-
effectivehealthcare.ahrq.gov/sites/default/files/technical-brief-34-health-worker-certification-comments.pdf
March 27, 2020 - , National
Committee for
Quality Assurance)
Methods One way in which programs often land on the wrong
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary14/bladder-cancer-in-adults-screening
October 15, 2010 - abstract, mesh headings, heading words, keyword]
(diagnos$ adj3 (mistak$ or error$ or erroneous$ or wrong … , abstract, full text, keywords, caption text]
(diagnos$ adj3 (mistak$ or error$ or erroneous$ or wrong
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017163-baker-final-report-2011.pdf
January 01, 2011 - However, POC alerts are often wrong because they do not capture
4
available exclusion criteria … In addition, alerts are often wrong because an exclusion criterion
was never captured in an electronic
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-adults-trauma-interventions_disposition-comments.pdf
April 02, 2013 - This assumption is untested and is probably wrong. … In addition, it is possible that the wrong citations were included in
the executive summary, as they
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
April 01, 2013 - infection investigation tool which will help you understand the defects and what possibly could have gone wrong … Mary Ellen Furanti: Okay, I thought that maybe I was wrong, that the clave changes were every 7 days
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
September 01, 2015 - 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
November 01, 2004 - follow-up after surgery), on various tools and
technologies used (e.g., H&P forms), and procedures (e.g., wrong-site … Carayon P, Schultz K, Hundt AS, Wrong site surgery
in outpatient settings: The case for a human factors
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/sZN5HHS8w5Sar6bBPabsaB
June 01, 2008 - treatment study with diabetes duration >1 y: 143
Diabetes treatment study with unknown diabetes duration: 5
Wrong … patient population: 92
Wrong treatment/intervention: 55
Wrong outcome: 128
Wrong study design or publication
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/-TsBkyewVoFpC7htRmzWJa
September 03, 2019 - prior report
2 Background only
6 Used for contextual question only
3 Intervention not appropriate
13 Wrong … 14 Used for contextual question only
34 Population not applicable
38 Intervention not appropriate
74 Wrong … outcome(s)
15 Companion article, data not used
78 Nonsystematic or outdated review
9 Wrong study design … 122 Wrong publication type
2 Non–English language
1319 Citations excluded
1269 Based on review of
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary23/diabetes-mellitus-type-2-in-adults-screening-2008
June 15, 2008 - study with diabetes duration >1 y: 143
Diabetes treatment study with unknown diabetes duration: 5
Wrong … patient population: 92
Wrong treatment/intervention: 55
Wrong outcome: 128
Wrong study design
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - (i.e., improper execution of
a proper clinical step or decision) rather than judgmental (i.e., the wrong … Maybe they
get caught before they happen, like giving someone a wrong drug
dose. … Let the attending tell you what you did wrong. … You excuse different things that
are done wrong a bit more, depending on the level of the (surgical)
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-240-acute-pain-revised-comments.pdf
December 29, 2020 - Your narrative is
wrong.
Thank you for the comment. … big atta boy,
and you are also turning your backs on
thousands of honest Americans who did
nothing wrong … Their first one was wrong and used wrong
by states and alot of people are suffering
needlessly because … I did nothing wrong! I followed the
rules but here I sit, wasting away and
miserable. … This
is wrong and needs to be fixed by people
with common sense and not an agenda to
fulfill.
-
www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
August 01, 2022 - Doing right by our patients when things go wrong in the ambulatory setting. … Selected Other Products Developed by Grantee
When Things Go Wrong in the Ambulatory Setting, a 4- … page tool published in 2013 that is a companion to When Things Go Wrong: Responding to Adverse Events … (2006)
When Things Go Wrong in the Ambulatory Setting video, available at https://vimeo.com/76550944
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017220-wolf-final-report-2012.pdf
January 01, 2012 - call to see if they filled their prescription,
and secondary adherence was considered as missed or wrong … also treated as a binary variable with 80% or
greater adherence in the past week (based on missed/wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Many things can go wrong, however, and plenty of research has shown botched
patient handoffs can be … • Eliminating Wrong Site Surgery and Procedure Events.
• MHS Leadership Engagement.
-
effectivehealthcare.ahrq.gov/products/transparency-neuropathy/research-protocol
-
digital.ahrq.gov/sites/default/files/docs/page/ADAMS_3_I.ppt
January 01, 2013 - Crossing the Quality Chasm, 2000
Right
Wrong
“… 44,000 to 98,000 deaths ...”
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - Transesophageal Echocardiography of Aortic Dissection
Video
What Went Wrong?
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
June 01, 2010 - Forum
Residential care
Patient death or serious disability associated with medication error (wrong
-
psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - October 1, 2011
WebM&M Cases
Bad Writing, Wrong