Results

Total Results: 5,103 records

Showing results for "lead".
Users also searched for: pdsa

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49556/psn-pdf
     March 01, 2008 - What appears to be a simple and straightforward order can lead to a variety of breakdowns in the medication … administration process and potentially lead to patient harm, as it did in this case. … For example, oral medications for diabetes (which can lead to hypoglycemia if patients are not eating … Take-Home Points Temporary hold orders can lead to multiple errors and complications in the medication … Hold orders can lead to problems with medication prescribing, transcription, or order entry.

222. But See the Patient First | PSNet
     psnet.ahrq.gov/web-mm/see-patient-first
     September 27, 2023 - salt and sodium bicarbonate mouthwash and pain control. 4 A timely diagnosis of oral mucositis will lead … Horwtiz et al. 5 Unfortunately, blood cultures are low in yield 6 and a false positive can often lead … radiologic tests.” 9 The reflexive ordering of tests without a proper in-person bedside assessment may lead … to more patient handoffs. 11 Frequent and poor handoffs can lead to more cross-cover questions, calls … there is still hope that creating a better culture of safety will hopefully encourage more teamwork and lead

223. 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

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49572/psn-pdf
     October 01, 2008 - In some cases, incorrect identification may lead primarily to provider embarrassment without any patient … On the other hand, many instances of patient identification errors lead to more than embarrassment—such … errors can lead to serious harm or even loss of life. … Patient identification errors occur at least occasionally in virtually every health system, and some lead … Language barriers may lead to misidentification and increase the likelihood of adverse events.

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73960/psn-pdf
     October 13, 2021 - psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards Unintentional therapeutic duplication can lead

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47569/psn-pdf
     April 10, 2019 - https://psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe Misinterpretations of critical tests can lead

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47049/psn-pdf
     July 10, 2019 - injectable-opioid-shortages-suggestions-management-and-conservation https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849139/psn-pdf
     May 17, 2023 - intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73586/psn-pdf
     January 01, 2022 - more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors Cognitive biases and poor communication among providers can lead

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47794/psn-pdf
     April 03, 2019 - ambulatory care physician regarding how the busy work environment contributes to shortcuts that can lead

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47938/psn-pdf
     May 01, 2019 - drug-diversion-and-impaired-health-care-workers Fatigue, emotional stress, and illness can affect decision-making and lead

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837710/psn-pdf
     July 20, 2022 - psnet.ahrq.gov/issue/independent-neurology-inquiry Misdiagnosis of neurological conditions, such as stroke, can lead

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865524/psn-pdf
     April 10, 2024 - psnet.ahrq.gov/issue/exploring-causes-copd-misdiagnosis-primary-care-mixed-methods-study Misdiagnosis can lead

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864855/psn-pdf
     March 20, 2024 - use of specialized, stable operating room teams and use of specialty-dedicated operating rooms can lead

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866824/psn-pdf
     September 25, 2024 - to learn-by-doing in an environment that is psychologically safe supports rapid innovation that can lead

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855002/psn-pdf
     November 01, 2023 - temporarily-holding-medication-orders-safely-order-prevent-patient-harm Process disconnects can cause administration mistakes that lead

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74261/psn-pdf
     January 19, 2022 - issue/implicit-bias-healthcare-professionals-systematic-review Healthcare provider implicit bias can lead

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60671/psn-pdf
     July 08, 2020 - The authors discuss the possible dangers of using race-adjusted algorithms due to their potential to lead

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851195/psn-pdf
     July 05, 2023 - /clinician-factors-associated-delayed-diagnosis-appendicitis Delayed diagnosis of appendicitis can lead

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72601/psn-pdf
     January 01, 2021 - issue/increasing-physician-reporting-diagnostic-learning-opportunities Missed or delayed diagnoses can lead