Results

Total Results: 360 records

Showing results for "wrong".

61. Discussion | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
    July 01, 2024 - recent investigations 114 have brought to light patient-reported concerns (e.g., access problems, wrong

62. Recognizing-Success-Transcript (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/recognizing-success-transcript.docx
    May 01, 2017 - seemed like the first successes were in the ophthalmology rooms, where we had saved opening up the wrong

63. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
    June 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

64. SOPS Medical Office Survey (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english-2023.docx
    January 01, 2023 - The wrong chart/medical record was used for a patient 1 2 3 4 5 6 9 Charts/Medical Records … Medical information was filed, scanned, or entered into the wrong patient’s chart/medical record 1

65. Job Aid: Practice Assessments and Surveys (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-practice-assessments.pdf
    April 02, 2025 -  Establish ground rules for discussion: o There are no right or wrong answers.

66. Surgical Skin Preparation Audit Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/surgical-skinprep-audit.html
    September 01, 2024 - We recommend that you collect data from 10 patients undergoing surgery, but there is no right or wrong

67. Opportunities and Challenges Ahead | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship8.html
    August 01, 2024 - an analysis of recurring diagnostic “pitfalls,” Schiff and colleagues identified multiple cases of wrong

68. The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp.html
    October 01, 2024 - By imagining scenarios where things go wrong, teams can spot vulnerabilities and plan to mitigate them

69. Testing the Design of a Quality Report By Getting User Feedback | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/resources/design/testing.html
    September 01, 2019 - how they happened to choose those particular ones; sometimes people get the "right" answer for the wrong

70. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
    January 01, 2022 - pathology, imaging, and physiologic test results 0 22678 0.0 0.0 – 0.0 AE due to the receipt of wrong … AE related to a radiologic or imaging study including radiation overdose, imaging procedure on wrong … person or wrong body region, event related to introduction of inappropriate metallic object in MRI … At Risk AE Rate (%) 95% CI AE due to the receipt of wrong, contaminated, or no anesthesia … At Risk AE Rate (%) 95% CI (%) AE due to the receipt of wrong, contaminated, or no anesthesia

71. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
    January 01, 2022 - pathology, imaging, and physiologic test results 0 22678 0.0 0.0 – 0.0 AE due to the receipt of wrong … AE related to a radiologic or imaging study including radiation overdose, imaging procedure on wrong … person or wrong body region, event related to introduction of inappropriate metallic object in MRI … At Risk AE Rate (%) 95% CI AE due to the receipt of wrong, contaminated, or no anesthesia … At Risk AE Rate (%) 95% CI (%) AE due to the receipt of wrong, contaminated, or no anesthesia

72. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
    January 01, 2022 - pathology, imaging, and physiologic test results 0 22678 0.0 0.0 – 0.0 AE due to the receipt of wrong … AE related to a radiologic or imaging study including radiation overdose, imaging procedure on wrong … person or wrong body region, event related to introduction of inappropriate metallic object in MRI … At Risk AE Rate (%) 95% CI AE due to the receipt of wrong, contaminated, or no anesthesia … At Risk AE Rate (%) 95% CI (%) AE due to the receipt of wrong, contaminated, or no anesthesia

73. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
    May 01, 2024 - diagnostic errors were found in 23 percent of cases.4 While the cause of these delayed, missed, or wrong … Retract-And-Reorder” (Wrong-Patient RAR) tool. … Similarly, improvement efforts that decrease the RAR rate should also decrease the number of wrong-patient … EHR audit log data to determine which clinicians may be at risk of cognitive overload (e.g., via “wrong … Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.

74. A Future Vision for Better Diagnostic Outcomes | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load5.html
    May 01, 2024 - Monitor EHR audit log data to determine which clinicians may be at risk of cognitive overload (e.g., via “wrong

75. Appendix D. Followup Telephone Survey | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apd.html
    December 01, 2013 - There are no right or wrong answers, and often the first answer that comes to mind is best.

76. SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-12-15-2022.docx
    January 01, 2022 - When a missed, wrong, or delayed diagnosis happens in this office, we are informed about it 1 2 3

77. SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-2022-1215-ENGLISH-508.pdf
    January 01, 2022 - When a missed, wrong, or delayed diagnosis happens in this office, we are informed about it ...

78. User-Centered Quality Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/user-centered-quality-reports-mcgee-20120301-transcript.pdf
    April 02, 2025 - So lots of things can go wrong and that’s why I think it's so hard to stay user-centered. … If they stop and think, then things can go wrong. … and the navigation jumps that happen in Web site testing and to explain why it is that people went wrong

79. Give People a Reason To Look at a Health Care Quality Report | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/explain/communicate/reason.html
    November 01, 2018 - example of a negative frame: "Use this information to avoid the problems that can arise if you pick the wrong

80. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-appendix.pdf
    January 01, 2024 - (Item A1) 69% 70% 66% 64% 61% 63% Patient Identification The wrong chart/medical record was used … (Item A3) 96% 94% 92% 92% 92% 91% Medical information was filed, scanned, or entered into the wrong … (Item A1) 64% 68% Patient Identification The wrong chart/medical record was used for a patient. … (Item A3) 92% 92% Medical information was filed, scanned, or entered into the wrong patient’s chart … (Item A1) 61% 61% 69% 66% Patient Identification The wrong chart/medical record was used for