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psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology
January 23, 2012 - July 23, 2014
WebM&M Cases
Right Regimen, Wrong Cancer
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psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
April 05, 2013 - April 5, 2013
Electronic patient identification for sample labeling reduces wrong blood
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - pretend you can look into the future with your crystal ball and see that your initial diagnosis is wrong
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - 1, 2016
WebM&M Cases
Good Night's Sleep Gone Wrong
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - WebM&M Cases
Getting the Diagnosis Both Right and Wrong
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - WebM&M Cases
From Possible to Probable to Sure to Wrong—Premature
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - April 3, 2013
WebM&M Cases
Wrong Turn through Colon:
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - (s)
WebM&M Cases
Getting the Diagnosis Both Right and Wrong
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - January 27, 2021
WebM&M Cases
Wrong Route for Nutrients
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - by the Rules
March 21, 2009
WebM&M Cases
Wrong
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - October 30, 2019
Should health care providers be forced to apologise after things go wrong
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - 1, 2011
WebM&M Cases
Right Electrocardiogram, Wrong
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psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - Reconciliation
August 5, 2022
WebM&M Cases
Wrong
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - May 16, 2022
WebM&M Cases
Wrong Catheter in the
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - December 19, 2014
We know what they did wrong, but not why: the case for 'frame-based
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - 1, 2007
WebM&M Cases
Good Night's Sleep Gone Wrong
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - October 27, 2022
WebM&M Cases
Wrong Catheter in
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - From possible to probable to sure to wrong—premature closure and anchoring in a complicated case.
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - setting. 5 In a study of 326 pediatric dose-related safety events from Pennsylvania, 15% involved using wrong
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never