-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-facguide.docx
January 01, 2017 - In a way, this culture helps us understand what is good, bad, right, and wrong, so that we can also understand
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - sometimes
difficult to do because the culture is unsupportive of speaking up or you’re worried you’ll
be wrong … explicit permission to participate in care discussions
o “If you hear us say something that sounds wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - sometimes difficult to do because the culture is unsupportive of speaking up or you’re worried you’ll be wrong … patient explicit permission to participate in care discussions
“If you hear us say something that sounds wrong
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role2.html
September 01, 2024 - Healers, physicians, and surgeons used their skills to fix what was deemed wrong with the patient’s body
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/zero_clabsis-slides/Sustaining-Zero-CLABSIs-May-8-2012-508.ppt
January 01, 2012 - Hospital leadership gives “good catch” pins to staff who identify and correct a patient safety near miss
Wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
January 01, 2023 - will
be used universally; transparency in all aspects of care (including apologizing when
things go wrong … Despite their global support of being transparent
when care has gone wrong, turning this principle into
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-child-hcahps-chartbook.pdf
January 01, 2023 - Sometimes
• Usually
• Always
Mistakes in your child’s healthcare can include things like giving the wrong … medicine or doing the
wrong surgery.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
January 01, 2024 - 9%
Weekly
15%
Daily
11%
0%
20%
40%
60%
80%
100%
65% Positive
Patient Identification
The wrong … 20%
40%
60%
80%
100% 92% Positive
Medical information was filed,
scanned, or entered into the wrong … (Item A1)
65% 26.22% 0% 26% 50% 67% 86% 100% 100%
Patient Identification
The wrong chart … 12.34% 0% 75% 88% 100% 100% 100% 100%
Medical information was filed, scanned, or entered into the
wrong
-
www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - , and this continuum is described in three categories:
Human error—Inadvertently completing the wrong
-
www.ahrq.gov/patient-safety/reports/hotline/intro1.html
May 01, 2016 - (This is not to suggest that one effort got it wrong and another got it right—both projects went through
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
April 02, 2025 - ]
[Service provider, such as Aging and Disability Resource Center]
[Point person]
[XXX]
[“No wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
January 01, 2022 - The wrong chart/medical
record was used for a patient. 98% Positive
Not in the
past 12
months … Medical information was
filed, scanned, or entered
into the wrong patient's
chart/medical record. … (Item A1)
72% 25.90% 0% 33% 56% 75% 100% 100% 100%
Patient Identification
The wrong chart/medical … 11.12% 25% 79% 89% 100% 100% 100% 100%
Medical information was filed, scanned, or entered into the
wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
July 01, 2023 - sometimes
difficult to do because the culture is unsupportive of speaking up or you’re worried you’ll
be wrong … explicit permission to participate in care discussions
o “If you hear us say something that sounds wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
July 01, 2023 - sometimes difficult to do because the culture is unsupportive of speaking up or you’re worried you’ll be wrong … patient explicit permission to participate in care discussions
“If you hear us say something that sounds wrong
-
www.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer
Summary
Preliminary 1 estimates for 2015 show a 21 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 3.1 million fewer HACs were expe…
-
www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Final Data From National Efforts To Make Care Safer, 2010–2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
March 01, 2016 - What went wrong? They found no errors in the report
logic. … • Data errors: A data error may entail missing
information, or wrong information entered, or it
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
April 01, 2013 - We had a couple of inappropriate, wrong medications administered during interventional radiology procedures … manner – again, 100 percent support for the team member that speaks up, whether they were right or wrong
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - unexpected death after elective surgery in a healthy patient where nothing is found to have been done wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
October 01, 2022 - Avoid the issue of who’s right and who’s wrong.
Actively avoid being perceived as judgmental.