Results

Total Results: 5,408 records

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

361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34958/psn-pdf
     June 14, 2011 - Faculty of the program used root cause analysis to illustrate that underlying failures in a system can lead

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44436/psn-pdf
     October 30, 2017 - https://psnet.ahrq.gov/issue/overreaction Reporting on how test inaccuracies can lead to misdiagnosis

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36813/psn-pdf
     March 24, 2011 - Ambulatory care adverse events and preventable adverse events leading to a hospital admission. March 24, 2011 Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-131. https://psnet.ahrq.gov/issue/amb…

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39683/psn-pdf
     June 08, 2011 - of human factors, organizational culture, and team-based science in surgeons would enable them to lead

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40149/psn-pdf
     January 19, 2011 - However, this study found that splitting pills resulted in unpredictable dose deviations, which could lead

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47280/psn-pdf
     October 15, 2018 - master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42975/psn-pdf
     February 26, 2014 - initiative to standardize concentrations of pediatric oral liquid drugs to reduce inconsistencies that lead

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35099/psn-pdf
     June 09, 2009 - The packaging and labeling for these medications may be confusing and lead to overdosing.

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38577/psn-pdf
     April 22, 2009 - Leading your organization to high reliability. April 22, 2009 Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68. https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability This commentary describes high reliability …

370. When medical care leads to harm—difficulty finding words: a teachable moment. | PSNet
     psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
     September 23, 2017 - Related Resources From the Same Author(s) Polypharmacy in the elderly--when good drugs lead

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36416/psn-pdf
     December 22, 2010 - A medical error leads to tragedy: how do we inform the patient? December 22, 2010 Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient This roundtable discussion p…

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72670/psn-pdf
     January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys…

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40641/psn-pdf
     July 27, 2011 - Error in body weight estimation leads to inadequate parenteral anticoagulation. July 27, 2011 Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.2010.01.006. https://psnet.ahrq.gov/is…

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45225/psn-pdf
     June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R…

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41589/psn-pdf
     July 02, 2014 - Prior research has shown that inappropriate use of heuristics can lead to diagnostic errors.

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43732/psn-pdf
     January 07, 2015 - that such delays are not always due to error, this commentary reviews how diagnostic difficulty can lead

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36140/psn-pdf
     September 29, 2010 - Bottles may have been erroneously filled with another medication, which could lead to serious health

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44481/psn-pdf
     September 09, 2015 - This news article reports on how misdiagnosis may lead to patient harm, cognitive biases that can contribute

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42111/psn-pdf
     March 13, 2013 - neurophysiologist This commentary discusses how misinterpretation of electroencephalograms (EEGs) can lead

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38878/psn-pdf
     September 26, 2016 - reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs- and-benefits This article explains how interruptions affect cognition and how disruption may lead