U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: 5,540 records

Showing results for "wrong".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36177/psn-pdf
    April 19, 2011 - Wrong site surgery. April 19, 2011 Fraser SG, Adams W. Wrong site surgery. … https://psnet.ahrq.gov/issue/wrong-site-surgery The authors provide an overview of wrong site surgery … https://psnet.ahrq.gov/issue/wrong-site-surgery

  2. USA, IL, Evanston | Digital Healthcare Research

    digital.ahrq.gov/location/usa-il-evanston
    January 01, 2023 - USA, IL, Evanston Preventing Wrong-Drug and Wrong-Patient Errors With … found a significant increase in problem placement rates, a modest increase in order abandonment (when a wrong … patient error was detected), and a slight increase in order retractions (when a wrong drug error was

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73280/psn-pdf
    May 19, 2021 - Retained foreign objects were the most commonly reported never event (66.2%), followed by wrong site … or wrong patient (15.5%), and surgical burns (7.7%). … web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough https://psnet.ahrq.gov/issue/wrong-site-surgery … -1 https://psnet.ahrq.gov/issue/wrong-site-surgery-1

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73139/psn-pdf
    April 14, 2021 - Use of BCMA decreased wrong medication and wrong dosage errors, and wrong patient, wrong form, and ambiguous

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35312/psn-pdf
    January 02, 2017 - Medication errors involving wrong administration technique. … Medication Errors Involving Wrong Administration Technique. … https://psnet.ahrq.gov/issue/medication-errors-involving-wrong-administration-technique This study analyzed … Drawing from more than 7200 wrong administration technique errors, a number of true case examples are … https://psnet.ahrq.gov/issue/medication-errors-involving-wrong-administration-technique

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35885/psn-pdf
    December 14, 2007 - 'Wrong site' surgeries on the rise. December 14, 2007 Davis R. … https://psnet.ahrq.gov/issue/wrong-site-surgeries-rise This article reports on a recent AHRQ-funded … study on the incidence of wrong-site surgery and shares various perspectives on the issue. … https://psnet.ahrq.gov/issue/wrong-site-surgeries-rise https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60172/psn-pdf
    March 01, 2021 - That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong … patient; it designated this practice its first National Patient Safety Goal.2 Orders entered into wrong … care due to patient misidentification resulted from a medication or test order being placed in the wrong … have multiple charts open simultaneously, making it possible to mistakenly enter an order into the wrong … received care intended for someone else because of orders being placed in the wrong chart, down 75

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37390/psn-pdf
    December 05, 2007 - Third wrong-sided brain surgery at R.I. hospital. December 5, 2007 Associated Press; AP. … https://psnet.ahrq.gov/issue/third-wrong-sided-brain-surgery-ri-hospital This news article reports repeated … incidents of wrong-side surgery at the same facility, and state and hospital reactions to the errors … https://psnet.ahrq.gov/issue/third-wrong-sided-brain-surgery-ri-hospital https://psnet.ahrq.gov/issue … /incidence-patterns-and-prevention-wrong-site-surgery

  9. Time out: an analysis. | PSNet

    psnet.ahrq.gov/issue/time-out-analysis
    October 19, 2022 - October 19, 2022 Using performance improvement to enhance time-out compliance and prevent wrong-site … Related Resources Using performance improvement to enhance time-out compliance and prevent wrong-site … Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong … Site, Wrong Procedure and Wrong Person Surgery. … February 9, 2011 The wrong foot, and other tales of surgical error.

  10. Barcode technology: its role in increasing the safety of blood transfusion. | PSNet

    psnet.ahrq.gov/issue/barcode-technology-its-role-increasing-safety-blood-transfusion
    September 08, 2021 - 27, 2023 View More Related Resources Factors associated with wrong … November 17, 2021 Emergency departments are higher-risk locations for wrong blood in … September 9, 2020 WebM&M Cases “This is the wrong patient's … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Transfusion … June 2, 2019 Electronic patient identification for sample labeling reduces wrong blood

  11. Effectiveness of surgical safety checklists in improving patient safety. | PSNet

    psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
    May 29, 2019 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … June 21, 2023 View More Related Resources Incidence of wrong-site … June 13, 2018 Wrong-site surgery. … July 30, 2014 Preventing wrong-site surgery in Minnesota: a 5-year journey. … December 22, 2010 Avoiding wrong site surgery: a systematic review.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39211/psn-pdf
    February 08, 2011 - The wrong foot, and other tales of surgical error. February 8, 2011 Altman LK. New York Times.  … https://psnet.ahrq.gov/issue/wrong-foot-and-other-tales-surgical-error This news piece reports on wrong-site … and wrong-patient surgery and describes efforts to prevent surgical errors following a Joint Commission … https://psnet.ahrq.gov/issue/wrong-foot-and-other-tales-surgical-error

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846758/psn-pdf
    March 29, 2023 - evaluating-patient-identification-practices-during-intrahospital-transfers-human-factors https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery … https://psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics https://psnet.ahrq.gov/issue/seips-101-

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73980/psn-pdf
    October 20, 2021 - Of the 293 reported incidents, the most common errors were missing wristbands, wrong charts or notes … in files, administrative issues, and wrong labeling. … assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848813/psn-pdf
    May 10, 2023 - blood-and-blood-products-transfusion-errors-what-can-we-do-improve-patient- safety Incorrect patient registration, application of the wrong … label, and blood draw from the wrong patient can all cause blood transfusion errors. … transfusion-safety-nature-and-outcomes-errors-patient-registration https://psnet.ahrq.gov/web-mm/transfusion-slip https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39604/psn-pdf
    November 23, 2016 - Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong … Improving the patient, family, and clinician experience after harmful events: the "when things go wrong … psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when- things-go-wrong … psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong … https://psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families https://psnet.ahrq.gov

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36934/psn-pdf
    September 01, 2011 - Recurrent wrong-route drug error – a professional shame. September 1, 2011 Bell D. … Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5. … https://psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame Referencing three case … from the same issue, the author discusses design changes and regulatory measures aimed at minimizing wrong-route … https://psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37268/psn-pdf
    December 16, 2011 - Prevention of wrong-site tooth extraction: clinical guidelines. … Prevention of wrong-site tooth extraction: clinical guidelines. … https://psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines This article … discusses strategies to prevent wrong-site tooth extraction including education, improving referral … https://psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines https://psnet.ahrq.gov

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38796/psn-pdf
    April 04, 2011 - A 62-year-old woman with skin cancer who experienced wrong-site surgery. … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. … https://psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery This case … presentation describes a wrong-site surgery incident, provides perspectives from the patient, clinician … https://psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery

  20. Positive Patient Identification. | PSNet

    psnet.ahrq.gov/issue/positive-patient-identification
    June 19, 2024 - February 16, 2022 Wrong Site Surgery–Wrong Tooth Extraction. … August 30, 2023 Automated search methods for identifying wrong patient order entry-a … March 1, 2023 Adding automation and independent dual verification to reduce wrong blood … See More About The Topic Hospitals Ambulatory Care Identification Errors Wrong
SHARE:
Facebook Twitter Print Facebook Share

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

psnet.ahrq.gov (4259)

www.ahrq.gov (725)

digital.ahrq.gov (218)

effectivehealthcare.ahrq.gov (204)

www.uspreventiveservicestaskforce.org (68)

hcup-us.ahrq.gov (37)

integrationacademy.ahrq.gov (10)

cdsic.ahrq.gov (6)

meps.ahrq.gov (5)

pso.ahrq.gov (3)

cds.ahrq.gov (2)

qualityindicators.ahrq.gov (2)

cahpsdatabase.ahrq.gov (1)