Results

Total Results: 4,259 records

Showing results for "wrong".

3881. Detection of Safety Hazards | PSNet
      psnet.ahrq.gov/primer/detection-safety-hazards
      March 30, 2022 - required for a given process to occur ("process mapping") and then identifying how each step can go wrong

3882. Systems Approach | PSNet
      psnet.ahrq.gov/primer/systems-approach
      June 15, 2024 - process mapping is complete, the FMEA then continues by identifying the ways in which each step can go wrong

3883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33600/psn-pdf
      June 16, 2024 - Error: a broader term referring to any act of commission (doing something wrong) or omission (failing

3884. DNR in the OR and Afterwards | PSNet
      psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
      July 01, 2003 - May 18, 2022 Wrong administration route of medications in the domestic setting: a review

3885. In Conversation With… Beverley H. Johnson | PSNet
      psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
      February 01, 2013 - To me, that was the wrong approach. … people medicine separate from pet medicine," and "Keep the lights on so you don't accidentally take the wrong

3886. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - safely, quickly, and efficiently, but it's not the kind of thing where you can say, “Zero things will go wrong … things that we have to do to try to make complex care safe, and we can know where the process may go wrong

3887. In Conversation with…William B. Munier, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
      July 01, 2011 - institutions where they work, is create a culture of safety where people feel free to report incidents that go wrong … With rare events (such as wrong-site surgery), aggregation and review across many institutions can provide

3888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49673/psn-pdf
      December 01, 2012 - In retrospect, this was the wrong decision.

3889. Failure to Reevaluate | PSNet
      psnet.ahrq.gov/web-mm/failure-reevaluate
      February 01, 2014 - Medication Mishap February 1, 2014 WebM&M Cases Wrong-Time

3890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49476/psn-pdf
      March 02, 2005 - of the epidural needle or catheter.(11,12) Without all the details, we can only postulate what went wrong

3891. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
      January 01, 2020 - constructed with unique fittings that physically prevent the connection of a gas cylinder to the wrong

3892. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
      June 01, 2007 - What Went Wrong Symptomatic abdominal mass with associated markedly elevated alkaline phosphatase not

3893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33786/psn-pdf
      May 01, 2015 - Another type of use of video for learning is to illustrate what not to do (14) or what can go wrong (

3894. Dangerous Dapsone | PSNet
      psnet.ahrq.gov/web-mm/dangerous-dapsone
      January 10, 2011 - June 16, 2019 WebM&M Cases Bad Writing, Wrong Medication

3895. Building a Safety Program Using Principles of Resilience Engineering | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
      October 23, 2013 - framework of safety is predominantly focused on systemically studying and preventing things that go wrong

3896. Don’t Bite Your Tongue. | PSNet
      psnet.ahrq.gov/web-mm/dont-bite-your-tongue
      September 18, 2024 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

3897. Saved by ECMO | PSNet
      psnet.ahrq.gov/web-mm/saved-ecmo
      May 05, 2017 - August 15, 2018 Understanding and preventing wrong-patient electronic orders: a randomized

3898. In Conversation With... Jack Westfall, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
      September 28, 2022 - There’s a lot of steps along the way where things can go wrong. … For example, I have ordered the wrong test because I typed in the wrong thing.

3899. Medication Reconciliation: Whose Job Is It? | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
      May 01, 2018 - First, the preoperative consultant sowed the seeds of this adverse event by obtaining the wrong preadmission

3900. An Untimely End Despite End-of-Life Care Planning | PSNet
      psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
      February 01, 2012 - Transport February 1, 2019 WebM&M Cases The Wrong