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psnet.ahrq.gov/node/40312/psn-pdf
June 10, 2018 - Oops, sorry, wrong patient! … https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not … https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside … https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
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psnet.ahrq.gov/node/41070/psn-pdf
January 18, 2012 - Confirmation bias: why psychiatrists stick to wrong
preliminary diagnoses. … Confirmation bias: why psychiatrists stick to wrong
preliminary diagnoses. … https://psnet.ahrq.gov/issue/confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses
This … https://psnet.ahrq.gov/issue/confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses
https
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psnet.ahrq.gov/node/39941/psn-pdf
October 20, 2010 - The normalization of deviance: do we (un)knowingly
accept doing the wrong thing? … The normalization of deviance: do we (un)knowingly accept doing
the wrong thing? … https://psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
This … https://psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
https:
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psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - High-risk medications in hospitalized elderly adults: are
we making it easy to do the wrong thing? … High-Risk Medications in Hospitalized Elderly Adults: Are
We Making It Easy to Do the Wrong Thing? … //psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-
wrong-thing … https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing … https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
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psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - Transparency when things go wrong: physician attitudes
about reporting medical errors to patients, peers … Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting- … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - to improve patient safety have
included initiatives to reduce patient falls, medication errors, and wrong-site … and wrong-patient surgical
errors. … or wrong-site errors, addressing device malfunction, and preventing medication errors. … Example Root Cause Analysis
https://psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database … https://psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
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psnet.ahrq.gov/issue/national-time-out-day
December 08, 2015 - January 17, 2019
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong … December 22, 2010
Operating room briefings and wrong-site surgery. … July 28, 2010
Doing the "right" things to correct wrong-site surgery. … March 18, 2010
'Wrong site' surgeries on the rise.
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psnet.ahrq.gov/node/42193/psn-pdf
May 08, 2013 - issue/priority-patient-safety-issues-identified-perioperative-nurses
Perioperative nurses identified wrong-site … /issue/priority-patient-safety-issues-identified-perioperative-nurses
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
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psnet.ahrq.gov/node/42311/psn-pdf
May 29, 2013 - We know what they did wrong, but not why: the case for
'frame-based' feedback. … We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’
feedback. … https://psnet.ahrq.gov/issue/we-know-what-they-did-wrong-not-why-case-frame-based-feedback
This commentary … https://psnet.ahrq.gov/issue/we-know-what-they-did-wrong-not-why-case-frame-based-feedback
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/39688/psn-pdf
July 14, 2010 - Risky business: James Bagian—NASA astronaut turned
patient safety expert—on being wrong. … psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-
being-wrong … /psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-being-wrong … /psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-being-wrong
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psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
February 14, 2024 - January 25, 2023
Factors associated with wrong blood in tube errors: an international … November 17, 2021
Emergency departments are higher-risk locations for wrong blood in … September 29, 2021
WebM&M Cases
“This is the wrong patient's … : Evaluating a Near-Miss Wrong Transfusion Event
January 29, 2020
Safety incident … July 17, 2019
Electronic patient identification for sample labeling reduces wrong blood
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psnet.ahrq.gov/node/39222/psn-pdf
January 13, 2010 - surgical-site-signing-and-time-out-issues-compliance-or-complacence
Adherence to measures to prevent wrong-site … surgical-site-signing-and-time-out-issues-compliance-or-complacence
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/39352/psn-pdf
July 05, 2013 - When the 5 rights go wrong: medication errors from the
nursing perspective. … When the 5 rights go wrong: medication errors from the nursing perspective. … https://psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
This survey … https://psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/43241/psn-pdf
June 11, 2014 - approximately
a quarter of the time, arguing for the importance of preoperative time outs to avoid wrong-site … it-left-eye-right
https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73842
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
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psnet.ahrq.gov/node/41979/psn-pdf
January 16, 2013 - thinking-threes-changing-surgical-patient-safety-practices-complex-modern-
operating-room
This commentary explores strategies to prevent surgical fires, wrong-site … thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
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psnet.ahrq.gov/node/42943/psn-pdf
April 12, 2014 - Doing right by our patients when things go wrong in the
ambulatory setting. … Doing right by our patients when things go wrong in the ambulatory
setting. … https://psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
This commentary … https://psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
https:/
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psnet.ahrq.gov/node/43996/psn-pdf
November 10, 2018 - When doing wrong feels so right: normalization of
deviance. … When Doing Wrong Feels So Right: Normalization of Deviance. … https://psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
This commentary … https://psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/44437/psn-pdf
September 04, 2015 - Writing the wrong.
September 4, 2015
Patel JJ. A PIECE OF MY MIND. Writing the Wrong. … https://psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
Despite the potential for electronic health … https://psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
https://psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-concerns
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psnet.ahrq.gov/node/35961/psn-pdf
May 24, 2006 - BBC News 'wrong guy' is revealed.
May 24, 2006
BBC News. … https://psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
As evidence that identification errors occur … This mishap demonstrates the need to use multiple means
of identification to avoid "wrong-person" errors … https://psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
http://www.jointcommission.org/NR/rdonlyres/
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psnet.ahrq.gov/node/837337/psn-pdf
June 08, 2022 - patients-perceptions-importance-self-administered-correct-site-surgery-checklist-multisite
https://psnet.ahrq.gov/perspective/patient-engagement-safety
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery