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Total Results: 4,019 records

Showing results for "mistakes".

3221. 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

3222. 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

3223. 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.

3224. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
      March 01, 2017 - When critically important information is not effectively communicated, the results can lead to mistakes

3225. Two-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
      February 01, 2024 - will be most effective under the following conditions: They are conducted in an environment where mistakes

3226. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
      January 01, 2004 - family member had experienced a mistake in a hospital or doctor’s office, with more than half of the mistakes … Is Human, estimated that between 44,000 and 98,000 Americans die each year as a result of medical mistakes

3227. 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…

3228. 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…

3229. 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…

3230. 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…

3231. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
      December 01, 2017 - Sustainability: Learning From Defects: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustainability: Learning From Defects Slide 2: Learning Objectives After this session, you will be able to– Describe the difference between first-orde…

3232. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/safety-modules.pptx
      March 01, 2017 - PowerPoint Presentation Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules AHRQ Pub. No. 16(17)-0003-03-EF March 2017 1 Objectives Describe the purpose of the Long-Term Care Safety Modules…

3233. New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Schiff (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
      January 01, 2020 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Schiff Background and importance of diagnostic safety: Culture of diagnostic safety in medical offices Gordon (Gordy) Schiff, MD Associate Director Center for Patient Safety Research and Practice Brigham and Women's Hospital Div. General Medi…

3234. 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.

3235. 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

3236. 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.

3237. 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.

3238. 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.

3239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33866/psn-pdf
      September 01, 2018 - 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.

3240. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
      April 01, 2023 - Response to Mistakes................................................................................. … Response to Mistakes 1. … Response to Mistakes 1.