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www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool6.html
May 01, 2014 - Scale in "wrong location?"
Draft BMI screening protocols.
-
www.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
March 01, 2023 - We owe it to each other to make our grief known and speak out about this wrong.
-
www.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
August 01, 2021 - care staff recognize that something is not quite right with the resident but aren’t clear on what is wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
April 02, 2025 - The wrong chart/medical record was used for a patient.
Charts/Medical Records
A3. … Medical information was filed, scanned, or entered into the wrong patient’s chart/medical record.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Skills
Focus on key messages and repeat
Patients should leave you knowing 3 things:
What is wrong … Slide 26
Example 1: One Key Message for a Patient with a Catheter
What’s wrong? … Slide 27
Example 2: One Key Message for a Patient with a Catheter
What’s wrong?
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
October 20, 2021 - this office/
svstem may have missed a diagnosis, they inform that
provider.
55
When a missed, wrong … (NA/DK/MI = 49%)
55
When a missed, wrong, or delayed diagnosis happens in
this office, we, are
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Are there aspects of the patient safety culture that promote doing the wrong things? … The attending anesthesiologist then read the wrong patient’s name on the blood transfusion bag. … Slide 27: Case Study: Renal Transplant
Say:
The attending anesthesiologist asked about the wrong … It was later determined that the wrong stamp had left the ICU with the patient at 5:30 a.m. … Frankly, wrong-site surgeries are too important a defect to merely hope for success.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-prelim-phase-one.pdf
April 02, 2025 - the waiting room for one hour after my
visit was over because the desk put my discharge file in
the wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
March 01, 2009 - Three Principles of Safe Design
18
Standardize
Create independent checks
Learn when things go
wrong … 23
Learn When Things Go Wrong
24
First vs.
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Are there aspects of your patient safety culture that promote doing the wrong thing or engaging in a … Attending notes that a transfusion has started, and that the unit of blood has the wrong patient’s name … However, the wrong chart was sent with the patient from the ICU.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - diagnostic errors were found in 23 percent of cases. 4 While the cause of these delayed, missed, or wrong
-
www.ahrq.gov/news/blog/ahrqviews/shaping-the-future-through-dhr.html
September 01, 2024 - After confirming that using patient photos can significantly reduce wrong patient orders, the team is
-
www.ahrq.gov/talkingquality/resources/writing/tip4.html
May 01, 2015 - believe a myth to be true might be embarrassed or otherwise react negatively to finding out they are wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-suppl-items.doc
April 02, 2025 - When a missed, wrong, or delayed diagnosis happens in this office, we are informed about it
(1
(2
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - Three Principles of Safe Design
Standardize
Create independent checks
Learn when things go wrong … Slide 24
Learn When Things Go Wrong
First vs.
-
www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
May 01, 2023 - Matt replies that Judy is wrong, as Mrs. Peters’ menu card says “regular diet.”
-
www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - this scenario, an assertive statement may be appropriate even though the physician has done nothing wrong
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-slides.html
December 01, 2017 - Many things have gone completely wrong.
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/success-transcript.html
June 01, 2017 - seemed like the first successes were in the ophthalmology rooms, where we had saved opening up the wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
October 01, 2024 - Learn, don’t just recover, when things go wrong. … | 23
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
The Science of Safety
23
What’s Wrong