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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."
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
September 01, 2016 - Peck but Mary just started working on the unit with Jessica and doesn’t want to start off on the wrong
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - These fears can include the fear of feeling embarrassed, or being ridiculed, or being wrong.
-
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
-
www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.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 s…
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
November 01, 2023 - ■ If you feel sick to your stomach or you are throwing up
Call as soon as you think something is wrong
-
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
-
digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
December 01, 2008 - Then she scanned the drug
and saw that she had the wrong drug in her hand.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/improving-utility-evidence-synthesis-white-paper.pdf
April 01, 2021 - Wrong-site surgery,
retained surgical items,
and surgical fires: a
systematic review of
surgical … events27
What is the effectiveness
of the individually identified
interventions for the
prevention of wrong … Develop a standardized, single,
strong recommendation to VA
facilities in the effort to eliminate
wrong … Wrong-site surgery, retained surgical
items, and surgical fires: a systematic review
of surgical never
-
digital.ahrq.gov/sites/default/files/docs/page/health-information-technology-evaluation-toolkit-2009-update.pdf
January 01, 2009 - Proportion of
medications leaving the
pharmacy containing
errors: wrong
medication, wrong
dose, … wrong strength or
form, wrong quantity, or
a safety violation.