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Total Results: 3,093 records

Showing results for "mistakes".

2761. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
      January 01, 2020 - another study, delays in appropriate referral or consultation were the second most common phase where mistakes

2762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33812/psn-pdf
      August 01, 2016 - But we know that a lot of mistakes are out of the control of these authorities.

2763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33633/psn-pdf
      May 01, 2006 - When mistakes happen, quality suffers, and patients suffer emotional, financial, and physical harm.(

2764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33874/psn-pdf
      February 01, 2019 - sustaining a culture in which health care team members communicate openly and learn from errors and mistakes

2765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33602/psn-pdf
      March 15, 2025 - greatest impediment to error prevention in the medical industry is that we punish people for making mistakes

2766. Topics | PSNet
      psnet.ahrq.gov/topics-0
      March 03, 2025 - Active Errors Go to this topic Cognitive Errors ("Mistakes

2767. Strategies to Improve Organizational Health Literacy. | PSNet
      psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
      August 30, 2023 - Errors in care and adverse events associated with health literacy include mistakes in diabetes management

2768. Ruptured Heterotopic Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
      August 16, 2023 - June 1, 2015 WebM&M Cases Diagnosing Diagnostic Mistakes

2769. The Deadly Duo | PSNet
      psnet.ahrq.gov/web-mm/deadly-duo
      April 28, 2021 - In general, the major mistakes in prescribing tricyclic antidepressants (TCAs) involve prescribing doses

2770. Total Parenteral Nutrition, Multifarious Errors | PSNet
      psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
      January 23, 2017 - This structure is optimal but atypical, and mistakes in the PN prescription and in the PN order review

2771. In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
      February 26, 2025 - RW : Tell us about the legal system in Australia as it pertains to medical mistakes.

2772. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
      October 01, 2003 - Spotlight Case [MONTH] 2003 Spotlight Case October 2003 Hemivulvectomy: Wrong Side Removed Source and Credits This presentation is based on the Oct. 2003 AHRQ WebM&M Spotlight Case in OB/GYN See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Charles Vin…

2773. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
      June 01, 2011 - Spotlight Case July 2008 Spotlight Case The ECG is Not Normal * * Source and Credits This presentation is based on the June 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Abigail Zuger, MD, Columbia University Editor, AHRQ WebM&M: Robe…

2774. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49418/psn-pdf
      October 01, 2003 - Charcoal Lavage of the Lungs October 1, 2003 Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs The Case A 47-year-old man presented to an emergency department (ED) with altered mental status, and was believed to have a probable overdose. He receiv…

2775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49652/psn-pdf
      May 01, 2012 - Double Dose at Transfer May 1, 2012 Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/double-dose-transfer The Case A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department (ED) for left lower extremity pain, swelling, and erythe…

2776. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - cancer cases that should have been made in 3 or 4 months but stretched out over 9 or 12 or 15 months, or mistakes … Another factor is that we tend to rationalize away some of the mistakes that are made.

2777. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
      September 24, 2024 - When errors and mistakes result in harm, we fail in our mission and fail those we serve. … The evidence-based approach is true when it comes to preventing errors and mistakes that can lead to

2778. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
      September 01, 2007 - frustrated after we realized in the last several years that we had no idea if we were making fewer mistakes … Internal bleeding: the truth behind America's terrifying epidemic of medical mistakes.

2779. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
      psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
      April 01, 2006 - Doctors, obviously, may still make mistakes; even if they get warnings, mistakes can get through.

2780. In Conversation With… Sigall K. Bell, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
      February 26, 2025 - Were there things you perceived as possible mistakes? What are they? … These were the kinds of mistakes patients reported. OpenNotes puts more eyes on the chart.