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Total Results: 1,736 records

Showing results for "wrong".

321. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. | PSNet
     psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
     September 08, 2021 - March 3, 2021 Wrong drug and wrong dose dispensing errors identified in pharmacist professional

322. Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. | PSNet
     psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
     February 01, 2023 - April 5, 2023 Serious hazards of transfusion: evaluating the dangers of a wrong patient … October 5, 2022 Adding automation and independent dual verification to reduce wrong blood

323. Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. | PSNet
     psnet.ahrq.gov/issue/addition-electronic-prescription-transmission-computerized-prescriber-order-entry-effect
     March 13, 2019 - WebM&M Cases Medication Errors in Retail Pharmacies: Wrong … Patient, Wrong Instructions.

324. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
     August 04, 2021 - Related Resources The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

325. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. | PSNet
     psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
     September 23, 2020 - RIS Download Citation Related Resources From the Same Author(s) Wrong-patient … September 23, 2020 Wrong-patient orders in obstetrics.

326. Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. | PSNet
     psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
     October 19, 2022 - September 23, 2020 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

327. Mortality due to hospital-acquired infection after cardiac surgery. | PSNet
     psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery
     February 12, 2020 - September 7, 2022 A contemporary analysis of closed claims related to wrong site surgery … February 1, 2023 Serious hazards of transfusion: evaluating the dangers of a wrong patient

328. "ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis. | PSNet
     psnet.ahrq.gov/issue/chatgpt-can-you-help-me-save-my-childs-life-diagnostic-accuracy-and-supportive-capabilities
     February 01, 2023 - July 5, 2023 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

329. Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. | PSNet
     psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
     November 24, 2021 - April 26, 2023 Adding automation and independent dual verification to reduce wrong … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

330. Unintended Consequences of CPOE | PSNet
     psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
     September 01, 2004 - problem of illegible or confusing handwriting, but replace it with errors associated with picking the wrong … item in a drop-down list, which may result in prescribing the wrong drug, dose, or route of a medication … ; prescribing to the wrong patient; or selecting the wrong diagnostic test as in this case.( 12 ) These … Intercepting wrong-patient orders in a computerized provider order entry system. … Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.

331. The Unintended Consequences of Florida Medical Liability Legislation | PSNet
     psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
     February 01, 2003 - February 1, 2003 Serious hazards of transfusion: evaluating the dangers of a wrong … March 2, 2011 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

332. AHRQ National Webinar on Medication Without Harm – How Digital Healthcare Tools Can Support Providers and Improve Patient Safety - Q&As (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medication-without-harm-qas-07242024.pdf
     July 24, 2024 - There is no standard that says thirty is right and thirty-one is wrong. … providers describe situations that were so subtle, you could see that there is no subtlety in being on the wrong … We worked out the measure for the wrong patient, which is a 1,000 of the 3,060 and dosing for 20,000 … It seems quite clear that photos help prevent orders on the wrong patient, and I strongly endorse that

333. Module 2: Urinary Catheter Maintenance Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
     February 01, 2023 - Transporter: “Did I do something wrong?” Nurse:  “Not exactly. … In this scenario, the transporter didn’t understand what might happen because of wrong bag placement

334. Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. | PSNet
     psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
     October 27, 2015 - Safety and Quality April 26, 2023 Health information technology-related wrong-patient … February 23, 2018 Using "near misses" analysis to prevent wrong-site surgery.

335. Error | PSNet
     psnet.ahrq.gov/taxonomy/term/3475
     April 05, 2025 - Error An act of commission (doing something wrong) or omission (failing to do the right thing) that

336. Improving Patient Safety/Quality with HIT Implementation (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
     January 01, 2008 - dose, extra dose, wrong route, wrong form, wrong time. … The medication error rate declined 16.5%; without wrong technique it declined 21.2%. … The medication error rate increased by 51%, and without wrong technique decreased by 58%. … The medication error rate declined by 56% and without wrong technique decreased by 63%. … Wrong time errors accounted for 81% (9.2% error rate) pre and 54% (2.7% error rate) post.

337. Surgical Site Infections | PSNet
     psnet.ahrq.gov/primer/surgical-site-infections
     December 15, 2024 - Related Resources Patient Safety Primers Wrong-Site … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Preventing surgical

338. The hard talk: dealing with the disruptive physician. | PSNet
     psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
     April 24, 2018 - June 26, 2019 Understanding and preventing wrong-patient electronic orders: a randomized … July 25, 2011 Risk of wrong-patient orders among multiple vs singleton births in the

339. The fate of pediatric prescriptions in community pharmacies. | PSNet
     psnet.ahrq.gov/issue/fate-pediatric-prescriptions-community-pharmacies
     September 27, 2016 - March 11, 2020 View More Related Resources Wrong drug and wrong

340. Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box | Digital Healthcare Research
     digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
     January 01, 2019 - EHR “bloat” For example, one analysis done was around acetaminophen (Tylenol) errors involving the wrong … These ‘wrong route’ errors can be catastrophic in some circumstances and are a focus of patient safety