-
psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - to be color differentiated with different shades of yellow, and the
anesthesiologist had chosen the wrong
-
psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - Related Resources From the Same Author(s)
WebM&M Cases
The Wrong
-
psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - understanding of how interactions among all work system
elements (including people) can go right or wrong
-
psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - If the wrong insufflator were used, the patient could have received greater than ten times the normal
-
psnet.ahrq.gov/node/49709/psn-pdf
May 01, 2014 - A new approach to preanesthetic site
verification after 2 cases of wrong site peripheral nerve blocks
-
psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - "All models are wrong, but some are useful," applies also to scientific perspectives and research methods
-
psnet.ahrq.gov/node/49465/psn-pdf
December 22, 2021 - workflow required to use the technology (eg, a cumbersome user
interface may cause a user to pick the wrong
-
psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - and cisplatin were close together on the ordering screen, making it easy to accidentally enter the wrong
-
psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - can cause tension for those who use
them because their use may risk retribution should something go wrong
-
psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - events, three loading dose error subtypes were identified: loading dose omitted or delayed (25.5%), wrong
-
psnet.ahrq.gov/node/49686/psn-pdf
May 01, 2013 - Getting it right when things go wrong. JAMA. 2010;303:977-978.
-
psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - The Commentary
What went wrong?
-
psnet.ahrq.gov/node/33628/psn-pdf
February 01, 2006 - Jones, but it would have been wrong to keep this a secret
from you.
-
psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - e.g., lack of clear lines of communication and responsibility; lack of a robust
process to prevent wrong
-
psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - these
are associated with a failure to discontinue and 5% to administering the anticoagulant at the wrong
-
psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - people medicine
separate from pet medicine," and "Keep the lights on so you don't accidentally take the wrong
-
psnet.ahrq.gov/node/49589/psn-pdf
August 01, 2009 - the greatest risk to patients from a missed diagnosis of HZ is from an aggressive approach to the
wrong
-
psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - certain drug names and indications for antiretrovirals and insulin
secretagogues successfully prevented wrong
-
psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - deliver safer care. 2,3,5 Huddles have been shown to improve patient safety in a range of areas such as wrong-site
-
psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - required
for a given process to occur ("process mapping") and then identifying how each step can go wrong