-
www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
January 01, 2024 - Bad writing, wrong medication [Spotlight]. AHRQ WebM&M [serial online]. April
2010.
-
www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
January 01, 2024 - Georgia’s project is focused on wrong-site
surgery.
Goal 3 – Key Accomplishments:
1.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - One is not better than the other – there is no right or wrong, but it is important to acknowledge the
-
psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - strong safety culture make it possible to communicate openly, learn from what went well and what went wrong
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - strong safety culture make it possible to communicate openly, learn from what went well and what went wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - agonist opioids used to treat pain—e.g., oxycodone, hydrocodone—are
rarely the best choice and often the wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
December 31, 2022 - comorbidities and conditions for which CR would be contraindicated
27
Being able to identify the “wrong
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - patients who had fallen in the hospital and their family members to understand what they thought went wrong
-
psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - patients who had fallen in the hospital and their family members to understand what they thought went wrong
-
hcup-us.ahrq.gov/tech_assist/loadandcheck/508_course/508course_2019.jsp
January 01, 2019 - If not, I'll know there's a problem and I'll have to go back and figure out what I've done wrong.
-
psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - has occurred, we expend lots of time and resources doing event investigations to identify what went wrong
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/6-CojmU4NZFXUKggs-_YFU
January 01, 2010 - Wrong population,
eg, low-birth-weight
infants
5. Not in English
6.
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - culture and ensure that providers have the opportunity to learn from what went right and what went wrong
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-performance_methods.pdf
July 01, 2012 - PTH measurements with different
methodologies do not agree very well.35 Here, it would be wrong to assume
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - the patient’s health problem, or communicate
that explanation to the patient, and include delayed, wrong
-
psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - culture and ensure that providers have the opportunity to learn from what went right and what went wrong
-
psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - WebM&M Cases
From Possible to Probable to Sure to Wrong—Premature
-
psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - So you really sense that it's a very dynamic process, and things could go wrong at any step.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-health-mobile-apps-disposition-of-comments.pdf
May 20, 2022 - money from forcing
patients to get treatments or buy extra services in their practice which in the
wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - Although we began with an open-minded
curiosity with regard to “what went wrong,” our inquiry eventually