-
www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - Plausibly correct, but wrong: a
failure phenotype in health IT.
-
psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - So you really sense that it's a very dynamic process, and things could go wrong at any step.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate
December 2016
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Final Data From National Efforts To Make Care Safer, 2010-2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
-
psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - including ruling out the worst-case scenario, accepting that the first
assumption or original plan may be wrong
-
psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
-
psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - We can only speculate as to
https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
-
psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - to continuously reprioritize their list of tasks.(3)
Errors occur by either commission (doing the wrong
-
psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - Preventable Rash
March 1, 2005
WebM&M Cases
Wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
December 01, 2017 - An investigation helps explain what went right and what went wrong for this particular patient.
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Things have gone completely wrong on a number of fronts.
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - Requires Technical and Adaptive Efforts
Say:
Despite numerous technical approaches to improve wrong-site
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - Intervention Requires Technical and Adaptive Efforts
SAY:
Despite numerous technical approaches to improve wrong-site
-
psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - People who say that are asking the wrong question.
-
psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - But there are also things like wrong tooth
extraction, which people mentioned but don’t seem to come
-
psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - methodological issues you've discussed in the Gawande study produced a result that was, in some sense, wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
March 01, 2017 - These fears can include the fear of feeling embarrassed, or being ridiculed, or being wrong.
-
psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - to
try to solve some of these intractable quality and safety problems—hand hygiene noncompliance, wrong
-
psnet.ahrq.gov/node/33706/psn-pdf
February 01, 2011 - We couldn't determine who was right or who was wrong, but we could
sure show that they were different
-
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
-
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