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Showing results for "wrong".

  1. psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
    April 24, 2018 - Study Using "near misses" analysis to prevent wrong-site surgery. … Using "near misses" analysis to prevent wrong-site surgery. … Using "near misses" analysis to prevent wrong-site surgery. … June 15, 2011 Operating room briefings and wrong-site surgery. … July 28, 2010 Wrong site surgery near misses and actual occurrences.
  2. psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
    March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong … Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … Wrong-site surgery is a rare yet devastating outcome. … Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … March 29, 2012 Wrong site surgery.
  3. psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
    October 19, 2022 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient … Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning Protocol to Prevent Wrong-Patient … administration and a standardized electronic health record–integrated workflow to successfully reduce wrong-patient … May 18, 2022 Risk of wrong-patient orders among multiple vs singleton births in the neonatal … September 26, 2016 A crack in our best armor: "wrong patient" injections from insulin
  4. psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
    March 14, 2022 - Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site … Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site … Wrong-site surgeries remain a persistent safety issue , despite extensive efforts by regulatory bodies … While only a few patients committed an overt error (i.e., signing the wrong site), the suboptimal adherence … Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site
  5. digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves
    January 01, 2023 - Wrong patient orders can harm patients While digital solutions like computerized provider order entry … systems have reduced medical errors and improved patient safety, the risk of placing orders for the wrong … “Orders placed on the wrong patient should be a ‘never event,’ as in it should never happen,” said Dr … 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.
  6. psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and
    October 12, 2022 - March 19, 2019 View More Related Resources Insurance claims for wrong-side … , wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. … January 17, 2019 Using "near misses" analysis to prevent wrong-site surgery. … Other Cheek March 1, 2012 Outcome of 6 years of protocol use for preventing wrong … October 4, 2011 Wrong-patient, wrong-site procedures persist despite safety protocol.
  7. psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site-surgery-development
    February 01, 2013 - EMERGING INNOVATIONS A standardized marking procedure for ENT operations to prevent wrong-site surgery … A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment … Although wrong-site surgeries are rare , the consequences can be very serious . … April 19, 2023 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient … June 15, 2011 Wrong-site sinus surgery in otolaryngology.
  8. psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
    September 20, 2012 - Emerging Classic Electronic patient identification for sample labeling reduces wrong … Electronic patient identification for sample labeling reduces wrong blood in tube errors. … Wrong-patient errors in blood transfusion can lead to serious patient harm. … This pre–post study examined the impact of barcode labeling on the rate of wrong blood in tube errors … Electronic patient identification for sample labeling reduces wrong blood in tube errors.
  9. digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/indication
    January 01, 2023 - pubmed.ncbi.nlm.nih.gov/34957491/ Principal Investigator Lambert, Bruce Project Name Preventing Wrong-Drug … and Wrong-Patient Errors With Indication Alerts in CPOE Systems Technology Clinical Decision
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33576/psn-pdf
    December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are … These "wrong-site, wrong-procedure, wrong-patient errors" (WSPEs) are rightly termed never events—errors … Preventing Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Early efforts to prevent WSPEs focused … Current Context Wrong-patient, wrong-site, and wrong-procedure errors are all considered never events
  11. digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/citation/assess
    January 01, 2023 - Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department … 29025090 Principal Investigator Adelman, Jason Stuart Project Name Assess Risk of Wrong-Patient
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844051/psn-pdf
    February 08, 2023 - Insurance claims for wrong-side, wrong-organ, wrong- procedure, or wrong-person surgical errors: a … Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective … https://psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person- … https://psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors … https://psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
    March 27, 2008 - Introduction Wrong-patient, wrong-side, or wrong-site surgical and invasive procedures, while unusual … NYPORTS codes related to wrong-side, wrong-patient, and wrong- procedure surgery and other invasive … Surgery on the wrong side of the body, wrong site, or wrong patient led the list. … Universal protocol for preventing wrong site, wrong procedure, wrong person surgery™. … Wrong-side/wrong-site, wrong- procedure, and wrong-patient adverse events: Are they preventable?
  14. psnet.ahrq.gov/issue/it-left-eye-right
    September 06, 2023 - August 2, 2015 Using "near misses" analysis to prevent wrong-site surgery. … December 21, 2014 Application of human error theory in case analysis of wrong procedures … June 15, 2011 Wrong site surgery. … Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong … Site, Wrong Procedure and Wrong Person Surgery.
  15. psnet.ahrq.gov/web-mm/mark-my-tooth
    June 01, 2014 - or wrong-site surgery performed by its 4300 members. … Site, Wrong Procedure, Wrong Person Surgery" into daily clinical practice. … surgery, including wrong-site tooth extraction. … Wrong-site surgery: a preventable complication. Clin Orthop Relat Res. 2005;433:26-29. … January 17, 2019 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong
  16. www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
    January 01, 2024 - drug, wrong dose, wrong resident, and omitted drug/dose. … Drug 5.9 7.0 Wrong Dose 2.8 2.8 Wrong Resident 1.0 0.7 Omission 70 70 Wrong Resident: Figure 2. … dose, wrong drug, and wrong resident. … Wrong dose 15 Wrong strength 8/4481 or .002 Wrong quantity 9/4481 or .002 Wrong Patient 1.9 0.4 … Dose Overdose 4.8 Underdose 1.9 Wrong form .3 1.8 0.2 6.2 Wrong dose 7.542 32.042 Wrong strength
  17. psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry
    February 05, 2014 - November 16, 2016 When doctors get the wrong patient. … November 28, 2016 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong … May 21, 2013 The wrong foot, and other tales of surgical error. … November 25, 2009 Hospital tells of surgery on wrong side. … August 6, 2008 'Wrong site' surgeries on the rise.
  18. psnet.ahrq.gov/issue/getting-surgery-right
    February 15, 2011 - April 30, 2014 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … Site, Wrong Procedure and Wrong Person Surgery. … December 22, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … May 26, 2010 Wrong site surgery near misses and actual occurrences.
  19. psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
    October 19, 2022 - The Universal Protocol requires hospitals to adopt time outs as a strategy to prevent wrong-site surgeries … More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Facilitators … April 27, 2016 Wrong site surgery: a critical incident analysis of a near miss. … December 22, 2010 Avoiding wrong site surgery: a systematic review.
  20. psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
    August 02, 2017 - Wrong-site surgery represents a never event . … May 10, 2023 A contemporary analysis of closed claims related to wrong site surgery. … March 29, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person … August 11, 2021 Wrong Site Surgery–Wrong Tooth Extraction. … January 20, 2021 Incidence of wrong-site surgery list errors for a 2-year period in a