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Total Results: 4,259 records

Showing results for "wrong".

  1. The Unfinished Patient Safety Agenda | PSNet

    psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
    August 01, 2005 - The experts stand there, scratching their heads, wondering what in the world is wrong with the health

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50611/psn-pdf
    October 30, 2019 - various components of this system require a situational awareness of the various things that can go wrong

  3. Anticoagulation: Held Too Long | PSNet

    psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
    April 01, 2008 - 2010 WebM&M Cases Getting the Diagnosis Both Right and Wrong

  4. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet

    psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
    February 26, 2025 - Context of the Innovation Wrong or delayed diagnoses cause more serious harms to patients than any

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60865/psn-pdf
    August 31, 2020 - If we think we got there, then we had our eye on the wrong target to begin with.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74691/psn-pdf
    January 01, 2021 - https://psnet.ahrq.gov//mailto:hardeeps@bcm.edu Context of the Innovation Wrong or delayed diagnoses

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49624/psn-pdf
    May 01, 2011 - A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33843/psn-pdf
    October 01, 2017 - People who say that are asking the wrong question.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33756/psn-pdf
    October 01, 2013 - RW: For some safety hazards, when things go wrong you see the results right away.

  10. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet

    psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
    February 26, 2025 - Bringing that thinking to health care and saying wrong-site surgery or foreign bodies being left in a

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49738/psn-pdf
    August 21, 2015 - The cross-covering resident mixed up the two patients and placed the MRI order in the wrong chart.

  12. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - Care Professions May 1, 2011 WebM&M Cases Wrong

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33784/psn-pdf
    April 01, 2015 - methodological issues you've discussed in the Gawande study produced a result that was, in some sense, wrong

  14. Peripheral IV in Too Long | PSNet

    psnet.ahrq.gov/web-mm/peripheral-iv-too-long
    September 15, 2011 - December 1, 2012 WebM&M Cases Wrong Turn through

  15. The Safety and Quality of Long Term Care | PSNet

    psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - Wrong route for nutrients. AHRQ WebM&M [serial online]. July 2008. [Available at] 13.

  16. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
    April 01, 2008 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong

  17. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet

    psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
    June 28, 2023 - May 18, 2022 Evaluating serial strategies for preventing wrong-patient orders in the

  18. ABCDEF Bundle Data Literacy Training, Performance Measurement Tracking, and Performance Feedback | PSNet

    psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
    September 23, 2024 - preventable. 2 A medical error is the failure to complete a planned action as intended, or the use of the wrong

  19. Nursing and Patient Safety | PSNet

    psnet.ahrq.gov/primer/nursing-and-patient-safety
    September 15, 2024 - WebM&M Cases Multiple Levels Involved in Prescribing the Wrong

  20. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet

    psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
    March 18, 2020 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong
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