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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - SPOTLIGHT CASE
Two Wrongs Don't Make a Right (Kidney)
Citation Text:
DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - The Wrongful Resuscitation
Citation Text:
Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Mistakes in a stat laboratory: types and frequency. Clin Chem. 1997;43:1348–1351.
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - Emergency Departments
Physicians
Internal Medicine
Diagnostic Errors
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - Emergency Departments
Physicians
Cardiology
Radiograph Interpretation Error
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - Physicians
Medical Oncology
Discontinuities, Gaps, and Hand-Off Problems
Cognitive Errors ("Mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-1.pdf
May 01, 2016 - feedback from patients on what they thought about
the note and whether they think there are any
mistakes
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psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
August 01, 2005 - practice behind the idea of systems, but we must recognize that systems play a huge role in preventing mistakes
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - made concrete through acts of undeserved kindness and trust, and
honest admission and correction of mistakes
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - RW: What are the major sources of harm and mistakes in the outpatient arena?
US: Several things.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - assigning blame to individual
people but rather to systems or health care worker
roles, as we all make mistakes
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - Hospitals
Physicians
Cardiology
Discontinuities, Gaps, and Hand-Off Problems
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/classics
August 01, 2023 - Error Types
Active Errors
(171)
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - made concrete through acts of undeserved kindness and trust, and honest admission and correction of mistakes
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - A preliminary classification of mistakes. In: Rasumussen J, Duncan K, Lelpat J, eds.
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - use of checklists , treatment algorithms, or clinical decision support tools might prevent similar mistakes
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psnet.ahrq.gov/node/866343/psn-pdf
December 31, 2024 - use of checklists, treatment algorithms,
or clinical decision support tools might prevent similar mistakes
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psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
July 10, 2024 - We're in an environment where stakeholders don't want to pay for our mistakes the way they have in the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
June 11, 2003 - The staff feels confident in knowing that they will not be sanctioned for
mistakes that are not malicious