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psnet.ahrq.gov/issue/quality-institute-toolkits
November 09, 2022 - May 4, 2015
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint
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psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors
December 09, 2020 - February 19, 2020
When doctors get the wrong patient.
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psnet.ahrq.gov/issue/antimicrobial-stewardship-toolkit
April 15, 2021 - July 21, 2021
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint
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psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
November 15, 2023 - Competencies for Interprofessional Collaborative Practice
November 20, 2023
Right Kind of Wrong
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psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
January 17, 2024 - January 3, 2017
Doing right by our patients when things go wrong in the ambulatory setting
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - However, the verifying pharmacist discovered that the wrong concentration (1000 units/mL) had been used … improperly compounded normal saline solution.( 6 ) The incident occurred when the technician used the wrong … when removing heparin from floor stock can help minimize the chance of inadvertently selecting the wrong
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - administration mistakes.( 1 ) These conditions increased the likelihood that the nurse would get the wrong … In the few instances when the wrong medication is obtained, it is most often recognized and corrected … an ongoing dialogue about patient safety with the goal of creating greater awareness of what can go wrong
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psnet.ahrq.gov/issue/medical-error-second-victim
March 23, 2011 - An AHRQ WebM&M commentary discusses the effect of committing a wrong-site procedure error on a resident
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psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
December 04, 2019 - December 21, 2016
When surgery goes wrong: weighing up the risks.
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psnet.ahrq.gov/issue/when-water-breaks
February 06, 2019 - August 9, 2017
Emergency departments are higher-risk locations for wrong blood in tube
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psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
May 13, 2020 - October 7, 2008
Hospital tells of surgery on wrong side.
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psnet.ahrq.gov/issue/medication-safety-certificate-program
September 30, 2020 - Copy Citation
Related Resources From the Same Author(s)
Dangerous wrong-route
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psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
December 15, 2021 - August 13, 2014
Doing right by our patients when things go wrong in the ambulatory setting
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psnet.ahrq.gov/issue/should-doctors-apologize-mistakes
December 18, 2019 - December 4, 2016
The right and wrong way to talk to patients about adverse events.
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psnet.ahrq.gov/issue/sophisticated-digital-aids-could-help-determine-what-ails-you
January 15, 2020 - December 6, 2016
Getting the diagnosis wrong.
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psnet.ahrq.gov/issue/mha-keystone-center-patient-safety-and-quality
May 01, 2023 - January 8, 2020
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint
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psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
September 13, 2023 - October 25, 2023
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - Primers
Medication Administration Errors
March 12, 2021
Wrong … drug and wrong dose dispensing errors identified in pharmacist professional liability claims.
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - a post hoc conclusion that the counts documented in these cases (i.e., usually correct counts) were wrong … January 15, 2025
Patient Safety Primers
Wrong-Site, Wrong-Procedure … , and Wrong-Patient Surgery
December 15, 2024
Guidelines in Practice.
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - times, people talk about culture
change without having the hard conversations about what exactly is wrong … admitting mistakes, looking
at the process and systems, and taking a different approach when things go wrong … in the workplace and everyone freaks out
because they think somebody must have died, or what went wrong—why … It's both encouraging and frustrating
sometimes that what tends to go wrong in health care is very preventable