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Total Results: 4,259 records

Showing results for "wrong".

3781. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - Wrong route medication errors from misconnection could be effectively eliminated if Luer lock connectors … New solutions to reduce wrong route medication errors.

3782. In Conversation With… Urmimala Sarkar, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
      August 22, 2014 - Patients are under constant observation, and it's very easy to realize that something has gone wrong—the … It's hard to know about what things are going wrong. … And many errors are brought to light because patients have noticed that something has gone wrong.

3783. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - We want to use RCA as an opportunity to identify things that are wrong and think deeply about how we … the processes that our staff use daily and how we can change them to ensure that they are not making wrong … We tend to think retrospectively about events that have caused harm—What did we do wrong?

3784. Can Research Help Us Improve the Medical Liability System? | PSNet
      psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
      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

3785. In Conversation With… Richard C. Boothman, JD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
      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

3786. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - We want to use RCA as an opportunity to identify things that are wrong and think deeply about how we … the processes that our staff use daily and how we can change them to ensure that they are not making wrong … We tend to think retrospectively about events that have caused harm—What did we do wrong?

3787. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
      August 01, 2014 - Patients are under constant observation, and it's very easy to realize that something has gone wrong—the … It's hard to know about what things are going wrong. … And many errors are brought to light because patients have noticed that something has gone wrong.

3788. The Impact of Communication on Medication Errors | PSNet
      psnet.ahrq.gov/web-mm/impact-communication-medication-errors
      August 01, 2009 - Typical errors include prescribing the wrong medication, route, dose, or frequency. … WebM&M Cases Multiple Levels Involved in Prescribing the Wrong

3789. Relationships Between Physician Professional Satisfaction and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
      September 29, 2017 - Or, perhaps this is the wrong question.

3790. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
      August 01, 2009 - What Went Wrong?

3791. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49488/psn-pdf
      August 21, 2005 - classification for such overdoses has been proposed.(15) Problems include misprogramming; using the wrong

3792. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49841/psn-pdf
      September 01, 2018 - and cisplatin were close together on the ordering screen, making it easy to accidentally enter the wrong

3793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49781/psn-pdf
      January 01, 2017 - events, three loading dose error subtypes were identified: loading dose omitted or delayed (25.5%), wrong

3794. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
      December 01, 2007 - What Went Wrong?

3795. Computerized Provider Order Entry and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
      January 01, 2014 - systems; Poor medication search functions; Difficulty interpreting displays; Vulnerability to wrong-patient

3796. Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-safety
      January 01, 2018 - October 19, 2020 Death by 1,000 clicks: where electronic health records went wrong.

3797. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
      May 01, 2004 - What Went Wrong? Communication breakdown Efficacy vs.

3798. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
      February 01, 2006 - What Went Wrong TTP is rare, but is fatal in 90% of cases left untreated Delay in plasma exchange due

3799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33715/psn-pdf
      July 01, 2011 - With rare events (such as wrong-site surgery), aggregation and review across many institutions can provide

3800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49503/psn-pdf
      February 01, 2006 - The risk of pulling the wrong medication out of the medication cart is also increased if the patient