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Total Results: 5,540 records

Showing results for "wrong".

101. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet
     psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
     April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: … Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. … Wrong-site surgeries are considered rare but devastating never events . … A wrong-site surgery near miss is discussed in this AHRQ WebM&M commentary . … May 6, 2015 Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis

102. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. | PSNet
     psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
     January 20, 2021 - Study Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent … Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors … March 29, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or … wrong-person surgical errors: a retrospective study for 10 years. … June 11, 2014 Incidence, patterns, and prevention of wrong-site surgery.

103. Applying fault tree analysis to the prevention of wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
     September 09, 2015 - Applying fault tree analysis to the prevention of wrong-site surgery. … Applying fault tree analysis to the prevention of wrong-site surgery. … August 8, 2018 Wrong-site surgery. … May 26, 2016 Concept analysis: wrong-site surgery. … site, wrong procedure, and wrong patient operations.

104. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. | PSNet
     psnet.ahrq.gov/issue/secure-messaging-use-and-wrong-patient-ordering-errors-among-inpatient-clinicians
     July 20, 2022 - Study Secure messaging use and wrong-patient ordering errors among inpatient clinicians … Secure messaging use and wrong-patient ordering errors among inpatient clinicians. … Secure messaging use and wrong-patient ordering errors among inpatient clinicians. … March 10, 2021 Effect of number of open charts on intercepted wrong-patient medication … January 25, 2023 Wrong-patient orders in obstetrics.

105. Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors. | PSNet
     psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
     August 07, 2024 - Newspaper/Magazine Article Getting the wrong person's medicine at the pharmacy: easy … Citation Text: Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to … Copy URL Cite Citation Citation Text: Getting the wrong … Patient, Wrong Instructions. … September 25, 2008 Buying the wrong medicine overseas. 

106. Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet
     psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
     August 06, 2008 - Newspaper/Magazine Article Most surgery in wrong spot done on spine: 11 such cases … March 25, 2015 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … March 29, 2012 The pain of wrong site surgery. … July 6, 2011 Wrong body part, wrong patient surgeries continue despite new procedures … June 8, 2011 The wrong foot, and other tales of surgical error.

107. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet
     psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
     August 01, 2006 - SPOTLIGHT CASE Right Regimen, Wrong Cancer: Patient Catches Medical Error Citation … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. … The initial error—pulling the wrong paper order set—went undetected by the outpatient oncologist, the … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet].

108. Two Wrongs Don't Make a Right (Kidney) | PSNet
     psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
     April 01, 2010 - Wrong-side surgery is a surgical procedure that involves operating on the wrong extremity or wrong side … Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. … Wrong Site All surgical procedures performed on the wrong body part or wrong patient. … Often used as a general term for wrong level or part, wrong patient, and wrong side surgery. … Site, Wrong Procedure and Wrong Person Surgery.

109. Application of human error theory in case analysis of wrong procedures. | PSNet
     psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
     November 14, 2018 - Application of Human Error Theory in Case Analysis of Wrong Procedures. … Application of Human Error Theory in Case Analysis of Wrong Procedures. … March 29, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or … February 8, 2023 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient … Site, Wrong Procedure and Wrong Person Surgery.

110. Evaluating serial strategies for preventing wrong-patient orders in the NICU. | PSNet
     psnet.ahrq.gov/issue/evaluating-serial-strategies-preventing-wrong-patient-orders-nicu
     November 03, 2015 - Study Evaluating serial strategies for preventing wrong-patient orders in the NICU … Evaluating Serial Strategies for Preventing Wrong-Patient Orders in the NICU. … Wrong-patient errors are a well-established risk in the health care setting. … Evaluating Serial Strategies for Preventing Wrong-Patient Orders in the NICU. … November 30, 2022 Wrong-patient orders in obstetrics.

111. Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | PSNet
     psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry
     May 29, 2019 - Association of display of patient photographs in the electronic health record with wrong-patient … Association of display of patient photographs in the electronic health record with wrong-patient order … The authors suggest this may be a simple and cost-effective strategy for reducing wrong-patient errors … Association of display of patient photographs in the electronic health record with wrong-patient order … May 30, 2018 Intercepting wrong-patient orders in a computerized provider order entry

112. Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. | PSNet
     psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood
     May 11, 2022 - Commentary Serious hazards of transfusion: evaluating the dangers of a wrong patient … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in … Wrong-patient transfusion errors can lead to serious patient harm. … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in … March 2, 2022 Wrong-patient blood transfusion error: leveraging technology to overcome

113. A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. | PSNet
     psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
     March 04, 2015 - effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient … March 4, 2015 Improvement in detection of wrong-patient errors when radiologists include … July 29, 2020 Evaluation of near-miss wrong-patient events in radiology reports. … November 20, 2015 Evaluation of near-miss wrong-patient events in radiology reports. … March 4, 2015 Wrong-patient, wrong-site procedures persist despite safety protocol.

114. Frequency and clinical importance of pages sent to the wrong physician. | PSNet
     psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician
     October 31, 2011 - Study Frequency and clinical importance of pages sent to the wrong physician. … Frequency and clinical importance of pages sent to the wrong physician. … This study discovered that 14% of text pages were sent to the wrong physician, with nearly 50% of them … Frequency and clinical importance of pages sent to the wrong physician. … 2011 Getting the message: a quality improvement initiative to reduce pages sent to the wrong

115. Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. | PSNet
     psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2
     December 21, 2017 - Study Risk of wrong-patient orders among multiple vs singleton births in the neonatal … Risk of Wrong-Patient Orders Among Multiple vs Singleton Births in the Neonatal Intensive Care Units … The rate of wrong-patient errors was significantly higher among multiple-birth infants, most of which … Risk of Wrong-Patient Orders Among Multiple vs Singleton Births in the Neonatal Intensive Care Units … January 17, 2024 Wrong-patient orders in obstetrics.

116. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
     psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
     July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … May 6, 2015 Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis … September 15, 2010 Wrong site surgery near misses and actual occurrences.

117. Neuromuscular blocking agents: reducing associated wrong-drug errors. | PSNet
     psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
     April 26, 2023 - Newspaper/Magazine Article Neuromuscular blocking agents: reducing associated wrong-drug

118. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet
     psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
     December 21, 2017 - Study Understanding and preventing wrong-patient electronic orders: a randomized … Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. … Patient misidentification errors —such as laboratory results or notes being entered into the wrong … Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. … January 7, 2015 Indication-based prescribing prevents wrong-patient medication errors

119. Automated detection of wrong-drug prescribing errors. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/automated
     January 01, 2023 - Automated detection of wrong-drug prescribing errors. … Automated detection of wrong-drug prescribing errors.

120. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
     psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
     October 30, 2024 - That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong … receiving or nearly receiving care intended for someone else due to an order being entered into the wrong … care due to patient misidentification resulted from a medication or test order being placed in the wrong … Physicians may inadvertently open the wrong chart by clicking on the incorrect name in a long, electronic … November 8, 2023 Adding automation and independent dual verification to reduce wrong