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Showing results for "lead".
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161. Promethazine conundrum: IV can hurt more than IM injection! | PSNet
     psnet.ahrq.gov/issue/promethazine-conundrum-iv-can-hurt-more-im-injection
     November 13, 2018 - Interruptions lead to errors and unfinished…wait, what was I doing? … December 21, 2009 Tenfold errors can lead to tragedy.

162. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet
     psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
     December 16, 2015 - BMJ Lead. 2024;8(1):59-62. doi:10.1136/leader-2023-000849. … BMJ Lead . 2024; 8 (1) :59-62 . View more articles from the same authors. … BMJ Lead. 2024;8(1):59-62. doi:10.1136/leader-2023-000849.

163. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
     December 21, 2017 - BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407. … BMJ Lead . 2022; 6 (1) :15-19 . View more articles from the same authors. … BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407.

164. Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. | PSNet
     psnet.ahrq.gov/issue/comparing-hospital-leadership-and-front-line-workers-perceptions-patient-safety-culture
     June 07, 2016 - BMJ Lead. 2024;8(8):335-339. doi:10.1136/leader-2023-000922. … BMJ Lead . 2024; 8 (8) :335-339 . View more articles from the same authors. … BMJ Lead. 2024;8(8):335-339. doi:10.1136/leader-2023-000922.

165. What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. | PSNet
     psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use
     September 14, 2016 - administration methods used to reduce device costs can introduce heightened potential for dosing errors and lead

166. Distracting communications in the operating theatre. | PSNet
     psnet.ahrq.gov/issue/distracting-communications-operating-theatre
     August 18, 2017 - communication to errors, the authors speculate that the large number of "case-irrelevant communications" could lead … April 10, 2019 Inadequate preoperative team briefings lead to more intraoperative adverse

167. Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet
     psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
     November 30, 2012 - Missed or delayed diagnosis of cardiovascular disease can lead to adverse patient outcomes . … 2018 WebM&M Cases Missing ECG and Missed Diagnosis Lead

168. Harm From Alarm Fatigue | PSNet
     psnet.ahrq.gov/web-mm/harm-alarm-fatigue
     February 14, 2018 - Yet excessive false alarms may lead to unintended harm. … Since one monitor watcher is responsible for watching as many as 40 patients' data, only one ECG lead … If the telemetry algorithm uses just one ECG lead for analysis, this can more easily be misinterpreted … the responsible physician, the correct action would have been to search for another ECG monitoring lead … For example, the resident and nurse could have checked the patient's full diagnostic standard 12-lead

169. Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. | PSNet
     psnet.ahrq.gov/issue/opioid-prescribing-opioid-naive-patients-emergency-departments-and-other-settings
     August 29, 2018 - has shown that prescribing opioids to opioid-naïve patients at the time of hospital discharge may lead … prescribing in the emergency department more often comported with CDC guidelines and was less likely to lead

170. A shortage of everything except errors: harm associated with drug shortages. | PSNet
     psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
     February 13, 2019 - Interruptions lead to errors and unfinished…wait, what was I doing? … 10, 2018 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

171. Raising the index of suspicion: red flags that represent credible threats to patient safety. | PSNet
     psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
     February 13, 2019 - Interruptions lead to errors and unfinished…wait, what was I doing? … 21, 2012 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

172. Good intention, uncertain outcome...our take on physician dispensing in offices and clinics. | PSNet
     psnet.ahrq.gov/issue/good-intention-uncertain-outcomeour-take-physician-dispensing-offices-and-clinics
     February 13, 2019 - Interruptions lead to errors and unfinished…wait, what was I doing? … 10, 2018 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

173. Report links Georgia's abortion ban to preventable deaths. | PSNet
     psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
     November 13, 2024 - How Abortion Bans Lead to Preventable Deaths. … How Abortion Bans Lead to Preventable Deaths.

174. In Conversation With... Jack Westfall, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
     September 28, 2022 - So, I think we’re well positioned to lead patient safety efforts. … Primary care needs to lead the proactive sharing of information when we transition patients and refer … We need to lead the charge in making sure that those organizations have the information they need to … JW: I want to just reiterate the point that primary care and family physicians can lead the efforts … AHRQ is the lead federal agency for patient safety research.

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42582/psn-pdf
     September 18, 2013 - This commentary recommends an approach to examine laboratory testing and identify weaknesses that may lead

176. Are national efforts to reduce drug name confusion paying off? | PSNet
     psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
     December 27, 2018 - Interruptions lead to errors and unfinished…wait, what was I doing? … , 2018 Smart pump custom concentrations without hard "low concentration" alerts can lead

177. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet
     psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
     September 29, 2021 - Author(s) Open Notes shines light on errors in patient medical records — will the new rule lead … May 15, 2024 Will prosecuting medical errors lead to a culture of silence?

178. Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. | PSNet
     psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
     June 01, 2022 - 2020 Open Notes shines light on errors in patient medical records — will the new rule lead … April 20, 2022 Will prosecuting medical errors lead to a culture of silence?

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43695/psn-pdf
     August 02, 2015 - systems (which use an adjudication process rather than usual courts) will all play a larger role and lead … Formation of accountable care organizations may lead to reform in the liability system such that organizations

180. The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. | PSNet
     psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care
     May 27, 2015 - Without prescribing a specific approach, the authors call on health care professionals to take the lead … January 23, 2019 Improving the quality of health care: who will lead?