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Total Results: 725 records

Showing results for "wrong".

421. 2024 Child HCAHPS Survey Database Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-chartbook.pdf
     January 01, 2024 - Sometimes • Usually • Always Mistakes in your child’s healthcare can include things like giving the wrong … medicine or doing the wrong surgery.

422. Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/research/grants-2022.html
     July 01, 2025 - real time, especially among marginalized patients, and then learn deeply from them about what went wrong

423. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
     September 04, 2020 - but erred only in the execution (e.g., forgetting a step in the preoperative process, marking the wrong

424. Facilitator Notes | Agency for Healthcare Research and Quality
     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

425. Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
     August 25, 2015 - Errors are defined as an act of commission (doing something wrong) or omission (failing to do the right

426. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - rule-based failure occurs when a person does not carry out a procedure or protocol correctly or chooses the wrong

427. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
     May 01, 2017 - and this continuum is described in three categories: • Human error—Inadvertently completing the wrong

428. I. Introduction | Agency for Healthcare Research and Quality
     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

429. Mutual Support: Severe Hypertension (pdf file)
     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

430. Mutual Support: Severe Hypertension - PowerPoint Presentation
     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

431. 2023 Child HCAHPS Survey Database Chartbook (pdf file)
     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.

432. Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths (pdf file)
     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

433. Tool 11: Community Resource Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
     June 02, 2025 - ] [Service provider, such as Aging and Disability Resource Center] [Point person] [XXX] [“No wrong

434. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - the failure of a planned action to be completed as intended (error of execution), or the use of a wrong … • Correct tube-correct connector-correct hole • Patient falls • Deaths related to surgery at wrong

435. Development of a Comprehensive Medical Error Ontology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
     June 16, 2008 - It was determined that the cause of the MI was related to a wrong dosage of the drug, Vasopressin (the … given by the ICU fellow to the resident to order vasopressin; (ii) the resident directly entered the wrong

436. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
     April 07, 2008 - Failure modes and effects analysis with risk priority number Failure mode (What could/does go wrong … Results of root cause analysis Rank Failure mode (What could/does go wrong) Type of failure

437. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - activities for various kinds of events to aid our understanding of their course and how they could go wrong

438. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part I (pdf file)
     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

439. 007-Ss-Contact-Precautions-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/007-ss-contact-precautions-fg.docx
     April 01, 2025 - . · PPE access issues: Isolation carts with PPE were frequently misplaced outside spaces of the wrong

440. Surveys on Patient Safety Culture (SOPS®) Medical Office Survey: 2022 User Database Report Part I (pdf file)
     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