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Total Results: 725 records

Showing results for "wrong".

461. Organizational Embrace of CUSP to Improve Patient Safety (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
     April 01, 2013 - We had a couple of inappropriate, wrong medications administered during interventional radiology procedures … manner – again, 100 percent support for the team member that speaks up, whether they were right or wrong

462. Safety Climate on Hospital Units: A New Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
     January 01, 2004 - environment or the system and included the following: distractions and interruptions, RN-to-patient ratio, wrong … medication or wrong dose delivered to the unit, and volume of medications and patients.

463. Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
     March 01, 2004 - punctures or lacerations and foreign bodies accidentally left in patient’s body during procedures, wrong … equipment involved with anesthesia; but this indicator does not tell the user whether the AE involved wrong … for the code E876.5 (performance of inappropriate surgery) would be useful for learning more about wrong-site

464. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
     June 01, 2012 - understand that keeping residents safe—and not worrying about who might be to blame when things go wrong—is … Lessons › Learn to notice a change early. › Not reporting a change can lead to other things going wrong … You ask the resident what is wrong, telling him you will check on his lunch, and then notify the licensed … You ask the resident what is wrong, telling him you will check on his lunch, and then notify the licensed … understand that keeping residents safe, and not worrying about who might be to blame when things go wrong

465. 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

466. 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
     April 30, 2025 - 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

467. Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
     October 01, 2007 - Also, there are no right or wrong answers to any of the questions I will ask. … if you can take it with another medicine, how to avoid any harmful problems from taking the medicine wrong … , or what to do if you have taken the medicine wrong vii.

468. Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
     January 01, 2024 - Plausibly correct, but wrong: a failure phenotype in health IT.

469. 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

470. Presentation: Implementing Your SSI Prevention Bundle
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
     December 01, 2017 - system that makes it easier for providers to do the right thing and harder for providers to do the wrong … debriefing log of defects NURSE ANESTHES-IOLOGIST EQUIPMENT COMMENT ACTION PLAN Smith Jones Instruments Wrong

471. Presentation: Turning Data Into Action
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
     December 01, 2017 - An investigation helps explain what went right and what went wrong for this particular patient.

472. 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.

473. 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

474. Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
     December 01, 2017 - Intervention Requires Technical and Adaptive Efforts SAY: Despite numerous technical approaches to improve wrong-site

475. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
     March 01, 2017 - These fears can include the fear of feeling embarrassed, or being ridiculed, or being wrong.

476. Chapter 1. The Framework for Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/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

477. 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

478. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate 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…

479. 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…

480. 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