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Total Results: 1,736 records

Showing results for "wrong".

  1. Research Dissemination | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-dissemination
    January 01, 2021 - Patient-Generated Health Data Integration Yuyang Yang (presenter), Bruce Lambert (PI) Preventing Wrong-Drug … and Wrong-Patient Errors With Indication Alerts in CPOE Systems Poster: Implementation of Medication … Alerts to Reduce Wrong-Drug and Wrong-Patient Errors in CPOE Systems AHRQ-Funded

  2. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
    June 28, 2023 - August 2, 2023 Electronic patient identification for sample labeling reduces wrong blood … Perspective Equity in Patient Safety March 27, 2024 Right Kind of Wrong

  3. AmbulDATAFORM 4 ADE Incident Identification Formatory Pedi Med Study (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
    June 16, 2021 - Substitution If yes: ____ 14.01 Wrong drug given ____ 14.02 Wrong patient received drug … ____ 14.03 Wrong drug ordered ____ 14.04 Other __________ ____ 15.

  4. Medication Errors and Adverse Drug Events | PSNet

    psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
    December 15, 2024 - Related WebM&M The Impact of Communication on Medication Errors March 15, 2021 Bad Writing, Wrong … November 2, 2022 Wrong drug and wrong dose dispensing errors identified in pharmacist … WebM&M Cases Multiple Levels Involved in Prescribing the Wrong

  5. Toolkits | PSNet

    psnet.ahrq.gov/toolkits
    March 01, 2025 - (1) Fatigue and Sleep Deprivation (1) Identification Errors (5) Wrong … Intraoperative Complications (5) Retained Surgical Instruments and Sponges (2) Wrong-Site … This guidance shares evidence-based steps to address problems such as wrong patient errors and lack of … Falls, wrong surgery and unintended retained foreign bodies were among the most frequently submitted … The 2024-2025 edition includes new practices that are associated with tranexamic acid wrong-route errors

  6. TeamSTEPPS Video: Feedback (Long-Term Care) | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/resources/additional/feedback.html
    July 01, 2023 - seconds) Feedback helps teams improve by providing timely, specific information on what went right or wrong

  7. Crowding in the Emergency Department: Challenges for the Care of Children. | PSNet

    psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
    October 19, 2022 - Related Resources The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

  8. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions. | PSNet

    psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges
    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

  9. Dispensing error rates in pharmacy: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis
    June 10, 2020 - January 26, 2022 Wrong drug and wrong dose dispensing errors identified in pharmacist

  10. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. | PSNet

    psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
    May 25, 2022 - January 11, 2023 Wrong drug and wrong dose dispensing errors identified in pharmacist

  11. Quality and safety in surgery: challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-surgery-challenges-and-opportunities
    September 02, 2020 - March 11, 2020 WebM&M Cases “This is the wrong patient's … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Simulation-based

  12. An improvement approach to integrate teaching teams in the reporting of safety events. | PSNet

    psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
    September 23, 2020 - June 7, 2023 Electronic patient identification for sample labeling reduces wrong blood … March 20, 2019 Emergency departments are higher-risk locations for wrong blood in tube

  13. An invisible disability: communication, patient safety and dual sensory impairment in older persons. | PSNet

    psnet.ahrq.gov/issue/invisible-disability-communication-patient-safety-and-dual-sensory-impairment-older-persons
    July 01, 2019 - March 5, 2025 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

  14. Disclosing adverse events to patients: international norms and trends. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-patients-international-norms-and-trends
    July 29, 2020 - March 14, 2016 Should health care providers be forced to apologise after things go wrong … April 9, 2013 More than words: patients' views on apology and disclosure when things go wrong

  15. Fast does not imply flawed: analyzing emergency physician productivity and medical errors. | PSNet

    psnet.ahrq.gov/issue/fast-does-not-imply-flawed-analyzing-emergency-physician-productivity-and-medical-errors
    January 25, 2023 - 27, 2023 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

  16. Misdiagnosis in the emergency department: time for a system solution. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution
    March 25, 2020 - 27, 2023 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

  17. Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. | PSNet

    psnet.ahrq.gov/issue/assessing-utility-chatgpt-throughout-entire-clinical-workflow-development-and-usability-study
    February 12, 2020 - 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

  18. Hypoxic Gas Supply from Cross-Connected Pipelines | PSNet

    psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
    February 05, 2020 - Cross-connection of medical gases can also occur when cylinders are mounted in the wrong position on … It is very easy to accidentally administer the wrong gas by turning the wrong knob. … are not aware of the severe consequences if they inadvertently connect the non-rebreather mask to the wrong … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

  19. HCUP Statistical Brief #29: Adverse Drug Events in U.S. Hospitals, 2004 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb29.pdf
    April 01, 2007 - About 8.6 percent of ADEs (104,000 stays) were drug poisoning—accidental overdose, wrong drugs given … categories—adverse effects of drugs properly administered and drug poisoning (accidental overdose, wrong … Academy Press, Washington, DC, 2006. 1 2 poisoning, which involve accidental drug overdose, wrong … Poisoning by drugs, medicinal and biological substances (includes overdose of these substances and wrong … Poisoning (accidental overdose, wrong drugs given or taken in error, drugs taken inadvertently)

  20. Measures of Cognitive Load | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
    May 01, 2024 - documentation, and choice of orders. 65 A validated submeasure that uses EHR audit log data is called the “Wrong-Patient … Retract-And-Reorder” (Wrong-Patient RAR) tool. … Similarly, improvement efforts that decrease the RAR rate should also decrease the number of wrong-patient
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