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Total Results: 1,736 records

Showing results for "wrong".

361. Automated Telephone Self-Management ProgramThe San Francisco Health Plan Enrollment Outreach Call (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q2_EnrollmentOutreachCallSFHP.pdf
     June 16, 2021 - The information we received must have been wrong. We will correct it. Thank you for your time. … The information we received must have been wrong. We will correct it. Thank you.

362. Script from SFHP about the intervention and evaluation (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q4_UCSF_verbal_consent_9_4_08.pdf
     June 16, 2021 - _________________ Phone Number Dialed VERIFY1 I’m sorry; I must have dialed or been given the wrong … If Yes: I’m sorry, I was given a wrong number. Thank you for your time. Goodbye. (END) 2.

363. Disseminating Knowledge and Research Findings at Conferences | Digital Healthcare Research
     digital.ahrq.gov/2019-year-review/research-dissemination/disseminating-knowledge-and-research-findings-conferences
     January 01, 2019 - Jason Adelman’s research assessing the risk of wrong-patient errors when an EHR system allows multiple … The study found no significant differences in wrong-patient order sessions in either the restricted or

364. Tool: Premortem (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
     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?

365. Pocket Syringe Swap | PSNet
     psnet.ahrq.gov/web-mm/pocket-syringe-swap
     July 01, 2006 - When the fellow retrieved a syringe from his pocket, he recognized that he had previously pulled the wrong … both known to contain high-risk drugs, didn't bother to read the label before casually injecting the wrong … one by the wrong route. … Blaming individuals for character defects when things go wrong, the so-called person-centered approach … Borderline December 1, 2006 WebM&M Cases The Wrong

366. Use barcode scanning to prevent errors with enteral nutrition feedings. | PSNet
     psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
     December 04, 2024 - Wrong patient errors, availability of expired human milk products, component shortages and recalls degrade

367. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-1
     June 16, 2019 - examples of drug misadministration, confusion with drug names, and administration of chemotherapy to the wrong

368. Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. | PSNet
     psnet.ahrq.gov/issue/beyond-surgical-safety-checklist-using-intraoperative-handoff-facilitate-team-situation
     June 13, 2018 - 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

369. Principles of conservative prescribing. | PSNet
     psnet.ahrq.gov/issue/principles-conservative-prescribing
     April 22, 2017 - April 22, 2017 Automated detection of wrong-drug prescribing errors. … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

370. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. | PSNet
     psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
     June 15, 2011 - July 19, 2023 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

371. Partners in our care: patient safety from a patient perspective. | PSNet
     psnet.ahrq.gov/issue/partners-our-care-patient-safety-patient-perspective
     December 04, 2016 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … July 19, 2023 Evaluating serial strategies for preventing wrong-patient orders in the

372. Real-time automated paging and decision support for critical laboratory abnormalities. | PSNet
     psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
     April 30, 2014 - Resources From the Same Author(s) Frequency and clinical importance of pages sent to the wrong … 2016 Getting the message: a quality improvement initiative to reduce pages sent to the wrong

373. Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet
     psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
     October 29, 2017 - May 18, 2022 Risk of wrong-patient orders among multiple vs singleton births in the neonatal … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

374. The effect of emergency department boarding on order completion. | PSNet
     psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion
     January 29, 2018 - April 11, 2011 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.

375. Potential Problem Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
     January 01, 2023 - Description A potential problem analysis (PPA) is a systematic method for determining what could go wrong

376. Pregnancy | Digital Healthcare Research
     digital.ahrq.gov/medical-condition/pregnancy
     January 01, 2023 - Investigator(s) Fareed, Naleef Joseph, Joshua J Venkatesh, Kartik Kailas Wrong-patient … Wrong-patient orders in obstetrics.

377. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
     psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
     February 01, 2017 - Today's leaders need to stop and challenge themselves when things go wrong. … This also means that whatever went wrong presented a learning opportunity, not simply a disappointment … And, it's great, because when things go wrong, they can say, "It's not my fault." … But to suddenly discover that even though we're doing our best, sometimes what went wrong wasn't the … Second, the recognition that when things go wrong, it's often a system breakdown, not individual human

378. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
     January 01, 2024 - reporting system that has a specific coded category to document diagnostic errors such as missed, wrong … (Item DXC3, NA/DK/MI = 50%) 56 When a missed, wrong, or delayed diagnosis happens in this office, … (Item DXC3) 56% 68% 49% 55% When a missed, wrong, or delayed diagnosis happens in this office, we are … (Item DXC3) 54% 54% 45% 59% 74% 56% When a missed, wrong, or delayed diagnosis happens in this office … (Item DXC3) 45% 58% 54% When a missed, wrong, or delayed diagnosis happens in this office, we are informed

379. Medication Administration Errors | PSNet
     psnet.ahrq.gov/primer/medication-administration-errors
     December 15, 2024 - variability, dose preparation is uniquely challenging in pediatric populations, which increases risk for wrong … Wrong dose, missing doses, and wrong medication are the most commonly reported administration errors. … To help mitigate of wrong dose errors, warfarin tablet colors are standardized by their strength across

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849660/psn-pdf
     May 31, 2023 - adverse events associated with health literacy include mistakes in diabetes management;1 taking the wrong … of inhalers and aerosol medications;4 falls; delays in receiving treatment, surgery, or tests; and wrong … procedure or wrong site surgery.