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Total Results: 1,096 records

Showing results for "intended".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857259/psn-pdf
     November 30, 2023 - medical-error-third-leading-cause-death-us https://psnet.ahrq.gov//#2 bedside and technological tools that are intended … a medication is like writing a blank check, forcing a BCMA system to perform in a way that is not intended … Failure Mode and Effect Analysis (FMEA) of BCMA   BCMA is only useful when the intended user follows … the intended steps.

202. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
     psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
     November 27, 2019 - min rather than the ordered dose of 0.5 mcg/min, resulting in a dose that was 70 times greater than intended … Review and Update Infusion Pump Safety Guardrails The numeric value of the intended starting rate of … accidentally starting at a maximum rate of 0.5 mcg/kg/min when an initial rate of 0.05 mcg/kg/min is intended

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45033/psn-pdf
     July 16, 2019 - cross-sectional-observational-study-high-override-rates-drug-allergy-alerts- inpatient-and Clinical decision support systems are intended

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850362/psn-pdf
     June 14, 2023 - medications were verified by the pharmacist and bar-code labeled for the individual patients who were intended … This match confirms that the medication to be administrated is intended for the current patient, reducing … technology.11 Only after that can compliance be assessed to confirm that the barcodes are being scanned as intended

205. Medication Mix-Up Leads to Patient Death | PSNet
     psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
     July 08, 2022 - medication errors can occur despite obvious “red flags” at the bedside and technological tools that are intended … to a medication is like writing a blank check, forcing a BCMA system to perform in a way that is not intended … Failure Mode and Effect Analysis (FMEA) of BCMA   BCMA is only useful when the intended user follows … the intended steps.

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34729/psn-pdf
     October 31, 2016 - unanticipated series of keystrokes by the operator resulted in the delivery of more than 100 times the intended

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42001/psn-pdf
     August 02, 2015 - This study evaluates the accuracy of four smartphone applications intended to assess photographs of

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45350/psn-pdf
     October 21, 2016 - best-care-lower-cost-path-continuously-learning-health-care-america https://psnet.ahrq.gov/issue/disseminating-innovations-health-care https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43775/psn-pdf
     November 29, 2017 - effects-hospital-safety-scores-total-price-out-pocket-cost-and-household- income-consumers Publicly reported hospital quality ratings are intended

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37478/psn-pdf
     February 22, 2011 - programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug- events Adoption of smart infusion pump technology was intended

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42832/psn-pdf
     September 01, 2016 - overrides-medication-related-clinical-decision-support-alerts-outpatients Although computerized provider order entry in the outpatient setting was intended

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34687/psn-pdf
     February 10, 2011 - continues to serve as an important reference to motivate policy and institutional investment in systems intended

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45802/psn-pdf
     December 12, 2018 - reduce medication errors, user overrides and workarounds prevent safety features from operating as intended

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49436/psn-pdf
     February 26, 2004 - be compromised by periodic errors due to faulty execution even in the hands of competent and well intended … introduction of bar coding systems.(13) As is often the case, the introduction of a new technology, intended … importance of careful design, but the cautious monitoring of the effects of change as well.(14) Just as intended

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60174/psn-pdf
     March 30, 2020 - “discrete and clearly recognizable structures or processes used for the provision of care that are intended … This edition of Making Healthcare Safer is intended to be a “go-to” resource for patient safety professionals

216. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
     February 01, 2012 - practitioner, etc.) to pharmacy Most simple example is two-way transmission between provider and pharmacy Intended … prescription for alprazolam, she inadvertently entered an additional medication, atenolol, a prescription intended … Maximize Safety (1) Verify name and date of birth before entering an order Review all new medications and intended

217. Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. | PSNet
     psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
     May 30, 2019 - unanticipated series of keystrokes by the operator resulted in the delivery of more than 100 times the intended

218. Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. | PSNet
     psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
     August 06, 2016 - This book shares leadership insights from former NHS Health Secretary Jeremy Hunt intended to help the

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39495/psn-pdf
     September 20, 2011 - These practices are intended to be universally applicable, "gold standard" interventions for reducing

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40509/psn-pdf
     June 08, 2011 - serious-prescribing Hard stop alerts within computerized provider order entry (CPOE) systems are intended