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Total Results: 4,259 records

Showing results for "wrong".

3761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33617/psn-pdf
      August 01, 2005 - The experts stand there, scratching their heads, wondering what in the world is wrong with the health

3762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33627/psn-pdf
      February 01, 2006 - They told us exactly what went wrong, they apologized, and they said that they would fix the problem.

3763. Human Factors Engineering | PSNet
      psnet.ahrq.gov/primer/human-factors-engineering
      December 15, 2024 - Patient Safety Indicators April 26, 2023 Health information technology-related wrong-patient

3764. High Reliability | PSNet
      psnet.ahrq.gov/primer/high-reliability
      January 29, 2020 - from situations that no one imagined could occur, so all personnel actively think about what could go wrong

3765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60722/psn-pdf
      February 06, 2023 - psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case … psnet.ahrq.gov/issue/diagnostic-safety-toolkit https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case … https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong https://psnet.ahrq.gov/perspective

3766. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
      psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
      August 14, 2024 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong … 2022 Using performance improvement to enhance time-out compliance and prevent wrong-site

3767. In Conversation With… Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lucian-leape-md
      June 12, 2019 - 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

3768. Removing Insult from Injury—Disclosing Adverse Events | PSNet
      psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
      February 01, 2006 - They told us exactly what went wrong, they apologized, and they said that they would fix the problem. … Jones, but it would have been wrong to keep this a secret from you. This must be a terrible shock."

3769. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33726/psn-pdf
      March 01, 2012 - As a lawyer, I'm not trained to know right or wrong. … doctors litigation, also cases where the patients finally were convinced that we didn't do anything wrong

3770. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
      March 30, 2020 - For example, with regards to retained foreign bodies and wrong site surgeries, I remember thinking when … For example, do we need to still look at wrong site surgery?

3771. In Conversation with…John Banja, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
      February 01, 2006 - Jones, but it would have been wrong to keep this a secret from you. This must be a terrible shock." … They told us exactly what went wrong, they apologized, and they said that they would fix the problem.

3772. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) | PSNet
      psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
      April 01, 2005 - in research on preventing falls in nursing homes, or a physician interested in strategies to prevent wrong-site … should do it in such a rigid way that interns and residents cannot appropriately sign out is obviously wrong—but

3773. In Conversation with…Christopher P. Landrigan, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
      April 01, 2005 - should do it in such a rigid way that interns and residents cannot appropriately sign out is obviously wrong—but … in research on preventing falls in nursing homes, or a physician interested in strategies to prevent wrong-site

3774. In Conversation With… Leah Binder, MA, MGA | PSNet
      psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
      February 26, 2025 - What's wrong with them?'" This is how consumers perceive the score. … not been aware of either the variation among hospitals in safety or some of the things that can go wrong

3775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72516/psn-pdf
      November 25, 2020 - For example, in order to avoid the administration of the wrong medication during an anesthesia procedure … are constructed with unique fittings that physically prevent the connection of a gas cylinder to the wrong

3776. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - establishing a classification to help describe and organize the types of dental patient safety events (e.g., wrong … site or wrong patient), creating a severity scale for dental patient safety events, and developing tools

3777. "Do You Want Everything Done?": Clarifying Code Status | PSNet
      psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
      March 27, 2024 - 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

3778. In Conversation With… Maureen Bisognano | PSNet
      psnet.ahrq.gov/perspective/conversation-maureen-bisognano
      February 26, 2025 - 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

3779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33859/psn-pdf
      June 01, 2018 - made a call on the valve and said either no endocarditis or thrombosis, and that turned out to be wrong … And what happens if it's wrong? RH: Again, we are in a transitional period and practice varies.

3780. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49415/psn-pdf
      September 01, 2003 - Wrong information transmitted "Mrs. Jones had an MI a week ago" when it was Mr. … Wrong information heard Nurse heard "give epinephrine" instead of "give ephedrine."