-
psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
January 28, 2009 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
-
psnet.ahrq.gov/issue/using-enhanced-oral-chemotherapy-computerized-provider-order-entry-system-reduce-prescribing
October 20, 2014 - May 11, 2019
Electronic prescribing vulnerabilities: height and weight mix-up leads to
-
psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
June 15, 2012 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
-
psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient
May 27, 2011 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
-
psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
November 03, 2015 - WebM&M Cases
Delay in Treatment: Failure to Contact Patient Leads
-
psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
July 24, 2013 - January 20, 2021
WebM&M Cases
Lack of Sepsis Recognition Leads
-
psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
May 26, 2014 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
-
psnet.ahrq.gov/issue/alternative-perspectives-safety-home-delivered-health-care-sequential-exploratory-mixed
February 17, 2016 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
-
psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
October 16, 2013 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
-
psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient
January 27, 2016 - March 30, 2011
An anesthesiology department leads culture change at a hospital system
-
psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
November 16, 2015 - June 15, 2022
The absence of a drug–disease interaction alert leads to a child's death
-
psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
February 10, 2015 - July 6, 2022
WebM&M Cases
Lack of Sepsis Recognition Leads
-
psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
March 11, 2009 - June 13, 2011
An anesthesiology department leads culture change at a hospital system
-
psnet.ahrq.gov/issue/identifying-organizational-cultures-promote-patient-safety
June 16, 2011 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
-
psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
September 29, 2017 - Download Citation
Related Resources From the Same Author(s)
When medical care leads
-
psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
November 15, 2017 - August 29, 2011
Error in body weight estimation leads to inadequate parenteral anticoagulation
-
psnet.ahrq.gov/issue/patient-safety-and-interprofessional-education-report-key-issues-two-interprofessional
August 20, 2018 - Cases
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads
-
psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
October 31, 2014 - Cases
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads
-
psnet.ahrq.gov/issue/crises-clinical-care-approach-management
March 23, 2011 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
-
psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using
September 26, 2016 - July 29, 2020
Electronic prescribing vulnerabilities: height and weight mix-up leads