-
psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - Going up to 80 or 100
or 200 is the wrong thing to do, although we did it quite a lot. … So when we have people on high-dose opioids like this, the wrong thing to do is to cut their doses off
-
psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - endoscopy, because they lacked the ability to respond fully with resuscitation if something were to go
wrong … proceed with the procedure without
changing the code status and assume the risk that, if something went wrong
-
psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - forms, you start seeing the range
of things that happen in health facilities and how things can go wrong … https://psnet.ahrq.gov/issue/wrong-medicine-quaid-medical-mistakes
CO: There is a fine balance.
-
psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - I asked, "Does anything ever go wrong?" And he told me about
what it's like to get a flat tire. … issue safely, or
someone can't say that he doesn't have the supplies he needs, or that he's gotten the wrong
-
psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - 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.
-
psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - When I first looked at it, I thought there must be something wrong with this study. … I was a surgeon for 25 years, and I was sure at some time I was going to operate on the wrong side [of
-
psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - engage many people in a collaborative effort to create value for
somebody, something is going to go wrong … And it's going to go wrong because what you're
trying to do is so complex that your understanding has
-
psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - February 1, 2013
WebM&M Cases
Right Regimen, Wrong … 30, 2019
WebM&M Cases
Slow Down: Right Drug, Wrong
-
psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - 27, 2023
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.
-
psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. … Related Resources From the Same Author(s)
WebM&M Cases
The Wrong
-
psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - Required equipment is broken, patient medications are in the wrong dose, key information fails to get … engage many people in a collaborative effort to create value for somebody, something is going to go wrong … And it's going to go wrong because what you're trying to do is so complex that your understanding has
-
psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - The parents proceeded to talk with each other in Spanish: “What's wrong with the baby? … were doing the car seat test that is for “safety,” but the patient thinks there's something terribly wrong … of Failure Mode and Effects Analysis to think about all the different things that possibly could go wrong
-
psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - with M—so that when you grab one when you're in a hurry and not looking carefully, you can give the wrong … So in talking about grabbing the wrong medication or wrong equipment out of the cabinet, it's time pressure
-
psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - with M—so that when you grab one when you're in a hurry and not looking carefully, you can give the wrong … So in talking about grabbing the wrong medication or wrong equipment out of the cabinet, it's time pressure
-
psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - The parents proceeded to talk with each other in Spanish: “What's wrong with the baby? … were doing the car seat test that is for “safety,” but the patient thinks there's something terribly wrong … of Failure Mode and Effects Analysis to think about all the different things that possibly could go wrong
-
psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - engage many people in a collaborative effort to create value for somebody, something is going to go wrong … And it's going to go wrong because what you're trying to do is so complex that your understanding has … Required equipment is broken, patient medications are in the wrong dose, key information fails to get
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
January 01, 2015 - Guilty: “I should have pushed harder for the x-rays knowing something was wrong.”
-
psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
November 01, 2023 - Cheek
March 1, 2012
WebM&M Cases
Bad Writing, Wrong
-
psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - framework of safety is predominantly focused on systemically studying and preventing
things that go wrong
-
psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - Right or
wrong, the patient becomes the constant at all visits and the patient (or his or her advocate