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Total Results: 1,736 records

Showing results for "wrong".

1381. Patient alarms often unheard, unheeded. | PSNet
      psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
      August 24, 2016 - Related Resources From the Same Author(s) 5 cataract surgeries, 5 people blinded: what went wrong

1382. Medication errors common for hospital diabetes. | PSNet
      psnet.ahrq.gov/issue/medication-errors-common-hospital-diabetes
      May 13, 2009 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient

1383. Are vital home health workers now a safety threat? | PSNet
      psnet.ahrq.gov/issue/are-vital-home-health-workers-now-safety-threat
      March 28, 2018 - April 9, 2014 Death by 1,000 clicks: where electronic health records went wrong.

1384. MRI safety 10 years later. | PSNet
      psnet.ahrq.gov/issue/mri-safety-10-years-later
      December 10, 2014 - June 13, 2011 Preventing wrong-site surgery in Minnesota: a 5-year journey.

1385. National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. | PSNet
      psnet.ahrq.gov/issue/national-priorities-and-goals-aligning-our-efforts-transform-americas-healthcare
      March 23, 2012 - Navigating the maze of HACs, serious reportable events, and wrong surgical sites.

1386. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
      March 01, 2016 - What went wrong? They found no errors in the report logic. … • Data errors: A data error may entail missing information, or wrong information entered, or it

1387. Identifying Safety Events in the Prehospital Setting | PSNet
      psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
      May 16, 2022 - One that I can think of is that with monitors, if you hit the wrong button, it would just shut off instead … have a feature where if it looks like you're about to defibrillate they don't turn off if you hit the wrong

1388. Mutual Support: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_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

1389. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_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

1390. In Conversation With... Remle P. Crowe, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
      May 16, 2022 - One that I can think of is that with monitors, if you hit the wrong button, it would just shut off instead … have a feature where if it looks like you're about to defibrillate they don't turn off if you hit the wrong

1391. 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

1392. Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache | PSNet
      psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
      February 08, 2023 - clinicians were correctly identifying patients at higher risk of a vascular event, but then using the wrong … Diagnosing dizziness: we are teaching the wrong paradigm!

1393. Medication Reconciliation: Whose Job Is It? | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
      May 01, 2018 - First, the preoperative consultant sowed the seeds of this adverse event by obtaining the wrong preadmission

1394. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/2015-interim.html
      December 01, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer Summary Preliminary 1 estimates for 2015 show a 21 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 3.1 million fewer HACs were expe…

1395. Nursing and Patient Safety | PSNet
      psnet.ahrq.gov/primer/nursing-and-patient-safety
      September 15, 2024 - WebM&M Cases Multiple Levels Involved in Prescribing the Wrong

1396. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
      August 01, 2022 - unexpected death after elective surgery in a healthy patient where nothing is found to have been done wrong

1397. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
      August 29, 2021 - to one-third of these errors leading to observed patient harm. 2,3 The most common errors include wrong

1398. E-cigarette Explosion in a Patient Room | PSNet
      psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
      March 15, 2023 - December 20, 2020 WebM&M Cases Wrong Catheter in the

1399. Practical Strategies for Gathering Feedback Directly from Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Qualitative_Methods_2012_04_11_Transcript.pdf
      January 01, 2012 - coming up with solutions that are very expensive and difficult to implement, and they're often the wrong

1400. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
      October 01, 2022 - Avoid the issue of who’s right and who’s wrong. Actively avoid being perceived as judgmental.