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Showing results for "wrong".

  1. 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.
  2. Module-7-Slides (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
    November 18, 2021 - 28 Problem The wrong patients are getting
  3. Module-9-Slides (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-9-slides.pdf
    February 24, 2022 - ’t work What could be improved Questions for Tara and Kathy 23 • Chat question: What went wrong
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - decisions Consider using visualization tools to break down complex defects and discover where steps went wrong … Don’t just focus on what went wrong; also focus on what went right.
  5. 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
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
    March 10, 2008 - Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Hude Quan, MD, PhD; Saskia Drösler, MD; Vijaya Sundararajan, MD, MPH, FACP; Euge…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action_facnotes.docx
    December 01, 2017 - An investigation helps explain what went right and what went wrong for this particular patient.
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
    May 01, 2017 - risk, and this continuum is described in three categories: Human error—Inadvertently completing the wrong
  15. 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
  16. 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.
  17. 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.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
    March 23, 2008 - medical error was defined as “the failure to complete a planned action as intended or the use of a wrong … no workup Standard of care: Performing a workup “Continue to do a procedure knowing something is wrong … workup Standard of care: Performing a workup “Continue to do a procedure knowing something is wrong
  19. 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.
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
    January 01, 2003 - believe most clinical errors are preventable. 3.13 .525 Agree 12. are willing to discuss what went wrong … clinical mishap. 11. believe most clinical errors are preventable. 12. are willing to discuss what went wrong

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