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Total Results: 1,062 records

Showing results for "wrong".

  1. Hypoxemia after Emergency Intubation | PSNet

    psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
    March 24, 2019 - April 26, 2023 WebM&M Cases The Wrong Blade: A

  2. Airway Obstruction during Anterior Cervical Spine Surgery | PSNet

    psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
    January 29, 2021 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

  3. How Do Providers Recover From Errors? | PSNet

    psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
    May 22, 2024 - SPOTLIGHT CASE How Do Providers Recover From Errors? Citation Text: West CP. How Do Providers Recover From Errors?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar Bi…

  4. Despite Clues, Failed to Rescue | PSNet

    psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - October 1, 2011 WebM&M Cases Bad Writing, Wrong

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - post hoc conclusion that the counts documented in these cases (i.e., usually correct counts) were wrong

  6. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet

    psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
    November 30, 2021 - data points, they are hailed as a brilliant diagnostician. 12 On the other hand, if the diagnosis is wrong

  7. Getting to the Root of the Matter | PSNet

    psnet.ahrq.gov/web-mm/getting-root-matter
    September 01, 2005 - RCA works best in assessing rare events—such as wrong-site surgery or egregious medication misadventures

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72911/psn-pdf
    March 15, 2021 - Typical errors include prescribing the wrong https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors

  9. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet

    psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
    August 14, 2024 - July 8, 2009 WebM&M Cases Wrong Route for Nutrients

  10. Ebola: Are We Ready? | PSNet

    psnet.ahrq.gov/web-mm/ebola-are-we-ready
    July 01, 2012 - And we don't just practice things going right, we practice things going wrong all the time....

  11. Eptifibatide Epilogue | PSNet

    psnet.ahrq.gov/web-mm/eptifibatide-epilogue
    March 04, 2011 - Eptifibatide Epilogue Citation Text: Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60328/psn-pdf
    May 27, 2020 - events concluded that over 75% of all events were attributed to either medication errors involving wrong

  13. Patient Safety in Frail Older Patients | PSNet

    psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
    November 26, 2019 - Perspective Medication Safety in Nursing Homes: What's Wrong

  14. Critical Echocardiogram Result Lost to Follow-up | PSNet

    psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
    July 31, 2023 - Reconciliation August 5, 2022 WebM&M Cases Wrong

  15. Artificial Intelligence and Diagnostic Errors | PSNet

    psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
    January 31, 2020 - What if with deep learning the AI learns something wrong and then applies that mistake to other patients

  16. In Conversation With... David Gruen, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-david-gruen-md
    January 31, 2020 - What if with deep learning the AI learns something wrong and then applies that mistake to other patients

  17. Safety Across The Board | PSNet

    psnet.ahrq.gov/perspective/safety-across-board
    August 31, 2020 - If we think we got there, then we had our eye on the wrong target to begin with.

  18. A Tale of Two Falls | PSNet

    psnet.ahrq.gov/web-mm/tale-two-falls
    March 27, 2024 - A Tale of Two Falls Citation Text: Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  19. When the Meds Don’t Reach the Bed | PSNet

    psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
    May 16, 2022 - Reconciliation August 5, 2022 WebM&M Cases Wrong

  20. A Postpartum Woman with an Erroneous SARS-CoV-2 Test | PSNet

    psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
    December 23, 2020 - 30, 2019 WebM&M Cases Slow Down: Right Drug, Wrong
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