%
Patient Identification
The wrong chart/medical record was used … (Item A3) 96% 94% 92% 92% 92% 91%
Medical information was filed, scanned, or entered into the wrong … (Item A1) 64% 68%
Patient Identification
The wrong chart/medical record was used for a patient. … (Item A3) 92% 92%
Medical information was filed, scanned, or entered into the wrong patient’s chart … (Item A1) 61% 61% 69% 66%
Patient Identification
The wrong chart/medical record was used for
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
March 01, 2023 - The wrong chart/medical record
was used for a patient ................ … Medical information was filed,
scanned, or entered into the
wrong patient’s chart/medical
record
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
August 01, 2023 - safety I, focus on creating standard processes and systems that limit the opportunity for things to go wrong
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - medication not listed on the chronic medication list (59); medication not listed
anywhere in the chart (7); wrong … 70.2
Not listed in chart 7 8.3
No listing of medication for date of service
phone call 1 1.2
Wrong … chart given to medical staff for review 1 1.2
Subtotal stage-1 errors 68 80.9
Stage-2 errorsb
Wrong … Of the 246 encounters, 11 (4.5 percent)
were associated with an incorrect prescription written or a wrong
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - involved (physicians, pharmacists, nurses, respiratory
therapists), the breakdown by occurrence type (wrong … dose, wrong route, etc.),
which medications or medication classes were involved in the errors, the … Analysis of the data by type of
occurrence (Figure 2) identified the most commonly occurring error as wrong … dose, followed by wrong drug.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_II_508.pdf
January 01, 2020 - The wrong chart/medical record was used for a patient. … The wrong chart/medical record was used for a
patient. … The wrong chart/medical record was used for a patient. … The wrong chart/medical record was used for a patient. … The wrong chart/medical record was used for a patient.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
January 01, 2022 - (Item A1) 73% 66%
Patient Identification
The wrong chart/medical record was used for a patient. … (Item A3) 94% 93%
Medical information was filed, scanned, or entered into the wrong patient’s chart … (Item A1) 76% 55% 76% 63% 76% 68% 75% 86%
Patient Identification
The wrong chart/medical record was … (Item A3) 93% 97% 93% 96%
Medical information was filed, scanned, or entered into the wrong patient … (Item A3) 86% 94% 89% 92%
Medical information was filed, scanned, or entered into the wrong patient
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/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