Results

Total Results: 5,540 records

Showing results for "wrong".

5001. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - events concluded that over 75% of all events were attributed to either medication errors involving wrong

5002. NHQR/NHDR Dissemination of Information on State Data-Driven Strategic Efforts to Reduce Health Disparities
      hcup-us.ahrq.gov/reports/race/HCUP_R_E_finalreport-02311AHRQ.jsp
      November 01, 2011 - on reducing the disparity between rates or on improving rates that are substandard or moving in the wrong

5003. When the Meds Don’t Reach the Bed | PSNet
      psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
      May 16, 2022 - Reconciliation August 5, 2022 WebM&M Cases Wrong

5004. A Postpartum Woman with an Erroneous SARS-CoV-2 Test | PSNet
      psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
      December 23, 2020 - 30, 2019 WebM&M Cases Slow Down: Right Drug, Wrong

5005. Intraoperative Awareness during Rhinoplasty | PSNet
      psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
      January 29, 2021 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

5006. Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
      March 01, 2018 - Information was entered into the wrong patient health record 68% 28% 2% 1% 0% 0% 0% 20% 40% 60%

5007. Hindsight is 20/20: Thrombolytics for Alcohol Intoxication | PSNet
      psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
      December 18, 2024 - 2020 WebM&M Cases Looking for Meds in All the Wrong

5008. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
      psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
      January 29, 2021 - Reconciliation August 5, 2022 WebM&M Cases Wrong

5009. Use of Patient Buddy Application to Disseminate Knowledge & Prevent Readmission - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024004-bajaj-final-report-2017.pdf
      January 01, 2017 - were initiated by the caregiver who noted changes in the orientation exams (median 1 question was wrong

5010. Treating Comorbid Depression In Care Transitions with Relational Agents - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs022938-mitchell-final-report-2017.pdf
      January 01, 2017 - important to the subject 5.05 ± 1.83 The subject fears that if he/she says or does the wrong

5011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867428/psn-pdf
      December 18, 2024 - patients who had fallen in the hospital and their family members to understand what they thought went wrong

5012. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
      psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
      October 31, 2023 - July 8, 2022 WebM&M Cases Wrong Route for Nutrients

5013. Microsoft Word - IAVR_ExecSumm.doc (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/IAVR_ExecSumm_1.pdf
      December 29, 2006 - records to patients introduces the potential for inappropriate use or disclosure of PHI on the wrong

5014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855058/psn-pdf
      October 31, 2023 - culture where people feel psychologically safe working, where they can speak up when things are going wrong

5015. TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
      January 13, 2022 - ’ illness trajectory and contributing factors, which in turn may lead  to premature closure and the wrong

5016. Module 3: Communication
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
      January 13, 2022 - patients’ illness trajectory and contributing factors, which in turn may lead to premature closure and the wrong

5017. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - compensation. 38 Interview study with cancer patients who thought something serious and harmful went wrong

5018. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
      April 01, 2013 - For example, wrong medication from a contract pharmacy was caught before given to a patient.

5019. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
      January 01, 2025 - even without probability assignment or ranking, enable us to answer the questions of ‘what can go wrong

5020. Facilitator Guide: Implementing Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
      December 01, 2017 - system that makes it easier for providers to do the right thing and harder for providers to do the wrong