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Total Results: 4,259 records

Showing results for "wrong".

3961. The Context Is the Intervention | PSNet
      psnet.ahrq.gov/perspective/context-intervention
      August 05, 2020 - "All models are wrong, but some are useful," applies also to scientific perspectives and research methods

3962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33670/psn-pdf
      July 01, 2008 - Wrong site surgeries are a pretty good example of this—they happen to every big institution a few times

3963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33820/psn-pdf
      December 01, 2016 - Just because you didn't follow the rules doesn't mean you did the something wrong from a patient care

3964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49863/psn-pdf
      May 01, 2019 - We should stop the procedure and figure out what's wrong."

3965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49535/psn-pdf
      May 01, 2007 - He later attributed this error to being rushed and stressed, leading him to pull the wrong vial from

3966. Vial Mistakes Involving Heparin | PSNet
      psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
      May 11, 2014 - to be color differentiated with different shades of yellow, and the anesthesiologist had chosen the wrong

3967. Electronic Err | PSNet
      psnet.ahrq.gov/web-mm/electronic-err
      April 01, 2014 - workflow required to use the technology (eg, a cumbersome user interface may cause a user to pick the wrong

3968. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
      July 01, 2017 - They have to see and deal with these patients at the bedside after something goes wrong. … On balance, at this point few think that EHRs are a bad thing or that we've gone in the wrong direction

3969. In Conversation With… Mark L. Graber, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
      January 01, 2016 - finding out what the outcome was on their patients, whether they got it right or whether they got it wrong … For example, diagnoses can be completely missed (cancer missed despite alarming symptoms), wrong (patients

3970. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
      July 01, 2012 - exactly the right medication, dose, schedule, and route for the patient's diagnosis, the diagnosis is wrong … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient

3971. In Conversation with…Jennifer Daley, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
      January 01, 2008 - For example, how many wrong-site, wrong-side surgeries did they have, and then come up with the policies

3972. In Conversation With… David Juurlink, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
      May 22, 2017 - Going up to 80 or 100 or 200 is the wrong thing to do, although we did it quite a lot. … So when we have people on high-dose opioids like this, the wrong thing to do is to cut their doses off

3973. Implementing a Patient Safety Program at a Large National Health System | PSNet
      psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
      January 01, 2008 - For example, how many wrong-site, wrong-side surgeries did they have, and then come up with the policies

3974. In Conversation With… Richard Hoppmann, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
      June 01, 2018 - It made a call on the valve and said either no endocarditis or thrombosis, and that turned out to be wrong … And what happens if it's wrong? RH : Again, we are in a transitional period and practice varies.

3975. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
      psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
      June 01, 2014 - reports of the medication error that had led to the death of Boston Globe reporter Betsy Lehman, the wrong … To me, that is a set up for disaster when things go wrong.

3976. Opioid Overdose as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
      May 01, 2017 - Going up to 80 or 100 or 200 is the wrong thing to do, although we did it quite a lot. … So when we have people on high-dose opioids like this, the wrong thing to do is to cut their doses off

3977. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
      psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
      July 01, 2017 - They have to see and deal with these patients at the bedside after something goes wrong. … On balance, at this point few think that EHRs are a bad thing or that we've gone in the wrong direction

3978. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
      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

3979. How Do Providers Recover From Errors? | PSNet
      psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
      May 22, 2024 - SPOTLIGHT CASE How Do Providers Recover From Errors? Citation Text: West CP. How Do Providers Recover From Errors?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar Bi…

3980. Production Pressures | PSNet
      psnet.ahrq.gov/web-mm/production-pressures
      November 16, 2022 - He later attributed this error to being rushed and stressed, leading him to pull the wrong vial from