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Total Results: 3,093 records

Showing results for "mistakes".

2821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73229/psn-pdf
      May 26, 2021 - In: Cognitive Errors and Diagnostic Mistakes.

2822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33618/psn-pdf
      September 01, 2005 - Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes.

2823. Crossing the Borderline | PSNet
      psnet.ahrq.gov/web-mm/crossing-borderline
      June 01, 2022 - Mental Health Care (Psychiatry and Clinical Psychology) Diagnostic Errors Cognitive Errors ("Mistakes

2824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49607/psn-pdf
      August 01, 2010 - illusion of understanding," which can occur when highly trained, conscientious clinicians make simple mistakes

2825. Lost in the Black Hole | PSNet
      psnet.ahrq.gov/web-mm/lost-black-hole
      December 01, 2005 - Internal bleeding: the truth behind America's terrifying epidemic of medical mistakes.

2826. Double Dosing, by the Rules | PSNet
      psnet.ahrq.gov/web-mm/double-dosing-rules
      February 03, 2010 - The error occurs when individuals fall victim to the flaws within the system and mistakes are made.

2827. The Unintended Consequences of Florida Medical Liability Legislation | PSNet
      psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
      February 01, 2003 - Without these vital conversations, there is no learning from mistakes and near misses, increasing the

2828. Patient Safety 101 | PSNet
      psnet.ahrq.gov/primer/patient-safety-101
      January 16, 2025 - Although the idea of medical mistakes has been long known, the modern literature began with a famous

2829. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital | PSNet
      psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
      May 16, 2022 - September 21, 2016 WebM&M Cases Vial Mistakes Involving

2830. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room | PSNet
      psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
      February 01, 2019 - February 1, 2019 WebM&M Cases Diagnosing Diagnostic Mistakes

2831. Glucose Roller Coaster | PSNet
      psnet.ahrq.gov/web-mm/glucose-roller-coaster
      February 02, 2022 - Internal bleeding: the truth behind America's terrifying epidemic of medical mistakes.

2832. Pocket Syringe Swap | PSNet
      psnet.ahrq.gov/web-mm/pocket-syringe-swap
      July 01, 2006 - June 14, 2019 WebM&M Cases Vial Mistakes Involving Heparin

2833. Double Dose at Transfer | PSNet
      psnet.ahrq.gov/web-mm/double-dose-transfer
      November 01, 2012 - Double Dose at Transfer Citation Text: Hackman JL. Double Dose at Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

2834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49503/psn-pdf
      February 01, 2006 - Workaround Error February 1, 2006 Pape T. Workaround Error. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/workaround-error The Case A retired 81-year-old physician with metastatic colon cancer was admitted to an acute care hospital with pneumonia and congestive heart failure (CHF). After his acute hospita…

2835. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
      October 01, 2010 - Spotlight Case July 2008 Spotlight Case October 2010 Dangerous Dialysis * * Source and Credits This presentation is based on the October 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jean L. Holley, MD, University of Illinois, Urbana-…

2836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49866/psn-pdf
      June 01, 2019 - If You Say So: Taking a Syringe at Face Value in the Operating Room June 1, 2019 Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room The Case A 43-year-old woman was admi…

2837. Charcoal Lavage of the Lungs | PSNet
      psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
      January 01, 2016 - Charcoal Lavage of the Lungs Citation Text: Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

2838. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
      March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008  View more articles from the same authors. Citation Text: Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …

2839. Addressing-Nurse-Fatigue-Promote-Safety-And-Health-Joint-Responsibilities-Registered-Nurses
      psnet.ahrq.gov/issue/addressing-nurse-fatigue-promote-safety-and-health-joint-responsibilities-registered-nurses
      November 16, 2015 - psnet

2840. In Conversation With... Georgia Galanou Luchen, Pharm. D. | PSNet
      psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
      October 24, 2021 - important in helping establish those relationships with providers and with patients and avoiding those mistakes