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Total Results: 5,547 records

Showing results for "wrong".

  1. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.76_slideshow.ppt
    October 01, 2004 - both in engineered safety devices and in human procedures Review strategies to prevent delivery of wrong … oxygen and air meters both fit the same adapters, meaning that it is easily possible to connect the wrong … What Went Wrong in This Case Tubing connected to green Christmas tree adapter which was inadvertently … Engineered Safety Devices Engineered Safety Device: a physical arrangement that precludes the wrong … Take-Home Points Consider strategies to reduce the likelihood of connecting oxygen tubing to the wrong

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38092/psn-pdf
    September 24, 2008 - //psnet.ahrq.gov/issue/time-out-analysis https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36492/psn-pdf
    June 09, 2011 - When surgery goes wrong: weighing up the risks. June 9, 2011 Feinmann J. The Independent. … https://psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks This article reports on a husband's … https://psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks https://psnet.ahrq.gov/primer/human-factors-engineering

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35295/psn-pdf
    July 24, 2008 - Buying the wrong medicine overseas.  July 24, 2008 Chase M.The Wall Street Journal. … Aug 2005 https://psnet.ahrq.gov/issue/buying-wrong-medicine-overseas This article reports that in other … https://psnet.ahrq.gov/issue/buying-wrong-medicine-overseas

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Neither should operating on the wrong side of the right patient. … JCAHO has recommended a series of steps to prevent wrong-site, wrong-side, and wrong-person procedures … To strengthen defenses against wrong-site and wrong-patient invasive procedures, hospitals should implement … Sentinel Event Alert: A follow-up review of wrong site surgery. … Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.

  6. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
    May 01, 2013 - Spotlight Case July 2008 Spotlight Case Right Regimen, Wrong Cancer: Patient Catches Medical Error … * * Case: Right Regimen, Wrong Cancer (2) In the morning his bedside nurse for the day came in … * * Case: Right Regimen, Wrong Cancer (3) Rather than the 3-day regimen for metastatic penile … own care and able to identify and intercept errors before they occur * * Case: Right Regimen, Wrong … In choosing the chemotherapy regimen, the oncology fellow inadvertently chose the wrong paper order set—he

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39189/psn-pdf
    April 16, 2018 - Neuromuscular blocking agents: reducing associated wrong-drug errors. … April 16, 2018 https://psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors … https://psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors https

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35893/psn-pdf
    May 03, 2006 - Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions. … May 3, 2006 Veterans Affairs; National Center for Patient Safety https://psnet.ahrq.gov/issue/mix-wrong-route-administration-bladder-irrigation-intravenous-iv-infusions … https://psnet.ahrq.gov/issue/mix-wrong-route-administration-bladder-irrigation-intravenous-iv-infusions

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41314/psn-pdf
    September 27, 2016 - The Medical Apology: Making It Right When Things Go Wrong. September 27, 2016 Schulte MF, ed. … https://psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong Articles in this special … https://psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong https://psnet.ahrq.gov

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42294/psn-pdf
    May 22, 2013 - Misdiagnosis is more common than drug errors or wrong- site surgery. May 22, 2013 Boodman SG. … https://psnet.ahrq.gov/issue/misdiagnosis-more-common-drug-errors-or-wrong-site-surgery This newspaper … https://psnet.ahrq.gov/issue/misdiagnosis-more-common-drug-errors-or-wrong-site-surgery https://psnet.ahrq.gov

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39179/psn-pdf
    December 16, 2009 - psnet.ahrq.gov/issue/improving-operating-room-safety https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42310/psn-pdf
    June 10, 2018 - Administering a saline flush "site unseen" can lead to a wrong route error. … https://psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error Describing … https://psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error https:

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36451/psn-pdf
    December 22, 2010 - issue/surgical-site-verification-through-z https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44573/psn-pdf
    October 21, 2015 - Getting the diagnosis wrong. October 21, 2015 Ofri D. New York Times. October 8, 2015. … https://psnet.ahrq.gov/issue/getting-diagnosis-wrong This news article offers insights from a physician … https://psnet.ahrq.gov/issue/getting-diagnosis-wrong https://psnet.ahrq.gov/primer/diagnostic-errors

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - Analysis of wrong-patient/wrong-site surgical errors led to development of the New York preoperative … body part Surgery performed on the wrong patient Wrong surgical procedure performed on a patient … Patient death or serious disability associated with a medication error (e.g., errors involving the wrong … drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation, or wrong route of administration … donor sperm or wrong egg Environmental Events Patient death or serious disability associated with

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - After further investigation, the intern realized that the orthopedic team had evaluated the wrong patient—the … For example, the Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery … The wrong patient. Ann Intern Med. 2002;136:826-833. [go to PubMed] 4. Seiden SC, Barach P. … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? … Universal protocol for preventing wrong site, wrong procedure, wrong person surgery.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38822/psn-pdf
    July 29, 2009 - 5th-anniversary-universal-protocol-pitfalls-and-pearls-revisited https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41929/psn-pdf
    January 09, 2013 - quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44481/psn-pdf
    September 09, 2015 - When doctors get it wrong: misdiagnoses are getting a closer look. September 9, 2015 Olsen J. … https://psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look Diagnostic … https://psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look https://psnet.ahrq.gov

  20. Expanded surgical time out: a key to real-time data collection and quality improvement. | PSNet

    psnet.ahrq.gov/issue/expanded-surgical-time-out-key-real-time-data-collection-and-quality-improvement
    March 02, 2010 - January 17, 2019 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong … December 22, 2010 Operating room briefings and wrong-site surgery. … May 27, 2010 Doing the "right" things to correct wrong-site surgery.
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