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Total Results: 1,736 records

Showing results for "wrong".

161. Risk Assessment | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
     January 01, 2023 - Description A potential problem analysis (PPA) is a systematic method for determining what could go wrong … Murphy Diagram Description Murphy diagrams are based on the premise that "if something can go wrong … , it will go wrong."

162. The wicked problem of patient misidentification: how could the technological revolution help address patient safety? | PSNet
     psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
     July 10, 2024 - October 8, 2016 Electronic patient identification for sample labeling reduces wrong blood … 2023 Machine learning models outperform manual result review for the identification of wrong … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

163. Patient falls in the operating room: why is this still a problem in 2024? | PSNet
     psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
     May 08, 2024 - More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Grading recommendations

164. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
     January 01, 2015 - September 29, 2017 View More Related Resources Insurance claims for wrong-side … , wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.

165. The deterrent effect of tort law: evidence from medical malpractice reform. | PSNet
     psnet.ahrq.gov/issue/deterrent-effect-tort-law-evidence-medical-malpractice-reform
     July 26, 2017 - July 14, 2021 View More Related Resources Insurance claims for wrong-side … , wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.

166. E-prescribing: E for error? | PSNet
     psnet.ahrq.gov/web-mm/e-prescribing-e-error
     February 03, 2021 - However, electronic systems have a more difficult time addressing certain safety issues, such as wrong … patient or wrong diagnosis. … In addition to system functionalities that could have prevented dispensing the wrong medication to the … wrong patient, many provider-focused interventions may be necessary to optimize medication safety. … the wrong patient, especially when a prescription is canceled or changed.

167. Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet
     psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
     March 27, 2024 - One-quarter of incidents included two to four errors, and wrong dose or omission were the most common … Systemic defenses are required to reduce wrong dose, omission, and documentation errors.

168. Self-reported violations during medication administration in two paediatric hospitals. | PSNet
     psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals
     December 01, 2010 - March 17, 2010 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

169. Patient safety in dermatology: a review of the literature. | PSNet
     psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
     May 25, 2022 - outpatient dermatology practice, including medication errors, diagnostic errors, office-based surgery, wrong-site … Other Cheek March 1, 2012 Outcome of 6 years of protocol use for preventing wrong

170. Dispensing error rate in a highly automated mail-service pharmacy practice. | PSNet
     psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice
     November 16, 2022 - April 25, 2016 Interventions for reducing wrong-site surgery and invasive procedures. … December 23, 2020 View More Related Resources Wrong drug and wrong

171. Improving team members' attention during the OR briefing or time out. | PSNet
     psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
     November 10, 2021 - More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Remote assessment

172. Leveraging a safety event management system to improve organizational learning and safety culture. | PSNet
     psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
     August 01, 2018 - June 17, 2010 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

173. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. | PSNet
     psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient
     June 13, 2018 - August 5, 2008 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

174. Using a network organisational architecture to support the development of Learning Healthcare Systems. | PSNet
     psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
     December 02, 2014 - May 30, 2018 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

175. Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet
     psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
     September 07, 2016 - More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Perspectives … Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

176. Becoming a high-reliability organization through shared learning of safety events | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
     February 12, 2020 - High reliability organizations consistently examine what goes wrong and remain aware that failure … June 26, 2019 Preventing wrong-site surgery in Minnesota: a 5-year journey.

177. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
     psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
     April 18, 2018 - patient. 17 In one reported case, such an error resulted in the wrong patient receiving a pulmonary … In another example, post-analytical reporting of results into the wrong patient electronic chart has … Blood bank safety practices: Mislabeled samples and wrong blood in tube – a Q-Probes analysis of 122 … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 … July 23, 2008 WebM&M Cases Right Patient, Wrong Sample

178. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. | PSNet
     psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
     February 22, 2011 - October 28, 2009 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

179. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. | PSNet
     psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
     November 16, 2022 - 16, 2022 Potentially inappropriate prescribing in elderly veterans: are we using the wrong … drug, wrong dose, or wrong duration?

180. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. | PSNet
     psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis-recommendation
     April 15, 2020 - More Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Identifying