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Total Results: 1,736 records

Showing results for "wrong".

  1. Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method. | PSNet

    psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
    May 12, 2021 - Related Resources The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

  2. Chart Review | Digital Healthcare Research

    digital.ahrq.gov/research-method/chart-review
    January 01, 2023 - Notifying Clinicians About Epilepsy Surgery Patients Automated detection of wrong-drug … Automated detection of wrong-drug prescribing errors.

  3. Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. | PSNet

    psnet.ahrq.gov/issue/rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
    December 08, 2021 - Related Resources The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

  4. Innovative Use of Technology in Primary Care Delivery - Slide Presentation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
    September 14, 2023 - developers made prototype changes within and between sessions Example Prompts “Where can things go wrong … “What have you done to keep things from going wrong?” … can be very dangerous if he gets too much… I’ve even caught medications that someone has drawn up wrong … , or even medications that I’ve drawn up wrong.”

  5. Premortem Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
    January 01, 2017 - Things have gone completely wrong on a number of fronts. What could have caused this?" … Things have gone completely wrong on a number of fronts. What could have caused this?

  6. Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies. | PSNet

    psnet.ahrq.gov/issue/effects-mental-demands-during-dispensing-perceived-medication-safety-and-employee-well-being
    May 16, 2012 - Improving Diagnostic Safety and Quality April 26, 2023 Wrong … drug and wrong dose dispensing errors identified in pharmacist professional liability claims.

  7. From guideline to order set to patient harm. | PSNet

    psnet.ahrq.gov/issue/guideline-order-set-patient-harm
    October 10, 2017 - Association of display of patient photographs in the electronic health record with wrong-patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

  8. Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. | PSNet

    psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly-available-clinical
    December 21, 2017 - 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. 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors
    March 11, 2013 - Same Author(s) More than words: patients' views on apology and disclosure when things go wrong … October 30, 2019 Should health care providers be forced to apologise after things go wrong

  10. Health IT and Patient Safety: Building Safer Systems for Better Care. | PSNet

    psnet.ahrq.gov/issue/health-it-and-patient-safety-building-safer-systems-better-care
    June 16, 2011 - September 2, 2015 View More Related Resources Wrong Site Surgery … - Wrong Patient: Invasive Procedures in Outpatient Settings.

  11. Perspective: a culture of respect—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
    October 04, 2006 - August 11, 2021 Emergency departments are higher-risk locations for wrong blood in tube … July 2, 2014 The Medical Apology: Making It Right When Things Go Wrong.

  12. Computerised provider order entry and residency education in an academic medical centre. | PSNet

    psnet.ahrq.gov/issue/computerised-provider-order-entry-and-residency-education-academic-medical-centre
    June 09, 2015 - October 31, 2011 Frequency and clinical importance of pages sent to the wrong physician … 2014 Getting the message: a quality improvement initiative to reduce pages sent to the wrong

  13. Curriculum development and implementation of a national interprofessional fellowship in patient safety. | PSNet

    psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient
    November 18, 2016 - November 18, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis. … March 18, 2020 Errors upstream and downstream to the Universal Protocol associated with wrong

  14. Costs and consequences associated with misdiagnosed lower extremity cellulitis. | PSNet

    psnet.ahrq.gov/issue/costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis
    November 12, 2014 - Association of display of patient photographs in the electronic health record with wrong-patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

  15. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet

    psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
    June 16, 2011 - Related Resources WebM&M Cases “This is the wrong … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Patient safety

  16. ROI for a fall prevention intervention: invest a little, save a lot. | PSNet

    psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
    September 13, 2017 - Association of display of patient photographs in the electronic health record with wrong-patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

  17. Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. | PSNet

    psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained
    February 08, 2012 - Association of display of patient photographs in the electronic health record with wrong-patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

  18. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
    April 18, 2018 - August 18, 2021 Evaluating serial strategies for preventing wrong-patient orders in the … December 21, 2017 Risk of wrong-patient orders among multiple vs singleton births in

  19. Identifying resilience: a system safety review of trauma and orthopaedic theatres. | PSNet

    psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
    October 19, 2011 - April 8, 2020 Wrong-site surgery, retained surgical items, and surgical fires: a systematic … 2013 Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site

  20. Contributions to Patient Safety and Medical Liability | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/contributions.html
    August 01, 2022 - The tool, “When Things Go Wrong in the Ambulatory Setting,” contains “tips and suggested language for … apology, and offer needed emotional support” ( http://www.macrmi.info/blog/valuable-tool-when-things-go-wrong-ambulatory-setting-guideline-communication-and-resolution-outpatient-practices
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