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Total Results: 725 records

Showing results for "wrong".

321. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
     January 01, 2025 - 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 … Risks for this analysis are described as the answers to the following questions: • What can go wrong … waiting to hear about a bed 1 1 No feedback for referring hospital 2 2 Staff/Human error Wrong

322. Diagnostic error in mental health: a review (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
     April 15, 2024 - defnitions or frameworks for understanding diagnostic error in mental health, several studies of missed, wrong … Missed, delayed or wrong diagnosis of mental disorders can lead to poorer patient outcomes and can … diagnostic error Description of approach Example of use of this approach studies Misdiagnosis or wrong … Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses.

323. Presentation: Tools for Sustainability: Premortem and Scorecard
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
     January 01, 2017 - mechanical ventilation safety program has failed—catastrophically Many things have gone completely wrong

324. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
     June 01, 2023 - The billing specialist then called the insurer and clarified that the insurer had the wrong dates and

325. Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
     April 01, 2022 - They may feel like they're going to be told that they're wrong.

326. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - Errors are defined as an act of commission (doing something wrong) or omission (failing to do the right

327. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
     February 01, 2017 - Are there aspects of your patient safety culture that promote doing the wrong thing or engaging in a

328. Information to Help Hospitals Get Started (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
     January 01, 2012 - Hospitals are becoming increasingly frustrated - and wasting money - trying to hit the wrong target.

329. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
     December 01, 2017 - you know, babies to the very old, and the most important thing is that we don’t really know what’s wrong … We have a sense of how they’re responding to whatever’s wrong with them, but we don’t really know. … there has to be because we’re all working together with patients that we’re not really sure what’s wrong

330. Ed-Catheter-Insertions-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
     September 10, 2013 - you know, babies to the very old, and the most important thing is that we don’t really know what’s wrong … We have a sense of how they’re responding to whatever’s wrong with them, but we don’t really know. … there has to be because we’re all working together with patients that we’re not really sure what’s wrong

331. Appropriate Assertion Call (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
     April 01, 2013 - You want to try to avoid the issue of who is right and who is wrong. … You are trying to avoid this notion of “I am right and you are wrong” or wherever the disagreement may … is how we are doing it here and if you are asked to stop the insertion and address something that’s wrong

332. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
     January 01, 2005 - No use of a leading zero before a decimal point X Vagueness of instructions on prescription X Wrong … leading zero before a decimal point 9.4 11.1 Vagueness of instructions on prescription 0 0.3 Wrong … after introduction of the PDA: vagueness of instructions on the prescription and identification of the wrong

333. Coaching (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
     July 01, 2023 - Without accurate assessment, coaching efforts might be spent addressing the wrong problem or a nonexistent … Without accurate assessment, your coaching efforts might all be spent on addressing the wrong problem

334. Coaching (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
     July 01, 2023 - Without accurate assessment, coaching efforts might be spent addressing the wrong problem or a nonexistent … Without accurate assessment, your coaching efforts might all be spent on addressing the wrong problem

335. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - events occurred because of user error in operating the device, or because a device was used with the wrong … Additional near misses occurred when the wrong blood product (e.g., fresh frozen plasma versus COVID

336. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - conduct a step-by-step analysis staff can use to understand how the various parts of a process could go wrong … rule-based failure occurs when a person does not carry out a procedure or protocol correctly or chooses the wrong

337. Safe Practices for Better Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
     April 01, 2004 - Implement standardized protocols to prevent the occurrence of wrong-site procedures or wrong-patient

338. Indwelling Urinary Catheter Insertion Facilitator Notes
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion.pptx
     April 01, 2022 - Consider multiple steps in the insertion process, as something can go wrong at any point in the process

339. Final Progress Report: Theory to Practice: Issues and Challenges for Engineering Resilience (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/blocker-report.pdf
     January 01, 2025 - These latter techniques use a systems view that examines what goes wrong; however, they can be a tool

340. Two-Day Training Content | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/communication/teach/two-day.html
     December 01, 2023 - Examples: showing up at the wrong place or time to a party, or confusing which person a friend told you