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Total Results: 1,062 records

Showing results for "wrong".

1041. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet
      psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
      November 16, 2022 - understanding of how interactions among all work system elements (including people) can go right or wrong

1042. Are Residency Duty Hour Rules Improving Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
      April 01, 2013 - In my view, this thinking is wrong.

1043. Lesson from the VA's Team Training Program | PSNet
      psnet.ahrq.gov/perspective/lesson-vas-team-training-program
      November 01, 2011 - April 25, 2016 Errors upstream and downstream to the Universal Protocol associated with wrong

1044. In Conversation with David W. Bates about Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
      February 26, 2025 - The first thing you have to figure out is if the diagnosis is wrong, and I think artificial intelligence

1045. Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/are-we-safer-today
      February 26, 2025 - The first thing you have to figure out is if the diagnosis is wrong, and I think artificial intelligence

1046. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
      December 31, 2024 - This approach isn’t necessarily wrong; clinicians must balance missing a diagnosis like PE against the

1047. New Insights on Safety and Health IT | PSNet
      psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
      August 01, 2015 - released next week, where do you see health IT falling in the pecking order relative to medication errors, wrong-site

1048. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - Related Resources From the Same Author(s) WebM&M Cases Wrong

1049. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - with secondary infusions arise from their complex setup process and include but are not limited to wrong

1050. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - strong safety culture make it possible to communicate openly, learn from what went well and what went wrong

1051. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
      December 18, 2024 - patients who had fallen in the hospital and their family members to understand what they thought went wrong

1052. The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
      December 18, 2024 - patients who had fallen in the hospital and their family members to understand what they thought went wrong

1053. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - has occurred, we expend lots of time and resources doing event investigations to identify what went wrong

1054. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - strong safety culture make it possible to communicate openly, learn from what went well and what went wrong

1055. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - The wrong patient. Ann Intern Med. 2002;136:826-833. [go to PubMed] 11.

1056. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - has occurred, we expend lots of time and resources doing event investigations to identify what went wrong

1057. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety Joan Stanley, PhD, NP, FAAN, FAANP | November 27, 2023  Also Read the Essay View more articles from the same authors. Citation Text: Stanley J. In Conversat…

1058. What Have We Learned About Safe Inpatient Handovers? | PSNet
      psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
      March 01, 2011 - So you really sense that it's a very dynamic process, and things could go wrong at any step.

1059. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
      psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
      March 09, 2022 - WebM&M Cases From Possible to Probable to Sure to Wrong—Premature

1060. Telehealth and Patient Safety During the COVID-19 Response | PSNet
      psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
      May 14, 2020 - culture and ensure that providers have the opportunity to learn from what went right and what went wrong