-
psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - Heuristics are useful but imperfect, and
they can lead the clinician down the wrong path when applied
-
psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - But I hope to convince readers that he
would have been wrong to resist a role for accreditation and
-
psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - since the patient safety movement has begun encouraging patients to "speak up" when they see
something wrong
-
psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - In the blink of an
eye, the other four colleagues instantly know that dose is wrong.
-
psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - In retrospect, this was the wrong decision.
-
psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - To me, that
is a set up for disaster when things go wrong.
-
psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - these are associated with a failure to discontinue and 5% to administering the anticoagulant at the wrong
-
psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - the Black Box
December 1, 2013
WebM&M Cases
Wrong
-
psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Consequently, rather
than signaling that something is wrong, the cacophony becomes "background noise
-
psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?
Citation Text:
Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
-
psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - This is not inherently wrong; several studies have shown that some 70%-80% of diagnoses are correctly
-
psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
January 01, 2020 - primary problem)
2) Inappropriate use of curbside consultations (secondary problem)
10
What went wrong
-
psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - Perspective
Medication Safety in Nursing Homes: What's Wrong
-
psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - This team communication should, for example, include specifically asking “What might go wrong and what
-
psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - that is often implicated, such as
excessive doses (7) (as evident in this case) or the use of the wrong
-
psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - the administration phase (36%), most were
committed by nurses (54%), many were associated with the wrong
-
psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - November 26, 2014
Buying the wrong medicine overseas.
-
psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Lethal Vertigo
June 1, 2004
WebM&M Cases
The Wrong
-
psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - 2019
WebM&M Cases
Looking for Meds in All the Wrong
-
psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - A narrow view of patient safety is if you, for example, give the wrong medicines to someone and they … 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.