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www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
April 01, 2013 - infection investigation tool which will help you understand the defects and what possibly could have gone wrong … Mary Ellen Furanti: Okay, I thought that maybe I was wrong, that the clave changes were every 7 days
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017163-baker-final-report-2011.pdf
January 01, 2011 - However, POC alerts are often wrong because they do not capture
4
available exclusion criteria … In addition, alerts are often wrong because an exclusion criterion
was never captured in an electronic
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
September 01, 2015 - Transporter: “Did I do something wrong?”
Nurse: “Not exactly. … In this scenario, the transporter didn’t understand what might happen because of wrong bag placement
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/-TsBkyewVoFpC7htRmzWJa
September 03, 2019 - prior report
2 Background only
6 Used for contextual question only
3 Intervention not appropriate
13 Wrong … 14 Used for contextual question only
34 Population not applicable
38 Intervention not appropriate
74 Wrong … outcome(s)
15 Companion article, data not used
78 Nonsystematic or outdated review
9 Wrong study design … 122 Wrong publication type
2 Non–English language
1319 Citations excluded
1269 Based on review of
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/sZN5HHS8w5Sar6bBPabsaB
June 01, 2008 - treatment study with diabetes duration >1 y: 143
Diabetes treatment study with unknown diabetes duration: 5
Wrong … patient population: 92
Wrong treatment/intervention: 55
Wrong outcome: 128
Wrong study design or publication
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary23/diabetes-mellitus-type-2-in-adults-screening-2008
June 15, 2008 - study with diabetes duration >1 y: 143
Diabetes treatment study with unknown diabetes duration: 5
Wrong … patient population: 92
Wrong treatment/intervention: 55
Wrong outcome: 128
Wrong study design
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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
-
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:
-
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
-
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
-
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
-
psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - Reconciliation
August 5, 2022
WebM&M Cases
Wrong
-
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