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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Root Cause Analysis Root cause analysis is the study of when things go wrong to identify ways bad outcomes
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hcup-us.ahrq.gov/reports/race/HCUP_R_E_finalreport-02311AHRQ.pdf
September 23, 2011 - on reducing the disparity between rates or on improving rates that are substandard
or moving in the wrong
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www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
April 01, 2018 - One SSI was assigned to the wrong hip replacement in the historical dataset.
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - Soon, they began to trust me more and more and knew that I would never report them if something went wrong
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - Many endometriosis patients have an intuitive sense that something is desperately wrong as they suffer
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - Perspective
Medication Safety in Nursing Homes: What's Wrong
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Root Cause Analysis Root cause analysis is the study of when things go wrong to identify ways bad outcomes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
January 01, 2003 - The wrong patient. Ann
Intern Med 2002;136(11):26–33.
9. Baggs JG, Schmitt MH.
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - A Tale of Two Falls
Citation Text:
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - Reconciliation
August 5, 2022
WebM&M Cases
Wrong
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - What if with deep learning the AI learns something wrong and then applies that mistake to other patients
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psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
January 31, 2020 - What if with deep learning the AI learns something wrong and then applies that mistake to other patients
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - If we think we got there, then we had our eye on the wrong target to begin with.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - communication of critical test results and key bounces on electronic IV pumps
potentially causing wrong
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
December 01, 2017 - talk about in the CAUTI interventions, and creating independent checks and learning when things go wrong … Creating independent checks and learning when things go wrong are areas where patients and families bring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
April 09, 2013 - talk about in the CAUTI interventions, and creating independent checks and learning when things go wrong … Creating independent checks and learning when things go wrong are areas where patients and families bring
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdf
April 01, 2016 - And that’s usually the wrong thing to do. … Doing the survey to do a survey is the
wrong reason to do it.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/key-informant-interviews-research.pdf
December 19, 2017 - were discussing things over my head, I kind of backed down because I
didn’t want to say something wrong … • There are no right or wrong answers to the questions that we will ask you today. … Just as in the individual discussions, there are no right or wrong answers here.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/r_MgZHrtyHRn7rZoCPS6MT
February 01, 2011 - abstracts and background
articles: 3272
Articles excluded: total: 377
Contextual only: 63
Wrong … population: 93
Wrong screening tests: 5
Wrong intervention: 11
Wrong outcomes: 53
Retrospective … or uncontrolled study (for key question 4): 33
Wrong publication type: 49
Not English language
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - • This approach isn’t necessarily wrong; clinicians must balance
missing a diagnosis like PE against