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Showing results for "wrong".

1461. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
      August 01, 2022 - included those occurring during surgeries and other procedures (e.g., failure of sterility, surgery on the wrong … to treat newborn hypoglycemia); and general care and infectious disease (e.g., administration of the wrong

1462. Developing Invitation Messages that Increase CAHPS Survey Response Rates Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
      September 01, 2019 - People said that there's nothing wrong with these messages that it's okay to have them in letters, but … We do not have information about any of the characteristics of the respondents such as what's wrong

1463. Event Transcipt August (pdf file)
      digital.ahrq.gov/sites/default/files/docs/Event%20Transcipt%20August.pdf
      August 27, 2009 - quantified, but is a concern for patients, physicians and pharmacists, the possibility of selecting the wrong … patient, or wrong drug, when many things are done on drop-down menus, the idea when those are transmitted

1464. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
      December 01, 2017 - Again, the most important component of this process is that if focuses on what went wrong not who did … something wrong.

1465. Engaging-Nurse-Physician-Patient-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
      April 02, 2025 - Again, the most important component of this process is that if focuses on what went wrong not who did … something wrong.

1466. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
      December 01, 2017 - you use, I will challenge you that anytime you have a CAUTI, you drill down and figure out what went wrong … If you don't fix it, you don't know what went wrong and then you don't fix it, you likely will continue

1467. Cauti-Sustainability-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
      January 01, 2014 - you use, I will challenge you that anytime you have a CAUTI, you drill down and figure out what went wrong … If you don't fix it, you don't know what went wrong and then you don't fix it, you likely will continue

1468. Making Healthcare Safer III: Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
      March 01, 2020 - Errors: Patient Identification Errors in the Operating Room Compliance audit Incidence of wrong-site … operating room and theaters Drawing meaningful statistical comparisons is difficult because wrong-site

1469. Recovering After Emergency Appendectomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
      November 01, 2023 - ■ If you feel sick to your stomach or you are throwing up Call as soon as you think something is wrong

1470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867497/psn-pdf
      February 26, 2025 - post hoc conclusion that the counts documented in these cases (i.e., usually correct counts) were wrong

1471. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
      November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Interim Data From National Efforts To Make Care Safer, 2010-2014 Summary Interim estimates for 2014 show a s…

1472. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet
      psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
      November 30, 2021 - data points, they are hailed as a brilliant diagnostician. 12 On the other hand, if the diagnosis is wrong

1473. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
      November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Interim Data From National Efforts To Make Care Safer, 2010-2014 Summary Interim estimates for 2014 show a sust…

1474. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impguide.html
      December 01, 2014 - What is likely to go wrong? What approach would you take to address these issues?

1475. Getting to the Root of the Matter | PSNet
      psnet.ahrq.gov/web-mm/getting-root-matter
      September 01, 2005 - RCA works best in assessing rare events—such as wrong-site surgery or egregious medication misadventures

1476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72911/psn-pdf
      March 15, 2021 - Typical errors include prescribing the wrong https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors

1477. Using Barcode Medication Administration to Improve Quality and Safety (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
      December 01, 2008 - Then she scanned the drug and saw that she had the wrong drug in her hand.

1478. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
      psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
      August 14, 2024 - July 8, 2009 WebM&M Cases Wrong Route for Nutrients

1479. Ebola: Are We Ready? | PSNet
      psnet.ahrq.gov/web-mm/ebola-are-we-ready
      July 01, 2012 - And we don't just practice things going right, we practice things going wrong all the time....

1480. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
      September 01, 2024 - Healers, physicians, and surgeons used their skills to fix what was deemed wrong with the patient’s … From what’s wrong to what’s strong. A guide to community-driven development.