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Total Results: 4,259 records

Showing results for "wrong".

3901. Too Hot For Comfort | PSNet
      psnet.ahrq.gov/web-mm/too-hot-comfort
      May 19, 2015 - Related Resources From the Same Author(s) Interventions for reducing wrong-site

3902. Refused Medication Error | PSNet
      psnet.ahrq.gov/web-mm/refused-medication-error
      November 01, 2005 - September 1, 2003 WebM&M Cases Slow Down: Right Drug, Wrong

3903. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
      May 08, 2019 - June 13, 2018 WebM&M Cases Root Cause Analysis Gone Wrong

3904. An Easily Forgotten Tube | PSNet
      psnet.ahrq.gov/web-mm/easily-forgotten-tube
      June 01, 2016 - Multifarious Errors April 1, 2013 WebM&M Cases Wrong

3905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50859/psn-pdf
      January 31, 2020 - What if with deep learning the AI learns something wrong and then applies that mistake to other patients

3906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33611/psn-pdf
      July 01, 2005 - should do it in such a rigid way that interns and residents cannot appropriately sign out is obviously wrong—but

3907. Too Many Cooks Spotlight Pdf (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
      January 01, 2020 - errors include ruling out the worst-case scenario, accepting that the first assumption or plan may be wrong

3908. Febrile Neutropenia and an Almost Fatal Medication Error | PSNet
      psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
      February 01, 2012 - October 19, 2022 WebM&M Cases The Wrong Blade: A Lack

3909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33700/psn-pdf
      October 01, 2010 - What we found is—I think it's no different than why we see that wrong-site surgeries haven't gone down

3910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33632/psn-pdf
      April 01, 2006 - Soon, they began to trust me more and more and knew that I would never report them if something went wrong

3911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49459/psn-pdf
      September 01, 2004 - Here, two task factors contributed to the nurse's failure to recognize that the wrong drug had been

3912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72587/psn-pdf
      December 23, 2020 - This team communication should, for example, include specifically asking “What might go wrong and what

3913. Rethinking Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
      August 21, 2016 - accident trajectories, identify decisions that may have been ambiguous (at best) in real time as clearly wrong

3914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49604/psn-pdf
      June 01, 2010 - "(12) In fact, we may have the basic handoff process wrong.

3915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33685/psn-pdf
      May 01, 2009 - better approach than that of picking out individuals and shooting them because they did something wrong

3916. Double Dosing, by the Rules | PSNet
      psnet.ahrq.gov/web-mm/double-dosing-rules
      February 03, 2010 - Reconciliation Pitfalls February 1, 2010 WebM&M Cases Wrong

3917. Patient Safety 101 | PSNet
      psnet.ahrq.gov/primer/patient-safety-101
      January 16, 2025 - Error: a broader term referring to any act of commission (doing something wrong) or omission (failing

3918. Transition to Nowhere | PSNet
      psnet.ahrq.gov/web-mm/transition-nowhere
      March 21, 2009 - Transition to Nowhere Citation Text: Farrell TW. Transition to Nowhere. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

3919. Medication Reconciliation Pitfalls | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
      May 01, 2006 - and leave too many things up to interpretation by physicians and others, resulting in missed, or even wrong

3920. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. | PSNet
      psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
      January 29, 2021 - This assumption by the scrub staff was wrong and resulted from a lack of knowledge of how frequently