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Total Results: 4,259 records

Showing results for "wrong".

3721. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … 30, 2019 WebM&M Cases Slow Down: Right Drug, Wrong

3722. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - An example would be if a nurse were to pick up the wrong syringe and inject the patient with atropine … They are free lessons about how things go wrong and how they can be fixed before someone gets hurt.

3723. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - Alexis Olson, MD In this case, a confluence of individual decisions and system failures resulted in the wrong … (s) WebM&M Cases Getting the Diagnosis Both Right and Wrong

3724. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet
      psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
      January 22, 2020 - Productive feedback—talking about something really right or really wrong —can lead to useful insights … and provides some confidence that when something is really wrong in the future, it is easier to say

3725. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33800/psn-pdf
      January 01, 2015 - across systems; Poor medication search functions; Difficulty interpreting displays; Vulnerability to wrong-patient

3726. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33613/psn-pdf
      May 01, 2005 - This is truly unfortunate, since it is both wrong and short sighted: the lessons learned from catastrophic

3727. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/865308
      January 01, 2024 - High reliability organizations consistently examine what goes wrong and remain aware that failure can … High reliability organizations consistently examine what goes wrong and remain aware that failure can

3728. In Conversation with...J. Bryan Sexton, PhD, MA | PSNet
      psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
      December 01, 2006 - I'm a great fan of structured communications, don't get me wrong. … safety-related questions about different patient conditions, present hypothetical scenarios about what could go wrong … Attending–resident hierarchy remains, and fear of "getting it wrong" still motivates junior resident

3729. Patient Engagement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
      February 01, 2013 - people medicine separate from pet medicine," and "Keep the lights on so you don't accidentally take the wrong … To me, that was the wrong approach. … August 1, 2006 WebM&M Cases Right Regimen, Wrong

3730. Establishing a Safety Culture: Thinking Small | PSNet
      psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
      December 01, 2006 - safety-related questions about different patient conditions, present hypothetical scenarios about what could go wrong … Attending–resident hierarchy remains, and fear of "getting it wrong" still motivates junior resident … I'm a great fan of structured communications, don't get me wrong.

3731. The Role of Community Pharmacists in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
      October 24, 2021 - They keep looking at the issues and they keep evaluating what's going right and what's going wrong, in … and doesn’t adhere to the therapy and then we're back to non-optimized use, not because anything went wrong … with the diagnosis or anything went wrong with the actual care of the patient, but because they just

3732. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
      May 01, 2011 - A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error.

3733. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
      September 01, 2011 - Wrong route for nutrients. AHRQ WebM&M [serial online]. July 2008.

3734. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49603/psn-pdf
      June 01, 2010 - When things go wrong, health care culture often zeroes in on people at the "sharp end" who, for once

3735. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33798/psn-pdf
      January 01, 2015 - The concern is that such a movement may result in adverse unintended effects by driving the wrong behaviors

3736. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet
      psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
      April 01, 2005 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong … October 6, 2016 WebM&M Cases Right Patient, Wrong Sample

3737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851099/psn-pdf
      June 28, 2023 - Wrong route medication errors from misconnection could be effectively eliminated if Luer lock connectors … New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12.

3738. In Conversation With… Kaveh Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
      February 26, 2025 - And you also need to consider what are the opportunity costs, and what could go wrong with this intervention … But again it still comes down to the stakes involved and what the price of being wrong could be.

3739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50613/psn-pdf
      October 30, 2019 - the entire hospital for what are fundamentally the healthiest people, and that's where we've gone wrong … margins of illness and wellness or insecurity and security—you're very much at risk of tipping the wrong

3740. In Conversation With… John D. Birkmeyer, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
      January 31, 2024 - safety point of view, our first priority is to deal with the small subset of surgeons that are on the wrong … Not that there is anything wrong with the 200-question surgical SATs that we have to take every 10 years