U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: 1,736 records

Showing results for "wrong".

  1. Medication errors in community pharmacies: the need for commitment, transparency, and research. | PSNet

    psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
    June 17, 2020 - WebM&M Cases Medication Errors in Retail Pharmacies: Wrong … Patient, Wrong Instructions. … September 24, 2008 Buying the wrong medicine overseas. 

  2. Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. | PSNet

    psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
    September 23, 2020 - 19, 2022 Potentially inappropriate prescribing in elderly veterans: are we using the wrong … drug, wrong dose, or wrong duration?

  3. Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. | PSNet

    psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
    April 27, 2019 - 27, 2009 Potentially inappropriate prescribing in elderly veterans: are we using the wrong … drug, wrong dose, or wrong duration?

  4. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative
    August 17, 2022 - January 8, 2025 Patient Safety Primers Wrong-Site, Wrong-Procedure … , and Wrong-Patient Surgery December 15, 2024 Improving team members' attention

  5. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. | PSNet

    psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication
    August 28, 2019 - Citation Related Resources From the Same Author(s) Automated detection of wrong-drug … April 12, 2017 Indication-based prescribing prevents wrong-patient medication errors … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

  6. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. | PSNet

    psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
    December 02, 2020 - Prevention February 26, 2025 Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Patient falls

  7. Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. | PSNet

    psnet.ahrq.gov/issue/anatomy-cyberattack-part-4-quality-assurance-and-error-reduction-billing-and-compliance
    April 27, 2022 - September 30, 2020 Adding automation and independent dual verification to reduce wrong … Machine learning models outperform manual result review for the identification of wrong … June 29, 2022 Factors associated with wrong blood in tube errors: an international case

  8. Human factors in anaesthesia: a narrative review. | PSNet

    psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review
    March 01, 2023 - focuses on designing systems that make it easy for workers to do the right thing and difficult to do the wrong … December 19, 2014 When surgery goes wrong: weighing up the risks.

  9. Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. | PSNet

    psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
    June 02, 2021 - adverse events were improperly functioning equipment (e.g., broken scopes or smoking light cords), wrong … June 30, 2011 Incidence, patterns, and prevention of wrong-site surgery.

  10. Optimize Briefings and Debriefings: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
    December 01, 2017 - Slide 23: What Is Most Likely To Go Wrong? … Slide 24: What Is Most Likely To Go Wrong? … Slide 25: What Is Most Likely To Go Wrong? Other concerns Special precautions. … What went wrong? … Wrong consents. Wrong patients. Incorrect equipment, implants, or instruments.

  11. Thin Air | PSNet

    psnet.ahrq.gov/web-mm/thin-air
    March 01, 2006 - Review strategies for prevention of delivery of wrong gas to hospitalized patients. … with the appropriate color Christmas tree adapter, it is quite possible to attach the tubing to the wrong … A physical arrangement that precludes doing the wrong thing, like the gas-specific non-interchangeable … This helps to prevent the wrong regulator (in calibration and in color-code) from being attached to a … Consider the possibility that the wrong gas (or no gas) is being administered when a patient does not

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854989/psn-pdf
    November 01, 2023 - medication administration (BCMA) technology reduces risk of many types of medication errors (e.g., wrong … drug, wrong patient, omission).

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60977/psn-pdf
    January 08, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication September 30, 2020 Chin K, Chau V, Spero … Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. 2020. … https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication The Case A 65-year-old … https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication The Commentary  … pended the wrong medication to the provider.

  14. Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. | PSNet

    psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-barcode-medication-administration-nursing-staff-using
    August 28, 2024 - medication administration (BCMA) technology reduces risk of many types of medication errors (e.g., wrong … drug, wrong patient, omission ).

  15. Methodological variations and their effects on reported medication administration error rates. | PSNet

    psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
    January 15, 2025 - For example, only 6 of 16 included studies considered administration of a drug at the wrong time to be … As delayed drug administration is relatively common, studies that did not include such wrong-time errors

  16. From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. | PSNet

    psnet.ahrq.gov/issue/randomized-ambora-trial-clinical-practice-comparison-medication-errors-oral-antitumor-therapy
    April 21, 2021 - June 19, 2013 Achieving the National Quality Forum's "Never Events": prevention of wrong … site, wrong procedure, and wrong patient operations.

  17. Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. | PSNet

    psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
    May 29, 2019 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Association of display of patient photographs in the electronic health record with wrong-patient … Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33601/psn-pdf
    December 15, 2024 - that, while overall medication safety improved, new vulnerabilities emerged, including increases in wrong … patient, wrong medication, or wrongly timed orders. … challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication … https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication https://www.ahrq.gov

  19. Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/prevalence-contributory-factors-and-severity-medication-errors-associated-direct-acting-oral
    December 22, 2021 - errors constituted the majority of error types, and common causes were active failures, including wrong … drug or wrong dose .

  20. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. | PSNet

    psnet.ahrq.gov/issue/intraoperative-sentinel-events-era-surgical-safety-checklists-results-national-survey
    August 04, 2021 - The most common adverse events reported were medication errors, wrong site/patient/procedure events, … Association of display of patient photographs in the electronic health record with wrong-patient
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

psnet.ahrq.gov (1062)

www.ahrq.gov (360)

digital.ahrq.gov (191)

www.uspreventiveservicestaskforce.org (68)

hcup-us.ahrq.gov (37)

integrationacademy.ahrq.gov (9)

cdsic.ahrq.gov (6)

cds.ahrq.gov (2)

cahpsdatabase.ahrq.gov (1)