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Showing results for "wrong".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37436/psn-pdf
    January 01, 2013 - Ventilator-associated pneumonia—the wrong quality measure for benchmarking. … Ventilator-associated pneumonia—the wrong quality measure for benchmarking. … https://psnet.ahrq.gov/issue/ventilator-associated-pneumonia-wrong-quality-measure-benchmarking This … https://psnet.ahrq.gov/issue/ventilator-associated-pneumonia-wrong-quality-measure-benchmarking

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39778/psn-pdf
    August 18, 2010 - The institution did not experience any wrong-site surgeries during that time. … eight-year-experience-neurosurgical-checklist https://psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40312/psn-pdf
    June 10, 2018 - Oops, sorry, wrong patient! … https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not … https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside … https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41070/psn-pdf
    January 18, 2012 - Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. … Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. … https://psnet.ahrq.gov/issue/confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses This … https://psnet.ahrq.gov/issue/confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses https

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39941/psn-pdf
    October 20, 2010 - The normalization of deviance: do we (un)knowingly accept doing the wrong thing? … The normalization of deviance: do we (un)knowingly accept doing the wrong thing? … https://psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing This … https://psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing https:

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45739/psn-pdf
    July 02, 2017 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? … High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? … //psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do- wrong-thing … https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing … https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43969/psn-pdf
    November 17, 2017 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers … Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting- … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients

  8. National Time Out Day. | PSNet

    psnet.ahrq.gov/issue/national-time-out-day
    December 08, 2015 - January 17, 2019 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong … December 22, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Doing the "right" things to correct wrong-site surgery. … March 18, 2010 'Wrong site' surgeries on the rise.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42193/psn-pdf
    May 08, 2013 - issue/priority-patient-safety-issues-identified-perioperative-nurses Perioperative nurses identified wrong-site … /issue/priority-patient-safety-issues-identified-perioperative-nurses https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42311/psn-pdf
    May 29, 2013 - We know what they did wrong, but not why: the case for 'frame-based' feedback. … We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’ feedback. … https://psnet.ahrq.gov/issue/we-know-what-they-did-wrong-not-why-case-frame-based-feedback This commentary … https://psnet.ahrq.gov/issue/we-know-what-they-did-wrong-not-why-case-frame-based-feedback https://psnet.ahrq.gov

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39688/psn-pdf
    July 14, 2010 - Risky business: James Bagian—NASA astronaut turned patient safety expert—on being wrong. … psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert- being-wrong … /psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-being-wrong … /psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-being-wrong

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39222/psn-pdf
    January 13, 2010 - surgical-site-signing-and-time-out-issues-compliance-or-complacence Adherence to measures to prevent wrong-site … surgical-site-signing-and-time-out-issues-compliance-or-complacence https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39352/psn-pdf
    July 05, 2013 - When the 5 rights go wrong: medication errors from the nursing perspective. … When the 5 rights go wrong: medication errors from the nursing perspective. … https://psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective This survey … https://psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective https://psnet.ahrq.gov

  14. Health IT Hazard Manager Beta-Test Appendix B: Revised Hazard Manager Ontology (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
    June 16, 2021 - mental models/expectations and HIT • Other Data Quality • IT contributed to entry of data in the wrong … patient’s record • Organizational policy contributed to entry of data in the wrong patient’s record … • Patient information/results routed to the wrong recipient • Discrepancy between database and displayed … or display ○ Loss of clinical data ○ Medication error—software related ○ System returns or stores wrong … • Failure of wired or wireless network • Ergonomics ○ Alert fatigue/alarm fatigue ○ Data entry (wrong

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43241/psn-pdf
    June 11, 2014 - approximately a quarter of the time, arguing for the importance of preoperative time outs to avoid wrong-site … it-left-eye-right https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73842 https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41979/psn-pdf
    January 16, 2013 - thinking-threes-changing-surgical-patient-safety-practices-complex-modern- operating-room This commentary explores strategies to prevent surgical fires, wrong-site … thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42943/psn-pdf
    April 12, 2014 - Doing right by our patients when things go wrong in the ambulatory setting. … Doing right by our patients when things go wrong in the ambulatory setting. … https://psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting This commentary … https://psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting https:/

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43996/psn-pdf
    November 10, 2018 - When doing wrong feels so right: normalization of deviance. … When Doing Wrong Feels So Right: Normalization of Deviance. … https://psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance This commentary … https://psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance https://psnet.ahrq.gov

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44437/psn-pdf
    September 04, 2015 - Writing the wrong. September 4, 2015 Patel JJ. A PIECE OF MY MIND. Writing the Wrong. … https://psnet.ahrq.gov/issue/piece-my-mind-writing-wrong Despite the potential for electronic health … https://psnet.ahrq.gov/issue/piece-my-mind-writing-wrong https://psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-concerns

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35961/psn-pdf
    May 24, 2006 - BBC News 'wrong guy' is revealed. May 24, 2006 BBC News. … https://psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed As evidence that identification errors occur … This mishap demonstrates the need to use multiple means of identification to avoid "wrong-person" errors … https://psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed http://www.jointcommission.org/NR/rdonlyres/
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