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Total Results: 5,540 records

Showing results for "wrong".

121. Health information technology-related wrong-patient errors: context is critical. | PSNet
     psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
     June 01, 2022 - Study Health information technology-related wrong-patient errors: context is critical … Citation Text: Health information technology-related wrong-patient errors: context is critical. … This study analyzed the processes of care involved in 1,189 wrong-patient events.  … reached the patient, most commonly involving inappropriate medication administration or receiving the wrong … The authors recommend several strategies for reducing wrong-patient errors. 

122. Never Events | PSNet
     psnet.ahrq.gov/primer/never-events
     June 15, 2024 - site Surgery or other invasive procedure performed on the wrong patient Wrong surgical or other invasive … drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation, or wrong route of administration … Since February 2009, CMS has not paid for any costs associated with  wrong-site surgeries . … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Editor's Picks Sentinel … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Identifying

123. Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. | PSNet
     psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
     July 09, 2018 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Effect of Restriction of the Number of Concurrently Open Records in an Electronic Health Record on Wrong-Patient … September 4, 2019 Evaluating serial strategies for preventing wrong-patient orders in … June 2, 2019 Wrong-patient blood transfusion error: leveraging technology to overcome … September 1, 2016 Intercepting wrong-patient orders in a computerized provider order

124. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet
     psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
     October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in … Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. … Wrong blood in tube (WBIT) errors are rare but can lead to complications . … Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. … June 2, 2019 Wrong-patient blood transfusion error: leveraging technology to overcome

125. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. | PSNet
     psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-system
     January 14, 2011 - Study Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care … Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. … Wrong-surgery errors continue to occur despite their status as never events . … Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Grading recommendations

126. Evaluation of near-miss wrong-patient events in radiology reports. | PSNet
     psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports
     June 13, 2015 - Study Evaluation of near-miss wrong-patient events in radiology reports. … JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. … This retrospective case review study determined the prevalence of reported near-miss wrong-patient … JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. … September 24, 2016 Improvement in detection of wrong-patient errors when radiologists

127. Preventing wrong-site surgery in Minnesota: a 5-year journey. | PSNet
     psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey
     December 19, 2007 - Newspaper/Magazine Article Preventing wrong-site surgery in Minnesota: a 5-year journey … Citation Text: Preventing wrong-site surgery in Minnesota: a 5-year journey. … April 1, 2020 Hospitals collaborate to prevent wrong-site surgery. … August 18, 2010 Wrong-site sinus surgery in otolaryngology. … August 11, 2010 Avoiding wrong site surgery: a systematic review.

128. When Things Go Wrong: Responding to Adverse Events. | PSNet
     psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
     November 19, 2014 - Book/Report Classic When Things Go Wrong: Responding to … Citation Text: When Things Go Wrong: Responding to Adverse Events. … Copy URL Cite Citation Citation Text: When Things Go Wrong

129. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet
     psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
     March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic … Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never … Incidence estimates for retained surgical items and wrong-site surgery varied across studies, with … April 7, 2021 Concept analysis: wrong-site surgery. … site, wrong procedure, and wrong patient operations.

130. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet
     psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
     October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint … Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission … Wrong-site surgery is a never event , but still occurs at alarming rates. … Charles Vincent discussed a case of a wrong-site procedure. … January 4, 2012 Incidence, patterns, and prevention of wrong-site surgery.

131. Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet
     psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
     December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … Following a sentinel wrong-patient event , a multidisciplinary quality improvement team worked to enhance … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … May 10, 2023 Adding automation and independent dual verification to reduce wrong blood

132. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. | PSNet
     psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
     July 28, 2021 - Commentary Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in … This commentary presents two cases of near-miss wrong-patient order errors between mother-newborn pairs … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in … November 30, 2022 Risk of wrong-patient orders among multiple vs singleton births in

133. Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. | PSNet
     psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
     June 13, 2015 - Study Improvement in detection of wrong-patient errors when radiologists include … Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their … This innovative pilot study found significant improvement in radiologists' ability to detect wrong-patient … Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their … June 13, 2015 Evaluation of near-miss wrong-patient events in radiology reports.

134. Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient
     July 31, 2023 - for identifying wrong-patient orders that is endorsed by major patient safety organizations. … Wrong patient orders were identified by using the Wrong-Patient Retract-and-Reorder Measure (WP-RAR), … a validated, reliable, and automated method for identifying wrong-patient orders developed by Dr. … Having multiple EHRs open simultaneously does not increase wrong-patient orders. … “Placing orders on the wrong patient should never happen.

135. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). | PSNet
     psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
     September 01, 2016 - Study Indication-based prescribing prevents wrong-patient medication errors in computerized … Indication-based prescribing prevents wrong-patient medication errors in computerized provider order … Wrong-patient errors have long been a risk in hospitals. … Indication-based prescribing prevents wrong-patient medication errors in computerized provider order … April 12, 2017 Automated detection of wrong-drug prescribing errors.

136. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
     March 01, 2020 - , wrong- procedure, and wrong-person surgery. … , Wrong Procedure and Wrong Person Surgery. … Site, Wrong Procedure, Wrong Person Surgery Operating room The estimated rate of wrong-site … *" OR "Wrong Site Surger*" OR "Wrong-Site Surger*" OR "Surger*, Wrong-Site" OR "Surger*, Wrong Site … *" OR "Wrong Site Surger*" OR "Wrong-Site Surger*" OR "Surger*, Wrong-Site" OR "Surger*, Wrong Site

137. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. | PSNet
     psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
     April 25, 2018 - Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong … Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong … Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong … April 4, 2011 The wrong foot, and other tales of surgical error. … February 8, 2011 Incidence, patterns, and prevention of wrong-site surgery.

138. Medical errors in orthopaedics. Results of an AAOS member survey. | PSNet
     psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
     August 04, 2021 - January 12, 2022 Risk of wrong-patient orders among multiple vs singleton births in the … , wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. … December 21, 2014 Preventing wrong site, procedure, and patient events using a common … January 4, 2012 Application of human error theory in case analysis of wrong procedures … Site, Wrong Procedure and Wrong Person Surgery.

139. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet
     psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
     October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians … Experience of wrong site surgery and surgical marking practices among clinicians in the UK. … Experience of wrong site surgery and surgical marking practices among clinicians in the UK. … August 2, 2015 Wrong site surgery. … October 26, 2010 Operating room briefings and wrong-site surgery.

140. Spinal surgery and patient safety: a systems approach. | PSNet
     psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
     January 12, 2022 - July 25, 2011 View More Related Resources Wrong-site orthopedic … Site, Wrong Procedure and Wrong Person Surgery. … September 15, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … August 13, 2008 The prevalence of wrong level surgery among spine surgeons.