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Total Results: 3,093 records

Showing results for "mistakes".

2901. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
      January 23, 2017 - design such as how medications are manufactured and packaged) and active errors (i.e., slips, lapses, or mistakes … closed-loop communication. 42 Medication error reporting The safest organizations learn from their mistakes

2902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60952/psn-pdf
      September 30, 2020 - Early in the career of the freshly graduated physician, there are many things to learn and many mistakes

2903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33656/psn-pdf
      September 01, 2007 - frustrated after we realized in the last several years that we had no idea if we were making fewer mistakes

2904. On the Other Hand | PSNet
      psnet.ahrq.gov/web-mm/other-hand
      December 12, 2012 - MEDtoos—Temporary tattoos to prevent wrong-site, wrong person, wrong-procedure medical mistakes.

2905. Diagnosing a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
      October 26, 2022 - Mental Health Care (Psychiatry and Clinical Psychology) Clinical Misdiagnosis Cognitive Errors ("Mistakes

2906. Who Nose Where the Airway Is? | PSNet
      psnet.ahrq.gov/web-mm/who-nose-where-airway
      May 01, 2016 - May 22, 2019 WebM&M Cases Vial Mistakes Involving Heparin

2907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33769/psn-pdf
      June 01, 2014 - Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans

2908. Complications of Vascular Access Procedures in Patients with Kidney Disease | PSNet
      psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
      November 15, 2023 - Arrest January 26, 2022 WebM&M Cases Vial Mistakes

2909. Death by PCA | PSNet
      psnet.ahrq.gov/web-mm/death-pca
      January 06, 2017 - designing safer user interfaces ( 8 ), the majority of errors still originate with individuals making mistakes

2910. Missed Patient Assignment: Is Anyone There? | PSNet
      psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
      September 01, 2017 - illusion of understanding," which can occur when highly trained, conscientious clinicians make simple mistakes

2911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853773/psn-pdf
      September 27, 2023 - Potential solutions are to provide counseling, to create a “safe place” to learn from mistakes without

2912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843151/psn-pdf
      February 01, 2023 - will not be punished, humiliated or discounted for speaking up with ideas, questions, concerns, or mistakes

2913. Innovations | PSNet
      psnet.ahrq.gov/innovations
      February 26, 2025 - Error Types Active Errors (7) Cognitive Errors ("Mistakes

2914. Low on the Totem Pole | PSNet
      psnet.ahrq.gov/web-mm/low-totem-pole
      October 01, 2003 - Internal Bleeding: The Truth Behind America’s Terrifying Epidemic of Medical Mistakes.

2915. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
      March 15, 2023 - intercepting errors. 6 Some healthcare professionals thus question their impact on safety, arguing that mistakes

2916. COVID-19: Team and Human Factors to Improve Safety | PSNet
      psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
      September 15, 2024 - when workflows for new processes are being developed in order to proactively avert opportunities for mistakes

2917. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
      January 01, 2024 - Proper use of checklists, treatment algorithms, or clinical decision support tools might prevent similar mistakes

2918. Techno Trip | PSNet
      psnet.ahrq.gov/web-mm/techno-trip
      May 01, 2005 - the Same Author(s) WebM&M Cases Diagnosing Diagnostic Mistakes

2919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863650/psn-pdf
      February 28, 2024 - requires additional treatment decisions.2 The complex care provided in the ICU increases the risk of mistakes

2920. Wrong Catheter in the Right Patient | PSNet
      psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
      May 16, 2022 - blood products, implants, devices, and special equipment needs, should be identified. 9 Scheduling mistakes