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Total Results: 5,540 records

Showing results for "wrong".

  1. new disposition of comments insulin analogues -- jda revs.xls (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/insulin-analogues-disposition-081229.pdf
    September 01, 2008 - So something is seriously wrong with these studies, or with the interpretation of these studies as presented … In the absence of some evidence - even weak evidence to that effect this may send the wrong message … without significantabsence of some evidence - even weak evidence to that effect, this may send the wrong

  2. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
    January 01, 2024 - …it helps the team member figure out what went wrong and what we’re going to do differently in the … Clinical Crossroads: A 62-year-old woman with skin cancer who experienced wrong site surgery. … A 62-year-old woman with skin cancer who experienced wrong-site surgery: Review of medical error.

  3. Environmental Scan of Patient Safety Education and Training Programs (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
    June 01, 2013 - Critical Lab Results 0 413 Fatigue and Sleep Deprivation 13 411 Identification Errors 18 443 -- Wrong … Patient 7 444 -- Wrong-Site Surgery 12 426 Medical Complications 26 429 -- Delirium 2 427 … Intraoperative Complications 12 440 ---- Retained Surgical Instruments and Sponges 0 447 ---- Wrong-Site

  4. CER 215 Adverse Effects of Pharmacologic Treatments of Major Depression in Older Adults (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-comments.pdf
    March 28, 2019 - American Psychiatric Association Executive Summary last paragraph decision-makers is spelled wrong … #1, American Psychiatric Association Methods p. 8, 2nd paragraph clinicaltrials.gov is spelled wrong … Peer reviewer #6 Results Page 34, Table 6: wrong citation is given for the Coupland study.

  5. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impguide.html
    December 01, 2014 - What is likely to go wrong? What approach would you take to address these issues?

  6. In Conversation with...Brent C. James, MD, MStat | PSNet

    psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
    February 26, 2025 - We couldn't determine who was right or who was wrong, but we could sure show that they were different

  7. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers | PSNet

    psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
    January 07, 2022 - Transition Failure July 1, 2011 WebM&M Cases The Wrong

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72517/psn-pdf
    November 25, 2020 - data points, they are hailed as a brilliant diagnostician.12 On the other hand, if the diagnosis is wrong

  9. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
    April 26, 2023 - was to try to solve some of these intractable quality and safety problems—hand hygiene noncompliance, wrong-site

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867805/psn-pdf
    February 26, 2025 - The first thing you have to figure out is if the diagnosis is wrong, and I think artificial intelligence

  11. In Conversation With… Vineet Arora, MD, MAPP | PSNet

    psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
    May 31, 2023 - You could really go down the wrong pathway if you're not using an app that the faculty endorse and the

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49483/psn-pdf
    June 01, 2005 - RCA works best in assessing rare events—such as wrong-site surgery or egregious medication misadventures

  13. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
    June 02, 2025 - struggling to put together all the pieces of how his dad’s diagnostic journey could have gone so wrong

  14. Journey of Mr. Kane

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
    June 02, 2025 - is struggling to put together all the pieces of how his dad’s diagnostic journey could have gone so wrong

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838221/psn-pdf
    September 28, 2022 - A narrow view of patient safety is if you, for example, give the wrong medicines to someone and they

  16. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)

    www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
    November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Interim Data From National Efforts To Make Care Safer, 2010-2014 Summary Interim estimates for 2014 show a sust…

  17. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
    January 01, 2017 - When the definitions are objective, unit staff can spend time focusing on what went wrong and how to

  18. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
    January 01, 2024 - – VF after a synchronized cardioversion for AF should have raised a red flag that something was wrong

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865429/psn-pdf
    April 24, 2024 - VF after a synchronized cardioversion for AF should have raised a red flag that something was wrong

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49566/psn-pdf
    July 01, 2008 - is approximately 1:200,000.(5,6) Comparatively, the risk of receiving ABO-incompatible blood (the wrong
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