-
psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - including ruling out the worst-case scenario, accepting that the first assumption or original plan may be wrong
-
psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - He flips through them and for about 8 or 10 of them
he says, "They're doing it wrong."
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - You could really go down the wrong pathway if you're not using an app that
the faculty endorse and the
-
psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - next week, where do you see health IT falling in the pecking order relative to medication
errors, wrong-site
-
psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - ability to sometimes see when people, like clinicians, are asking for the right
reasons, and not for the wrong
-
psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - post hoc conclusion that the counts
documented in these cases (i.e., usually correct counts) were wrong
-
psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - continuously reprioritize their list of tasks.( 3 ) Errors occur by either commission (doing the wrong
-
psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - data points, they are hailed as a brilliant diagnostician. 12 On the other hand, if the diagnosis is wrong
-
psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - 30 mm Hg are worrisome, but the diagnosis
can be easily missed if the pressure is measured in the wrong
-
psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - RCA works best in assessing rare events—such as wrong-site surgery or egregious medication misadventures
-
psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - Typical errors include prescribing the wrong
https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors
-
psnet.ahrq.gov/web-mm/ebola-are-we-ready
July 01, 2012 - And we don't just practice things going right, we practice things going wrong all the time....
-
psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - July 8, 2009
WebM&M Cases
Wrong Route for Nutrients
-
psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - events concluded that over 75% of all events were attributed to either medication errors
involving wrong
-
psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - If we think we got there, then we had our eye on the wrong target to begin with.
-
psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - Soon, they began to trust me more and more and knew that I would never report them if something went wrong
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psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - The Need to Eat
Citation Text:
Widaman AM. The Need to Eat. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - has occurred,
we expend lots of time and resources doing event investigations to identify what went wrong
-
psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - He flips through them and for about 8 or 10 of them he says, "They're doing it wrong."
-
psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - finding out what the outcome was on their patients, whether they got it right or whether
they got it wrong