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Total Results: 5,103 records

Showing results for "leads".

  1. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet

    psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
    March 15, 2022 - November 2, 2022 Leaving a discontinued FentaNYL infusion attached to the patient leads

  2. Evidence under judgment: can we oversee our own decision making? | PSNet

    psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
    May 21, 2019 - June 25, 2014 When diagnostic testing leads to harm: a new outcomes-based approach for

  3. Prevention of medical accidents caused by defective surgical instruments. | PSNet

    psnet.ahrq.gov/issue/prevention-medical-accidents-caused-defective-surgical-instruments
    July 31, 2019 - December 9, 2020 WebM&M Cases Lack of Sepsis Recognition Leads

  4. Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-1
    September 21, 2022 - February 3, 2021 When medical care leads to harm—difficulty finding words: a teachable

  5. How medical jargon can make COVID health disparities even worse. | PSNet

    psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse
    July 28, 2021 - June 17, 2020 Fear of Covid-19 leads other patients to decline critical treatment.

  6. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet

    psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
    September 07, 2022 - June 19, 2019 Failed check system for chemotherapy leads to pharmacist's "no contest"

  7. 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 - June 16, 2019 Electronic prescribing vulnerabilities: height and weight mix-up leads

  8. Premature closure? Not so fast. | PSNet

    psnet.ahrq.gov/issue/premature-closure-not-so-fast
    September 28, 2022 - March 2, 2022 WebM&M Cases "Superficial" Report Leads

  9. Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
    January 01, 2024 - Injury during Cesarean Delivery - FINAL.pptx Spotlight Uterine Artery Injury during Cesarean Delivery Leads … disparities in maternal morbidity and mortality. 3 UTERINE ARTERY INJURY DURING CESAREAN DELIVERY LEADS … cardiac arrest with residual cognitive impairment. 8 UTERINE ARTERY INJURY DURING CESAREAN DELIVERY LEADS

  10. Near miss audit in obstetrics. | PSNet

    psnet.ahrq.gov/issue/near-miss-audit-obstetrics
    March 06, 2024 - April 1, 2021 WebM&M Cases Lack of Sepsis Recognition Leads

  11. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. | PSNet

    psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
    March 27, 2024 - July 16, 2014 An anesthesiology department leads culture change at a hospital system

  12. Don't underestimate the impact of change on risk potential. | PSNet

    psnet.ahrq.gov/issue/dont-underestimate-impact-change-risk-potential
    May 02, 2018 - May 5, 2018 Misprogramming PCA concentration leads to dosing errors.

  13. Safe practice environment chapter proposed by USP. | PSNet

    psnet.ahrq.gov/issue/safe-practice-environment-chapter-proposed-usp
    May 02, 2018 - May 5, 2018 Misprogramming PCA concentration leads to dosing errors.

  14. Collaboration focused on priority issues promotes safety. | PSNet

    psnet.ahrq.gov/issue/collaboration-focused-priority-issues-promotes-safety
    May 05, 2018 - May 2, 2018 Misprogramming PCA concentration leads to dosing errors.

  15. Benefits and risks of including patients on RCA teams. | PSNet

    psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
    May 02, 2018 - May 5, 2018 Misprogramming PCA concentration leads to dosing errors.

  16. Why false positives merit concern, too. | PSNet

    psnet.ahrq.gov/issue/why-false-positives-merit-concern-too
    February 19, 2010 - November 7, 2012 Fear of Covid-19 leads other patients to decline critical treatment.

  17. Lost surgical specimens, lost opportunities. | PSNet

    psnet.ahrq.gov/issue/lost-surgical-specimens-lost-opportunities
    April 16, 2018 - December 30, 2014 When diagnostic testing leads to harm: a new outcomes-based approach

  18. Death of a boy prompts new medical efforts nationwide. | PSNet

    psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
    March 22, 2014 - October 30, 2019 Fear of Covid-19 leads other patients to decline critical treatment.

  19. 'Alarm fatigue’ a factor in 2nd death. | PSNet

    psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
    September 30, 2015 - December 14, 2022 Leaving a discontinued FentaNYL infusion attached to the patient leads

  20. Some red rules shouldn't rule in hospitals. | PSNet

    psnet.ahrq.gov/issue/some-red-rules-shouldnt-rule-hospitals
    May 07, 2014 - May 5, 2018 Misprogramming PCA concentration leads to dosing errors.
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