Results

Total Results: 1,736 records

Showing results for "wrong".

1501. Tool 6: How To Monitor RED Implementation and Outcomes | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
      March 01, 2025 - Root Cause Analysis Root cause analysis is the study of when things go wrong to identify ways bad outcomes

1502. Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
      March 01, 2018 - Information was entered into the wrong patient health record 68% 28% 2% 1% 0% 0% 0% 20% 40% 60%

1503. When the Meds Don’t Reach the Bed | PSNet
      psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
      May 16, 2022 - Reconciliation August 5, 2022 WebM&M Cases Wrong

1504. A Postpartum Woman with an Erroneous SARS-CoV-2 Test | PSNet
      psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
      December 23, 2020 - 30, 2019 WebM&M Cases Slow Down: Right Drug, Wrong

1505. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - events concluded that over 75% of all events were attributed to either medication errors involving wrong

1506. NHQR/NHDR Dissemination of Information on State Data-Driven Strategic Efforts to Reduce Health Disparities
      hcup-us.ahrq.gov/reports/race/HCUP_R_E_finalreport-02311AHRQ.jsp
      November 01, 2011 - on reducing the disparity between rates or on improving rates that are substandard or moving in the wrong

1507. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
      psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
      January 29, 2021 - Reconciliation August 5, 2022 WebM&M Cases Wrong

1508. Intraoperative Awareness during Rhinoplasty | PSNet
      psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
      January 29, 2021 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

1509. Morning Briefing and Shadowing (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
      April 01, 2013 - going so the people don't think that you're writing down everything that you believe they're doing wrong … down quickly so not only did we have medications given without anything being signed off, we had the wrong

1510. Strategy 1: Working with Patients & Families as Advisors (Tool 5)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
      April 02, 2025 - instead of critical – thinking about how to make things better as opposed to focusing only on what is wrong

1511. Strategy 2: Communicating for Improve Quality (Tool 6)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
      July 23, 2010 - One is not better than the other – there is no right or wrong, but it is important to acknowledge the

1512. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
      psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
      June 24, 2020 - July 8, 2022 WebM&M Cases Wrong Route for Nutrients

1513. In Conversation with…Donald M. Berwick, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
      November 01, 2005 - industry, keep up with the needs, to shift when we have to shift, and to change when we've done something wrong

1514. A Stroke of Error | PSNet
      psnet.ahrq.gov/web-mm/stroke-error
      February 01, 2016 - the Same Author(s) WebM&M Cases Good Night's Sleep Gone Wrong

1515. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - having information explained fully and clearly and receiving an explanation and apology if things go wrong

1516. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
      April 01, 2013 - For example, wrong medication from a contract pharmacy was caught before given to a patient.

1517. Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
      October 01, 2020 - system that makes it easier for providers to do the right thing and harder for providers to do the wrong

1518. Use of Patient Buddy Application to Disseminate Knowledge & Prevent Readmission - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024004-bajaj-final-report-2017.pdf
      January 01, 2017 - were initiated by the caregiver who noted changes in the orientation exams (median 1 question was wrong

1519. Treating Comorbid Depression In Care Transitions with Relational Agents - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs022938-mitchell-final-report-2017.pdf
      January 01, 2017 - important to the subject 5.05 ± 1.83 The subject fears that if he/she says or does the wrong

1520. Microsoft Word - IAVR_ExecSumm.doc (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/IAVR_ExecSumm_1.pdf
      December 29, 2006 - records to patients introduces the potential for inappropriate use or disclosure of PHI on the wrong