Results

Total Results: 1,736 records

Showing results for "wrong".

241. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. | PSNet
     psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
     January 22, 2025 - July 10, 2017 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33579/psn-pdf
     September 15, 2024 - process mapping is complete, the FMEA then continues by identifying the ways in which each step can go wrong … psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

243. Strategies and Approaches for Investigating Patient Safety Events | PSNet
     psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
     March 15, 2025 - to improve patient safety have included initiatives to reduce patient falls, medication errors, and wrong-site … and wrong-patient surgical errors . … included identifying reasons for diagnosis and treatment delays, reducing patient falls, preventing wrong-patient … or wrong-site errors, addressing device malfunction, and preventing medication errors .

244. Topics | PSNet
     psnet.ahrq.gov/topics-0
     March 03, 2025 - Never Events Go to this topic Inpatient Suicide Go to this topic Wrong … Patient Go to this topic Wrong-Site Surgery Go to this topic Nongovernmental … Deprivation Go to this topic Identification Errors Go to this topic Wrong … to this topic Retained Surgical Instruments and Sponges Go to this topic Wrong-Site

245. Archived: Evidence Summary: Folic Acid for the Prevention of Neural Tube Defects: Preventive Medication | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/folic-acid-for-the-prevention-of-neural-tube-defects-preventive-medication-january-2017
     January 10, 2017 - wrong population, 15 for wrong comparator, 124 for wrong outcome, 2 for wrong timing, 36 for wrong geographical … setting, 44 for wrong study design, 98 for wrong intervention, 1 for wrong sample size, 68 for wrong … Wrong study design: study did not include an eligible design. … Wrong sample size: study had 50 or fewer participants. … Wrong language/non-English: study was not published in English.

246. Situational Awareness and Patient Safety | PSNet
     psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
     May 01, 2012 - The intern immediately notified the nurse that argatroban had been administered to the wrong patient … with the situation, and it supports the ability to anticipate what may go wrong in the future. … Related Resources Serious hazards of transfusion: evaluating the dangers of a wrong … Overload November 1, 2012 Application of human error theory in case analysis of wrong … The Topic Hospitals Health Care Executives and Administrators Hematology Surgery Wrong

247. Preventable errors in the operating room: retained foreign bodies after surgery--part I. | PSNet
     psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
     April 28, 2021 - July 1, 2016 Wrong-site surgery, retained surgical items, and surgical fires: a systematic … Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong

248. Non-accidental Injuries in Infants Attending the Emergency Department. | PSNet
     psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
     May 31, 2023 - May 31, 2023 Wrong Site Surgery–Wrong Tooth Extraction.

249. Harm Caused by Delays in Transferring Patients to the Right Place of Care. | PSNet
     psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care
     March 01, 2023 - April 5, 2023 Wrong Site Surgery–Wrong Tooth Extraction.

250. Independent double checks: worth the effort if used judiciously and properly. | PSNet
     psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
     January 23, 2019 - June 10, 2018 Administering a saline flush "site unseen" can lead to a wrong route error … December 30, 2014 A crack in our best armor: "wrong patient" injections from insulin

251. Racism and electronic health records (EHRs): perspectives for research and practice. | PSNet
     psnet.ahrq.gov/issue/racism-and-electronic-health-records-ehrs-perspectives-research-and-practice
     March 27, 2024 - January 26, 2022 Risk of wrong-patient orders among multiple vs singleton births in the … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

252. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
     December 21, 2017 - The investigators found that IT introduced new types of errors (for example, choosing the wrong medication … exacerbated errors that had previously occurred with paper records (such as entering information into the wrong

253. Retained Surgical Items: Definition and Epidemiology. | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
     September 15, 2024 - References Related Patient Safety Primers Never Events September 15, 2024 Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Editor's Picks Sentinel … Prevention February 26, 2025 Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Patient falls

254. Disclosure of Errors | PSNet
     psnet.ahrq.gov/primer/disclosure-errors
     September 15, 2024 - Patient Safety Primers Never Events September 15, 2024 Culture of Safety September 15, 2024 Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Editor's Picks Strengthening

255. Checklists | PSNet
     psnet.ahrq.gov/primer/checklists
     September 15, 2024 - Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867850/psn-pdf
     February 26, 2025 - orientation can help is by helping people be systematic and intentional about things that have gone wrong … of the system,” we invite ourselves to think more intentionally and anticipate things that might go wrong … And then, when things do go wrong, how do we put a process in place to adapt and contain them? … Let us talk about what went wrong. Who did not get listened to in our team?” … Are we making sure we are thinking preemptively about what could go wrong?

257. Understanding risk factors for complaints against pharmacists: a content analysis. | PSNet
     psnet.ahrq.gov/issue/understanding-risk-factors-complaints-against-pharmacists-content-analysis
     February 07, 2024 - May 5, 2021 Wrong drug and wrong dose dispensing errors identified in pharmacist professional

258. Digital Clinical Safety Strategy | PSNet
     psnet.ahrq.gov/issue/digital-clinical-safety-strategy
     March 01, 2023 - March 30, 2022 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient

259. Do No Harm: Stories of Life, Death, and Brain Surgery. | PSNet
     psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
     January 07, 2019 - November 3, 2015 Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. … April 2, 2014 Third wrong-sided brain surgery at R.I. hospital.

260. Oversedation of a patient with obstructive sleep apnea prior to imaging. | PSNet
     psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
     September 02, 2020 - April 5, 2017 Wrong-site surgery. … July 9, 2014 Incidence and root cause analysis of wrong-site pain management procedures