Results

Total Results: 360 records

Showing results for "wrong".

201. Implementing the SPPC‐II Teamwork Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
     July 01, 2023 - Things have gone completely wrong on a number of fronts. What could have caused this?" … • Identify risk points where things could or do go wrong.

202. Implementing the SPPC-II Teamwork Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
     July 01, 2023 - Things have gone completely wrong on a number of fronts. What could have caused this?" … • Identify risk points where things could or do go wrong.

203. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I.pdf
     January 01, 2020 - The wrong chart/medical record was used for a patient. 98% Positive 67% Not in the past 12 months … Medical information was filed, scanned, or entered into the wrong patient's chart/ medical record … 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.

204. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I-rev0921.pdf
     January 01, 2020 - The wrong chart/medical record was used for a patient. 98% Positive 67% Not in the past 12 months … Medical information was filed, scanned, or entered into the wrong patient's chart/ medical record … 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.

205. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
     July 01, 2023 - , and this continuum is described in three categories: Human error—Inadvertently completing the wrong

206. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
     January 01, 2025 - interventions that might feasibly reduce anesthesia medication errors: • Failures of intention - making the wrong … literature on medication administration failures in anesthesia has focused on what the provider has done wrong … effects of hindsight and outcome bias, but it also extends to the ability to discern ‘right’ from ‘wrong

207. Implementing Your Surgical Site Infection Prevention Bundle: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
     October 01, 2020 - First example of an instrument defect: Wrong tray; got a medium, but needed major 1 & 2.

208. Improving Communication and Teamwork in the Surgical Environment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
     May 01, 2017 - Ambulatory Surgery 23 Example of making the team guess what you are thinking “Can you tell me what you did wrong

209. VI. Summary and Conclusions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
     May 01, 2016 - appetite among health care organizations for collecting information from consumers about things that go wrong

210. Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
     February 01, 2017 - In a way, this culture helps us understand what is good, bad, right, and wrong, so that we can also understand

211. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - condition, a patient fall, a venous thromboembolism, a medication error, a surgical site infection, wrong-site

212. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
     December 01, 2017 - technique is noted, making it all about patient safety, not necessarily about who's right and who's wrong

213. No More Cauti Preventing Cauti Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
     May 05, 2015 - technique is noted, making it all about patient safety, not necessarily about who's right and who's wrong

214. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
     November 01, 2015 - technique is noted, making it all about patient safety, not necessarily about who's right and who's wrong

215. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     July 01, 2023 - rule-based failure occurs when a person does not carry out a procedure or protocol correctly or chooses the wrong

216. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
     July 01, 2022 - the occurrence of one or both of the following (whether or not the patient was harmed): � Delayed, Wrong … Measure Dx | 48 Where in the Diagnostic Process What Went Wrong 1. Access/Presentation a. … Ordering of wrong test(s) e. … Tests ordered wrong way Performance (traditionally called “analytic phase”) f. … Sample mix-up/mislabeled (e.g., wrong patient/test) g. Specimen delivery problem h.

217. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
     July 01, 2022 - the occurrence of one or both of the following (whether or not the patient was harmed): � Delayed, Wrong … Measure Dx | 48 Where in the Diagnostic Process What Went Wrong 1. Access/Presentation a. … Ordering of wrong test(s) e. … Tests ordered wrong way Performance (traditionally called “analytic phase”) f. … Sample mix-up/mislabeled (e.g., wrong patient/test) g. Specimen delivery problem h.

218. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
     May 01, 2024 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.

219. Displaying the Data in a Health Care Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/display/index.html
     May 01, 2019 - design is as follows: If people need a lot of explanation to understand your graphic, there's something wrong

220. 2024 Child HCAHPS Survey Database Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-chartbook.pdf
     January 01, 2024 - Sometimes • Usually • Always Mistakes in your child’s healthcare can include things like giving the wrong … medicine or doing the wrong surgery.