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Total Results: 4,259 records

Showing results for "wrong".

3921. In Conversation With… Nicholas G. Castle, MHA, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
      August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Perspective … May 20, 2016 WebM&M Cases Wrong Route for Nutrients

3922. In Conversation With… Dave deBronkart | PSNet
      psnet.ahrq.gov/perspective/conversation-dave-debronkart
      June 01, 2014 - To me, that is a set up for disaster when things go wrong. … reports of the medication error that had led to the death of Boston Globe reporter Betsy Lehman, the wrong

3923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836877/psn-pdf
      May 16, 2022 - One that I can think of is that with monitors, if you hit the wrong button, it would just shut off instead … have a feature where if it looks like you're about to defibrillate they don't turn off if you hit the wrong

3924. Accreditation and Regulation: Can They Help Improve Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
      April 01, 2009 - But I hope to convince readers that he would have been wrong to resist a role for accreditation and regulation … February 1, 2013 WebM&M Cases Right Regimen, Wrong

3925. Becoming a Patient Safety Organization | PSNet
      psnet.ahrq.gov/perspective/becoming-patient-safety-organization
      July 01, 2011 - With rare events (such as wrong-site surgery), aggregation and review across many institutions can provide … institutions where they work, is create a culture of safety where people feel free to report incidents that go wrong

3926. In Conversation With… Neel Shah, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
      October 30, 2019 - of the entire hospital for what are fundamentally the healthiest people, and that's where we've gone wrong … margins of illness and wellness or insecurity and security—you're very much at risk of tipping the wrong

3927. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet
      psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
      May 27, 2020 - 2020 WebM&M Cases Getting the Diagnosis Both Right and Wrong

3928. Miscalculated Risk | PSNet
      psnet.ahrq.gov/web-mm/miscalculated-risk
      March 01, 2015 - Care Professions May 1, 2011 WebM&M Cases Wrong

3929. Think Like a Surgeon | PSNet
      psnet.ahrq.gov/web-mm/think-surgeon
      December 04, 2024 - WebM&M Cases Getting the Diagnosis Both Right and Wrong

3930. High-Risk Medications, High-Risk Transfers | PSNet
      psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
      December 21, 2017 - Leads to Sepsis October 1, 2016 WebM&M Cases Wrong-Time

3931. A Fumbled Handoff to Inpatient Rehab | PSNet
      psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
      December 21, 2018 - September 2, 2009 WebM&M Cases Good Night's Sleep Gone Wrong

3932. Video to Improve Patient Safety: Clinical and Educational Uses | PSNet
      psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
      March 01, 2004 - Another type of use of video for learning is to illustrate what not to do ( 14 ) or what can go wrong

3933. An Obstructed View | PSNet
      psnet.ahrq.gov/web-mm/obstructed-view
      August 07, 2019 - April 3, 2013 WebM&M Cases Wrong Turn through Colon:

3934. Premature or Overdue? | PSNet
      psnet.ahrq.gov/web-mm/premature-or-overdue
      December 23, 2020 - WebM&M Cases Multiple Levels Involved in Prescribing the Wrong

3935. Milliliters vs. Milligrams | PSNet
      psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
      September 01, 2004 - December 4, 2016 WebM&M Cases Root Cause Analysis Gone Wrong

3936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33711/psn-pdf
      May 01, 2011 - Let's say a nurse on the evening shift harms a patient by administering the wrong medication.

3937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50769/psn-pdf
      February 15, 2017 - patient safety events due to a lack of timely language assistance include performing an x-ray on the wrong

3938. Lapse in Antibiotics Leads to Sepsis | PSNet
      psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
      November 21, 2021 - November 21, 2021 WebM&M Cases Wrong Turn through Colon

3939. Amphotericin Toxicity | PSNet
      psnet.ahrq.gov/web-mm/amphotericin-toxicity
      April 01, 2014 - Tool for Improving Patient Safety March 29, 2023 Automated detection of wrong-drug

3940. Crossing the Borderline | PSNet
      psnet.ahrq.gov/web-mm/crossing-borderline
      June 01, 2022 - Syringe Swap May 1, 2011 WebM&M Cases The Wrong