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Total Results: 8,619 records

Showing results for "caused".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42621/psn-pdf
     October 31, 2014 - most common source of overall morbidity and mortality worldwide—and as this measure is based on harm caused

162. Building a case for medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/building-case-medication-reconciliation
     June 10, 2018 - This article presents examples of medication errors caused by failed communication, briefly reviews the

163. Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. | PSNet
     psnet.ahrq.gov/issue/proper-positioning-pharmacy-label-hospira-pca-vials-will-avoid-interference-scanning
     May 05, 2018 - This article reports on an overdose caused by improper label placement on a patient controlled analgesia

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39174/psn-pdf
     December 16, 2009 - These included cases where parents detected an adverse event as well as cases where the parents caused

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41211/psn-pdf
     January 03, 2017 - A near miss caused by a patient identification error is discussed in detail in this AHRQ WebM&M commentary

166. 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. | PSNet
     psnet.ahrq.gov/issue/there-real-cost-covid-shows-barring-bedside-visitors-icu-deprives-patients-best-care
     July 19, 2023 - pandemic as a contributor to patient harm due to resultant family support barriers and loneliness they caused

167. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/interpreting-adverse-drug-reaction-adr-reports-hospital-patient-safety-incidents
     August 04, 2021 - the adverse drug events identified by the United Kingdom's National Patient Safety Agency system caused

168. Errors prevented by and associated with bar-code medication administration systems. | PSNet
     psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
     October 16, 2019 - demonstrate how bar-code medication administration (BCMA) systems prevented errors in some cases but caused

169. Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. | PSNet
     psnet.ahrq.gov/issue/anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite
     August 16, 2023 - A case of an intraoperative fire caused by a malfunctioning anesthesia machine is reported in this

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40010/psn-pdf
     December 21, 2014 - effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality Efforts to reduce the burden of disease caused

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41101/psn-pdf
     October 16, 2012 - Diagnostic errors may be caused by individual or system-level problems, and this narrative review sought

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39283/psn-pdf
     December 21, 2014 - A previous WebM&M commentary discusses safety problems caused by low health literacy. 

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44035/psn-pdf
     May 06, 2015 - Insulin pump problems can be caused by human, mechanical, or drug stability failures.

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45375/psn-pdf
     September 27, 2016 - They found a statistically significant decrease in the rate of medical errors, particularly errors caused

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34714/psn-pdf
     February 18, 2011 - The ratio of adverse events caused by negligence to malpractice claims was 7.6:1.

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42473/psn-pdf
     August 13, 2013 - A postoperative complication caused in part by equipment unavailability during surgery is discussed

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851158/psn-pdf
     June 28, 2023 - The tear and perforation in the left ventricular wall caused radiocontrast staining outside the ventricular … cardiologist obtained and reviewed echocardiographic images, which revealed bleeding around the heart caused … Improving Safety This case represents an example of cardiac tamponade secondary to LV perforation caused

178. FDA Advise-ERR: medication errors associated with Cerebyx. | PSNet
     psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
     May 02, 2018 - This article describes medication errors caused by unclear labeling of the medication Cerebyx and provides

179. Doctors fear criminalization of medical mistakes. | PSNet
     psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes
     March 28, 2012 - This article discusses how the threat of criminal charges for deaths caused by medical mistakes may affect

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37757/psn-pdf
     March 10, 2011 - FMEA, and examining bar coding override log data to outline the frequency and causes of workarounds caused