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Total Results: 5,540 records

Showing results for "wrong".

  1. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
    March 11, 2005 - teamwork / communication among providers 10 (18%) Device related 9 (16%) Identification error (wrong

  2. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
    March 31, 2008 - Prescription errors included instances of (1) the wrong drug or device selected; (2) the incorrect administration

  3. Using Patient Complaints to Promote Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
    March 22, 2008 - Advocates attempt service recovery (i.e., the process of trying to make right what the patient thinks is wrong

  4. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - • Diagnostic error, defined as a diagnosis that is wrong, delayed, or missed, contributes to substantial

  5. Health IT Hazard Manager Beta-Test Appendix C - Descriptive Analysis (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/AppendixC_HIT_Hazard_Manager_Beta_Test.pdf
    June 16, 2021 - Multiple selections possible) Incorrect patient information 43.1% (n=56) Information linked to the wrong

  6. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement.

  7. Final Progress Report: Improved Patient Safety with Information Technology (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
    January 01, 2024 - A few months ago, users complained of receiving intermittent reminders that were clearly wrong – e.g

  8. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
    September 01, 2022 - Introduction Errors that occur during the diagnostic process can lead to missed or wrong

  9. Disposition of Comments for Technical Brief 31 Mobile Applications for Self-Management of Diabetes (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/tech-brief-31-mobile-applications-self-mgmt-disposition-comments.pdf
    May 08, 2018 - Peer Reviewer #2 Findings p. 14 line 49 & 51 dietitian spelled wrong?

  10. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet

    psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
    August 01, 2007 - If somebody cuts off the wrong leg or there's a major disaster, it's a sentinel event that comes to the

  11. Web-based Renal Transplant Patient Medication System - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015038-friedman-final-report-2007.pdf
    January 01, 2007 - .3 Failure to detect the contribution of non- compliance to an insufficient response, may result in wrong

  12. Evidence Report on the (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypothyroidism-hyperthyroidism-screening-treatment_research-protocol.pdf
    March 11, 2010 - were coded as (I)nclude or (E-N)xclude where N was a number indicating the reason for exclusion (e.g. wrong

  13. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
    July 31, 2023 - Patient safety skills should also be included so that healthcare workers know what could go wrong when

  14. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
    April 01, 2009 - But I hope to convince readers that he would have been wrong to resist a role for accreditation and regulation

  15. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - Wrong. The problem is seldom the fault of an individual; it is the fault of the system.

  16. In Conversation with...James L. Reinertsen, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
    August 01, 2007 - If somebody cuts off the wrong leg or there's a major disaster, it's a sentinel event that comes to the

  17. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
    December 01, 2017 - If the resident has a back deformity, tightening the upholstery may be the wrong thing to do.

  18. Coaching Clinical Teams Module: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
    October 01, 2020 - For example, “Can you tell me what you did wrong?” is not a helpful question during coaching.

  19. Coaching-Facnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-facnotes.docx
    May 01, 2017 - For example, “Can you tell me what you did wrong?” is not a helpful question during coaching.

  20. Quality Improvement in Action Facilitator Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
    April 01, 2022 - In this phase you should ask questions such as, “What went right, what went wrong, and what will be changed
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