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Total Results: 360 records

Showing results for "wrong".

241. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
     September 30, 2024 - models to identify combinations of medication delivery system and behavioral elements that produce wrong … drug, wrong dose, wrong resident, and omission medication errors in nursing and community-based care … Key Findings/Impact: PADEs with the highest incidence include dispensing the wrong dose/strength of … warfarin due to a data entry error; dispensing warfarin to the wrong patient; and dispensing an inappropriate … PADEs with the lowest incidence include dispensing the wrong drug when filling a warfarin prescription

242. Practical Strategies for Gathering Feedback Directly from Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Qualitative_Methods_2012_04_11_Transcript.pdf
     January 01, 2012 - coming up with solutions that are very expensive and difficult to implement, and they're often the wrong

243. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/brock.html
     August 01, 2017 - Medical error was defined as the failure of a planned action to be completed or the use of a wrong plan

244. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressu…

245. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
     February 01, 2015 - Mindful Practice Catheter insertion is really a very complex task: Multiple steps Something can go wrong

246. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
     July 01, 2023 - She went home still feeling worried that she didn’t really know what was wrong. … was struggling with digestive issues… got allergy testing as well as scoping… still unclear what was wrong

247. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
     April 01, 2013 - infection investigation tool which will help you understand the defects and what possibly could have gone wrong … Mary Ellen Furanti: Okay, I thought that maybe I was wrong, that the clave changes were every 7 days

248. Preventing-Cauti-Icu-Setting-Facilitators-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.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

249. Program Overview: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
     December 01, 2017 - Things have gone completely wrong on a number of fronts.

250. Engaging Senior Executives: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
     December 01, 2017 - Requires Technical and Adaptive Efforts Say: Despite numerous technical approaches to improve wrong-site

251. Chapter 1. The Framework for Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide1.html
     February 01, 2016 - There are many ways to get this wrong, and only two or three ways that seem to work reliably across a

252. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 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…

253. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
     August 01, 2022 - Doing right by our patients when things go wrong in the ambulatory setting. … Selected Other Products Developed by Grantee When Things Go Wrong in the Ambulatory Setting, a 4- … page tool published in 2013 that is a companion to When Things Go Wrong: Responding to Adverse Events … (2006) When Things Go Wrong in the Ambulatory Setting video, available at https://vimeo.com/76550944

254. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - Many things can go wrong, however, and plenty of research has shown botched patient handoffs can be … • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement.

255. Engaging-Nurse-Physician-Patient-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
     April 02, 2025 - Again, the most important component of this process is that if focuses on what went wrong not who did … something wrong.

256. Recovering After Emergency Appendectomy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
     November 01, 2023 - ■ If you feel sick to your stomach or you are throwing up Call as soon as you think something is wrong

257. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
     September 01, 2024 - Healers, physicians, and surgeons used their skills to fix what was deemed wrong with the patient’s … From what’s wrong to what’s strong. A guide to community-driven development.

258. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
     December 01, 2024 - Many things can go wrong, however, and plenty of research has shown deficient patient handoffs can be … • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement.

259. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
     September 01, 2024 - Healers, physicians, and surgeons used their skills to fix what was deemed wrong with the patient’s … From what’s wrong to what’s strong. A guide to community-driven development.

260. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
     August 01, 2022 - included those occurring during surgeries and other procedures (e.g., failure of sterility, surgery on the wrong … to treat newborn hypoglycemia); and general care and infectious disease (e.g., administration of the wrong