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Total Results: 4,259 records

Showing results for "wrong".

3801. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49866/psn-pdf
      June 01, 2019 - included propofol, phenylephrine, and fentanyl, and errors occurred most commonly in labeling (24%), wrong

3802. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49598/psn-pdf
      February 01, 2010 - leave too many things up to interpretation by physicians and others, resulting in missed, or even wrong

3803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60169/psn-pdf
      March 25, 2020 - This assumption by the scrub staff was wrong and resulted from a lack of knowledge of how frequently

3804. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
      August 01, 2015 - The cross-covering resident mixed up the two patients and placed the MRI order in the wrong chart. 5

3805. Accountability in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/accountability-patient-safety
      January 01, 2018 - The concern is that such a movement may result in adverse unintended effects by driving the wrong behaviors

3806. Informed or Misled? | PSNet
      psnet.ahrq.gov/web-mm/informed-or-misled
      April 24, 2018 - Informed or Misled? Citation Text: White SM. Informed or Misled? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

3807. Intubation Mishap | PSNet
      psnet.ahrq.gov/web-mm/intubation-mishap
      April 26, 2023 - 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."

3808. In Conversation with…Sanjay Saint, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
      November 01, 2008 - other hand are other patient safety problems that are much more rare and get a lot more attention: wrong-sided … surgery, taking the wrong patient to have a procedure performed, and incompatibility of organs, for

3809. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      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

3810. Making Healthcare Safer III Report | PSNet
      psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
      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?

3811. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - WebM&M Cases Medication Errors in Retail Pharmacies: Wrong … Patient, Wrong Instructions.

3812. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
      psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
      November 01, 2008 - other hand are other patient safety problems that are much more rare and get a lot more attention: wrong-sided … surgery, taking the wrong patient to have a procedure performed, and incompatibility of organs, for

3813. In Conversation With… Karl Bilimoria, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
      December 01, 2017 - assembled surgical attendings and residents: I think that this case represents all the things that are wrong … thrombosis, and whether a hospital has implemented systems to prevent failure to rescue when things go wrong

3814. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
      psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
      March 25, 2020 - VF after a synchronized cardioversion for AF should have raised a red flag that something was wrong with … Same Author(s) WebM&M Cases Right Electrocardiogram, Wrong

3815. In Conversation With... Anna Legreid Dopp, Pharm. D | PSNet
      psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
      June 29, 2020 - patient harm. [1] These include patient receipt of the incorrect prescription (e.g., receiving the wrong … drug or the correct drug but at the wrong dosage), harmful drug-to-drug interactions, and errors in

3816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50614/psn-pdf
      October 30, 2019 - Are there circumstances where someone's ignoring the app, doing it all wrong, and they get a call from … opportunity to look at the data and ask, "does this make sense" and "what was the issue/what went wrong

3817. The Evolution of Patient Safety in Surgery | PSNet
      psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
      August 01, 2017 - assembled surgical attendings and residents: I think that this case represents all the things that are wrong … thrombosis, and whether a hospital has implemented systems to prevent failure to rescue when things go wrong

3818. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
      psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
      January 29, 2021 - above 30 mm Hg are worrisome, but the diagnosis can be easily missed if the pressure is measured in the wrong … Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

3819. In Conversation With… Jack Needleman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
      September 01, 2012 - being able to observe your patients, assess them, anticipate how they're doing and what could be going wrong … predictably, as people are presented with quality information, the first reaction is "your data are wrong

3820. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - 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