Results

Total Results: 1,062 records

Showing results for "wrong".

1021. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - events concluded that over 75% of all events were attributed to either medication errors involving wrong

1022. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
      psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
      January 29, 2021 - Reconciliation August 5, 2022 WebM&M Cases Wrong

1023. Intraoperative Awareness during Rhinoplasty | PSNet
      psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
      January 29, 2021 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

1024. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
      psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
      June 24, 2020 - July 8, 2022 WebM&M Cases Wrong Route for Nutrients

1025. In Conversation with…Donald M. Berwick, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
      November 01, 2005 - industry, keep up with the needs, to shift when we have to shift, and to change when we've done something wrong

1026. A Stroke of Error | PSNet
      psnet.ahrq.gov/web-mm/stroke-error
      February 01, 2016 - the Same Author(s) WebM&M Cases Good Night's Sleep Gone Wrong

1027. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
      psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
      August 21, 2005 - May 20, 2019 Incidence and root cause analysis of wrong-site pain management procedures

1028. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
      psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
      December 23, 2020 - WebM&M Cases Multiple Levels Involved in Prescribing the Wrong

1029. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - In fact, most of the discussions were about all of the other kinds of things that can go wrong.

1030. Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/building-capacity-patient-safety
      July 31, 2023 - Patient safety skills should also be included so that healthcare workers know what could go wrong when

1031. In Conversation With... Cindy Brach | PSNet
      psnet.ahrq.gov/perspective/conversation-cindy-brach
      December 27, 2019 - patient safety events due to a lack of timely language assistance include performing an x-ray on the wrong

1032. Rapid Response Teams: Lessons from the Early Experience | PSNet
      psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
      November 01, 2005 - industry, keep up with the needs, to shift when we have to shift, and to change when we've done something wrong

1033. Safety in Radiology | PSNet
      psnet.ahrq.gov/perspective/safety-radiology
      October 01, 2013 - RW : For some safety hazards, when things go wrong you see the results right away.

1034. Building a Safety Program in a Vast Health Care Network | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
      March 01, 2019 - References Related Resources From the Same Author(s) Performing the wrong

1035. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet
      psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
      July 08, 2022 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

1036. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
      April 01, 2013 - In my view, this thinking is wrong.

1037. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet
      psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
      April 24, 2024 - in home-based primary care is diagnostic error, including missed diagnosis, delayed diagnosis, and wrong

1038. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
      psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
      April 27, 2022 - Diagnostic error, defined as a diagnosis that is wrong, delayed, or missed, contributes to substantial

1039. In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
      November 16, 2022 - understanding of how interactions among all work system elements (including people) can go right or wrong

1040. Code Status vs. Care Status | PSNet
      psnet.ahrq.gov/web-mm/code-status-vs-care-status
      September 30, 2020 - WebM&M Cases Multiple Levels Involved in Prescribing the Wrong