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Showing results for "wrong".

1521. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015009-ward-final-report-2008.pdf
      January 01, 2008 - that had higher progress ratings in urban hospitals were related to intensivist staffing, preventing wrong-site … such as CPOE that have been shown to reduce medication errors, barcoding to reduce errors involving wrong

1522. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
      psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
      August 21, 2005 - May 20, 2019 Incidence and root cause analysis of wrong-site pain management procedures

1523. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
      psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
      December 23, 2020 - WebM&M Cases Multiple Levels Involved in Prescribing the Wrong

1524. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
      May 01, 2023 - • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement.

1525. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - In fact, most of the discussions were about all of the other kinds of things that can go wrong.

1526. Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/building-capacity-patient-safety
      July 31, 2023 - Patient safety skills should also be included so that healthcare workers know what could go wrong when

1527. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
      December 01, 2017 - If the resident has a back deformity, tightening the upholstery may be the wrong thing to do.

1528. Coaching Clinical Teams Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
      October 01, 2020 - For example, “Can you tell me what you did wrong?” is not a helpful question during coaching.

1529. Coaching-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-facnotes.docx
      May 01, 2017 - For example, “Can you tell me what you did wrong?” is not a helpful question during coaching.

1530. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
      January 01, 2020 - want to discuss with the stakeholder groups to learn: How the process works What they think is wrong

1531. In Conversation With... Cindy Brach | PSNet
      psnet.ahrq.gov/perspective/conversation-cindy-brach
      December 27, 2019 - patient safety events due to a lack of timely language assistance include performing an x-ray on the wrong

1532. Web-based Renal Transplant Patient Medication System - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015038-friedman-final-report-2007.pdf
      January 01, 2007 - .3 Failure to detect the contribution of non- compliance to an insufficient response, may result in wrong

1533. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
      August 01, 2022 - Wrong. The problem is seldom the fault of an individual; it is the fault of the system.

1534. Rapid Response Teams: Lessons from the Early Experience | PSNet
      psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
      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

1535. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - safety event: one or both of the following occurred, whether or not the patient was harmed: •Delayed, wrong

1536. Connecting for Health Common Framework Resources for Implementing Secure Health Information Exchange (ppt file)
      digital.ahrq.gov/sites/default/files/docs/page/CFH_%20AHRQ-7-25-06_Final.ppt
      August 01, 2006 - Once the Regional Data Exchange Agreement Draft was completed we thought we could relax … WRONG! … to risk not finding all of the records that pertain to a particular patient than to associate the wrong … patient demographic details assumes a certain amount of risk for privacy violations if records for the wrong … Once the Regional Data Exchange Agreement Draft (March) was completed we thought we could relax … WRONG

1537. Evaluating the Impact of an ACPOE/CDS System on Outcomes (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
      January 01, 2007 - third in the list of non-clinical characteristics that caused an error, behind missing information and wrong … that may be impacted by a basic electronic prescribing system (illegibility, missing information, wrong

1538. Counseling and Behavioral Interventions for Healthy Weight and Weight Gain in Pregnancy: Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/mHfCYrWoEdSr95bCUSfSEz
      September 21, 2021 - contextual questions only 578 Excluded 36 Population not applicable 62 Intervention not appropriate 96 Wrong … outcome(s) 14 Comparison not appropriate 161 Wrong publication type 109 Wrong study design for KQ

1539. Integrating Primary Care Practices and Community-based Resources to Manage Obesity (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
      May 01, 2014 - There are no right or wrong answers. … • Address ground rules: o There are no right or wrong answers. … Scale in “wrong location?” • Draft BMI screening protocols.

1540. Medical Office SOPS: 2016 User Comparative Database Report, Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-1.pdf
      January 01, 2016 - Quality item with the highest average percent positive response (98 percent positive) was: (A2) “The wrong … The wrong chart/medical record was used for a patient. … Medical information was filed, scanned, or entered into the wrong patient's chart/medical record.