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Total Results: 4,259 records

Showing results for "wrong".

  1. Liver Biopsy: Proceed With Caution | PSNet

    psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
    March 07, 2012 - Resources WebM&M Cases Getting the Diagnosis Both Right and Wrong

  2. Medication Mix-Up: From Bad to Worse | PSNet

    psnet.ahrq.gov/web-mm/medication-mix-bad-worse
    March 01, 2018 - ) If the order had been entered correctly, a BCMA alert likely would have signaled a nurse that the wrong

  3. The "Customer" Is Always Right | PSNet

    psnet.ahrq.gov/web-mm/customer-always-right
    January 22, 2014 - Or perhaps, "I should have pushed harder for the x-rays knowing something was wrong."

  4. Tacit Handover, Overt Mishap | PSNet

    psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - "( 12 ) In fact, we may have the basic handoff process wrong.

  5. Harm From Alarm Fatigue | PSNet

    psnet.ahrq.gov/web-mm/harm-alarm-fatigue
    February 14, 2018 - Consequently, rather than signaling that something is wrong, the cacophony becomes "background noise"

  6. Diagnosing a Missed Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
    October 26, 2022 - Heuristics are useful but imperfect, and they can lead the clinician down the wrong path when applied

  7. In Conversation with...Sorrel King | PSNet

    psnet.ahrq.gov/perspective/conversation-withsorrel-king
    March 01, 2007 - When something goes wrong, they have to go to the family.

  8. Procedure Complications – Who is Responsible for Follow up? | PSNet

    psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
    July 31, 2023 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

  9. Good Catch in the Operating Room | PSNet

    psnet.ahrq.gov/web-mm/good-catch-operating-room
    August 27, 2017 - We should stop the procedure and figure out what's wrong."

  10. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet

    psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
    November 01, 2023 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

  11. Empty Handoff | PSNet

    psnet.ahrq.gov/web-mm/empty-handoff
    August 01, 2017 - 4, the whole team (referring and receiving) agrees on a patient plan and contingencies if things go wrong

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - The first “hole” occurred when the intake technician recorded the wrong weight and height into the EHR

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33769/psn-pdf
    June 01, 2014 - reports of the medication error that had led to the death of Boston Globe reporter Betsy Lehman, the wrong

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33714/psn-pdf
    July 01, 2011 - where they work, is create a culture of safety where people feel free to report incidents that go wrong

  15. In Conversation With... James P. Bagian, MD, PE | PSNet

    psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
    February 26, 2025 - Just because you didn't follow the rules doesn't mean you did the something wrong from a patient care

  16. In Conversation with...Albert Wu, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
    February 26, 2025 - Wrong site surgeries are a pretty good example of this—they happen to every big institution a few times

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854848/psn-pdf
    October 31, 2023 - Alexis Olson, MD In this case, a confluence of individual decisions and system failures resulted in the wrong

  18. In Conversation With… Suchi Saria, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
    March 27, 2024 - that it's clear that the individuals who are using it understand how to not become overreliant in the wrong

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49528/psn-pdf
    January 01, 2015 - Or perhaps, "I should have pushed harder for the x-rays knowing something was wrong."

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33654/psn-pdf
    August 01, 2007 - If somebody cuts off the wrong leg or there's a major disaster, it's a sentinel event that comes to
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