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Total Results: 4,259 records

Showing results for "wrong".

  1. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
    January 01, 2016 - For example, diagnoses can be completely missed (cancer missed despite alarming symptoms), wrong (patients … finding out what the outcome was on their patients, whether they got it right or whether they got it wrong

  2. Safety Considerations in Building a Point-of-Care Ultrasound Program | PSNet

    psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
    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.

  3. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet

    psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
    September 24, 2024 - safely, quickly, and efficiently, but it's not the kind of thing where you can say, “Zero things will go wrong … things that we have to do to try to make complex care safe, and we can know where the process may go wrong

  4. Duplicate Insulin Order | PSNet

    psnet.ahrq.gov/web-mm/duplicate-insulin-order
    May 04, 2012 - the administration phase (36%), most were committed by nurses (54%), many were associated with the wrong

  5. Death by PCA | PSNet

    psnet.ahrq.gov/web-mm/death-pca
    January 06, 2017 - that is often implicated, such as excessive doses ( 7 ) (as evident in this case) or the use of the wrong

  6. Interdisciplinary teamwork | PSNet

    psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
    August 10, 2025 - that this systematic review provides an opportunity to highlight the potential harms of choosing the wrong

  7. Eptifibatide Epilogue | PSNet

    psnet.ahrq.gov/web-mm/eptifibatide-epilogue
    March 04, 2011 - Eptifibatide Epilogue Citation Text: Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866055/psn-pdf
    May 29, 2024 - Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never

  9. The Role of the Patient in Improving Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
    March 01, 2007 - When something goes wrong, they have to go to the family.

  10. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet

    psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
    August 29, 2021 - to one-third of these errors leading to observed patient harm. 2,3 The most common errors include wrong

  11. Tough Call: Addressing Errors From Previous Providers | PSNet

    psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
    July 17, 2024 - WebM&M Cases Getting the Diagnosis Both Right and Wrong

  12. Crossing the Line | PSNet

    psnet.ahrq.gov/web-mm/crossing-line
    December 01, 2012 - Chest X-Ray with Catheter in Wrong Position* *Not the actual radiograph

  13. SNFs: Opening the Black Box | PSNet

    psnet.ahrq.gov/web-mm/snfs-opening-black-box
    August 27, 2012 - SNFs: Opening the Black Box Citation Text: Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851870/psn-pdf
    July 31, 2023 - Patient safety skills should also be included so that healthcare workers know what could go wrong when

  15. A Weighty Mistake | PSNet

    psnet.ahrq.gov/web-mm/weighty-mistake
    September 01, 2016 - Related Resources WebM&M Cases Slow Down: Right Drug, Wrong

  16. Moving Pains | PSNet

    psnet.ahrq.gov/web-mm/moving-pains
    August 17, 2017 - since the patient safety movement has begun encouraging patients to "speak up" when they see something wrong

  17. Volume Too Low: In and Out | PSNet

    psnet.ahrq.gov/web-mm/volume-too-low-and-out
    July 01, 2017 - In the blink of an eye, the other four colleagues instantly know that dose is wrong.

  18. Out of Sight, Out of Mind: Out-of-Office Test Result Management | PSNet

    psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
    September 01, 2007 - She logged into the medical record of one of these patients—the wrong one—and saw a normal CRP value,

  19. Hidden Mystery | PSNet

    psnet.ahrq.gov/web-mm/hidden-mystery
    December 01, 2011 - February 1, 2007 WebM&M Cases Right Patient, Wrong

  20. E-cigarette Explosion in a Patient Room | PSNet

    psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
    March 15, 2023 - December 20, 2020 WebM&M Cases Wrong Catheter in the
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