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Showing results for "wrong".

1581. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - strong safety culture make it possible to communicate openly, learn from what went well and what went wrong

1582. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - The wrong patient. Ann Intern Med. 2002;136:826-833. [go to PubMed] 11.

1583. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - has occurred, we expend lots of time and resources doing event investigations to identify what went wrong

1584. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety Joan Stanley, PhD, NP, FAAN, FAANP | November 27, 2023  Also Read the Essay View more articles from the same authors. Citation Text: Stanley J. In Conversat…

1585. Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
      April 01, 2013 - Staff knew they would not be in trouble if it was wrong, and they knew it was an education opportunity

1586. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
      July 05, 2023 - the patient’s health problem, or communicate that explanation to the patient, and include delayed, wrong

1587. R18Hs017216-Johnson-Final-Report-2011 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017216-johnson-final-report-2011.pdf
      January 01, 2011 - “you are always going to have the potential to mess up and do the math incorrectly and to round wrong

1588. Improving Safety and Quality with Integrated Technology (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015321-guise-final-report-2009.pdf
      January 01, 2009 - A follow-up review of wrong site surgery: JCAHO, 2001. 6. Kohn L, Corrigan J, Donaldson M.

1589. What Have We Learned About Safe Inpatient Handovers? | PSNet
      psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
      March 01, 2011 - So you really sense that it's a very dynamic process, and things could go wrong at any step.

1590. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
      psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
      March 09, 2022 - WebM&M Cases From Possible to Probable to Sure to Wrong—Premature

1591. Telehealth and Patient Safety During the COVID-19 Response | PSNet
      psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
      May 14, 2020 - culture and ensure that providers have the opportunity to learn from what went right and what went wrong

1592. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
      May 01, 2016 - those occurring during surgeries and other procedures (e.g., failure of sterility, surgery on the wrong … treat newborn hypoglycemia); and general care and infectious disease (e.g., administration of the wrong

1593. 2015 01 (pdf file)
      hcup-us.ahrq.gov/reports/methods/2015_01.pdf
      January 01, 2015 - The missing values for MDC and DRG can result from missing or invalid principal diagnoses, wrong sex … In turn, significance levels will be artificially inflated, potentially causing wrong inferences. … If the imputed values are clearly “wrong,” then look for errors in your code or consider using another

1594. Clinical Practice Improvement and Redesign: How Change in Workflow Can Be Supported by Clinical Decision Support (pdf file)
      digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
      June 01, 2009 - CDS for the wrong function will lead to rejection. … the result of misunderstanding in causality—that users think the automation must be right, and they wrong … Had testing not been conducted and design decisions only relied on participant perceptions, the wrong

1595. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/corbett.html
      August 01, 2017 - described similar failures associated with medication information communication during transfers: wrong

1596. Addressing Workplace Violence and Creating a Safer Workplace | PSNet
      psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
      October 31, 2023 - culture where people feel psychologically safe working, where they can speak up when things are going wrong

1597. Publications From the Comparative Health System Performance Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/chsp/publications/index.html
      September 01, 2023 - When Innovation Goes Wrong: Technological Regress and the Opioid Epidemic.

1598. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
      April 01, 2020 - Patient compliance in avoiding wrong-site surgery.

1599. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
      September 01, 2023 - safety I, focus on creating standard processes and systems that limit the opportunity for things to go wrong … perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong

1600. Findings and Lessons From AHRQ’s Clinical Decision Support Demonstration Projects (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-clinical-decision-support-demonstration-projects.pdf
      June 01, 2014 - Getting CDS “wrong” will not be the equivalent of not providing any CDS. … Moreover, getting CDS “wrong” will not be the equivalent of not providing any CDS.