-
psnet.ahrq.gov/node/41464/psn-pdf
November 26, 2014 - risk-unintentional-overdose-non-prescription-acetaminophen-products
Overdose of acetaminophen—a commonly used over-the-counter medication—is the leading
-
psnet.ahrq.gov/node/40390/psn-pdf
February 03, 2015 - the widespread controversy
engendered by this policy, the actual financial effect has been small, leading
-
psnet.ahrq.gov/node/47035/psn-pdf
April 18, 2018 - commentary recommends actions general internists should take to
improve diagnosis in primary care, such as leading
-
psnet.ahrq.gov/node/41045/psn-pdf
July 02, 2014 - authors found faults in the diagnostic reasoning process in the majority of
patients and overt errors leading
-
psnet.ahrq.gov/node/39236/psn-pdf
May 25, 2010 - national-surveillance-emergency-department-visits-outpatient-adverse-drug-events-children-and
https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
-
psnet.ahrq.gov/node/37891/psn-pdf
June 09, 2011 - This study sought to determine the factors leading to medication discrepancies, with a view toward
developing
-
psnet.ahrq.gov/node/40291/psn-pdf
September 09, 2011 - outcomes-emergency-department-patients-presenting-adverse-drug-events
https://psnet.ahrq.gov//#adversedrugevent
https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
-
psnet.ahrq.gov/node/41725/psn-pdf
January 01, 2013 - improving-patient-handovers-hospital-primary-care-systematic-review
Care transitions remain a particularly vulnerable time for patient safety, leading
-
psnet.ahrq.gov/node/45428/psn-pdf
January 25, 2017 - too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization
https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
-
psnet.ahrq.gov/node/42621/psn-pdf
October 31, 2014 - Health Organization has taken a prime role in improving patient safety worldwide, with one of its
leading
-
psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
November 03, 2015 - authors reviewed discharge medication records for elderly patients to assess documentation problems leading
-
psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - Editor’s note: Monika Haugstetter, MHA, MSN, RN, CPHQ, is a Health Science Administrator with AHRQ,
leading … My professional focus has been on leading quality improvement
projects. … I was also involved with leading the AHRQ-funded National Training program and
leading national conferences … Monika has been leading AHRQ’s efforts in the diagnostic error realm, so I know
that that’s a topic
-
psnet.ahrq.gov/node/45233/psn-pdf
September 07, 2016 - results echo earlier studies that found clinical faculty had
concerns about duty hour restrictions leading
-
psnet.ahrq.gov/node/45710/psn-pdf
December 22, 2017 - is a process frequently employed by health care institutions to understand the
sequence of events leading
-
psnet.ahrq.gov/node/37207/psn-pdf
September 09, 2008 - variation
in the risk adjustment methods used and the types of outcomes reported on each Web site, leading
-
psnet.ahrq.gov/node/39655/psn-pdf
July 07, 2010 - information gathering and
suboptimal communication were named as the principal individual and system factors leading
-
psnet.ahrq.gov/node/38660/psn-pdf
November 13, 2009 - use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
-
psnet.ahrq.gov/node/44304/psn-pdf
September 09, 2015 - for improving surgical outcomes,
concerns about worsening procedural skills and increased handoffs leading
-
psnet.ahrq.gov/node/43567/psn-pdf
October 21, 2016 - anticoagulation-associated-adverse-drug-events
https://psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department
-
psnet.ahrq.gov/issue/survey-results-reveal-tubing-misconnections-are-common-and-underreported-parts-i-and-ii
December 18, 2024 - November 8, 2023
WebM&M Cases
Misconnection Leading to