-
psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - It's hard to get our hands on this, and there is even a problem with the word "error." … On the other hand, take the case of Linda McDougal , whose breast biopsy was switched between two patients
-
psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - stocked Different doses of drug drawn from same vial Medium
How are meds ordered/delivered
CPOE (no hand-writing
-
psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - Medication Handling and Compounding Errors in the
Operating Room.
March 15, 2023
Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating
Room. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
The Case
A 62-y…
-
psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - It's hard to get our hands on this, and there is even a problem with the word "error." … On the other hand, take the case of Linda McDougal, whose breast biopsy was switched between two
patients
-
psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - exacerbated by the fact that clinicians
often do not report impaired colleagues even when they have first-hand
-
psnet.ahrq.gov/node/33812/psn-pdf
August 01, 2016 - On the other hand, the main problems are dangers to the privacy of
health data and the possibility that
-
psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - arrives in the emergency department (ED), where emergency
medical services (EMS) personnel formally hand
-
psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - Facility and Group Administrators
Medicine
Clinical Misdiagnosis
Discontinuities, Gaps, and Hand-Off
-
psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - as the "show-me" approach or "closing the loop" [ Figure ]).( 9,10 ) Let's return to the case at hand—a
-
psnet.ahrq.gov/node/836942/psn-pdf
April 27, 2022 - The syringe
should not leave the provider's hand without a complete label.
-
psnet.ahrq.gov/node/49740/psn-pdf
August 21, 2015 - obvious effect (such as the
extensor digitorum brevis in the foot or the abductor digiti minimi in the hand
-
psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
August 16, 2023 - On the other hand, diagnostic testing in a patient with a heterotopic pregnancy will demonstrate the
-
psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - September 8, 2010
WebM&M Cases
On the Other Hand
-
psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - Inform the patient/parent/guardian verbally, and with a hand-held patient mirror, which tooth/teeth are
-
psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - often become involved in the consultation process and may not fully understand the clinical question at hand
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
March 01, 2009 - Based on the minimal information at hand (the history of shortness of breath, the low oxygen levels,
-
psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - On the other hand, most health care systems struggle to conduct integrated investigations that span
-
psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - On the other hand, 2014 was also sobering in that, despite considerable effort, we have yet to identify
-
psnet.ahrq.gov/node/60653/psn-pdf
April 25, 2020 - Limited Availability of Personal Protective Equipment (PPE)
Hand sanitizer, gloves, and face masks are
-
psnet.ahrq.gov/issue/healthcare-411-patient-safety-organizations-proposed-regulation
April 25, 2018 - March 14, 2007
Health IT implementation stories: HANDS care plan tool seeks to improve