Results

Total Results: 5,097 records

Showing results for "leads".

301. 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.

302. Clash in the name of care. | PSNet
     psnet.ahrq.gov/issue/clash-name-care
     April 27, 2016 - September 1, 2011 Parkland knee surgery done by doctor in training leads to amputation

303. 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

304. 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

305. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. | PSNet
     psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
     March 17, 2021 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads

306. Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). | PSNet
     psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safety-investigation
     May 03, 2023 - August 3, 2022 Incorrect use of smart infusion pump in the operating room (OR) leads

307. Survey results from pharmacists provide support to enhance the organizational response to codes. | PSNet
     psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
     November 02, 2022 - December 4, 2024 WebM&M Cases Medication Mix-Up Leads

308. Medical overuse as a physician cognitive error: looking under the hood. | PSNet
     psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
     September 25, 2019 - November 18, 2020 When medical care leads to harm—difficulty finding words: a teachable

309. Is excessive resource utilization an adverse event? | PSNet
     psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
     February 02, 2022 - September 29, 2017 WebM&M Cases A Costly Colonoscopy Leads

310. Pump up the volume: tips for increasing error reporting and decreasing patient harm. | PSNet
     psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
     January 27, 2021 - August 11, 2021 Electronic prescribing vulnerabilities: height and weight mix-up leads

311. Partnering with families and patient advocates: another line of defense in adverse event surveillance. | PSNet
     psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
     September 11, 2019 - September 14, 2016 Electronic prescribing vulnerabilities: height and weight mix-up leads

312. Sent home to die. | PSNet
     psnet.ahrq.gov/issue/sent-home-die
     April 22, 2020 - July 29, 2020 Fear of Covid-19 leads other patients to decline critical treatment.

313. FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. | PSNet
     psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
     July 01, 2020 - December 16, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads

314. The public has been forgiving. But hospitals got some things wrong. | PSNet
     psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
     April 03, 2019 - June 17, 2020 Fear of Covid-19 leads other patients to decline critical treatment.

315. Missed steps in the preanesthetic set-up. | PSNet
     psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
     June 26, 2019 - November 16, 2022 Learning through simulated independent practice leads to better future

316. Start the year off right by preventing these top 10 medication errors and hazards from 2020. | PSNet
     psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
     February 09, 2022 - January 27, 2021 Leaving a discontinued FentaNYL infusion attached to the patient leads

317. A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. | PSNet
     psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
     September 09, 2020 - September 8, 2010 Unprofessional Behavior Leads to Complications.

318. Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. | PSNet
     psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
     March 03, 2021 - March 16, 2022 Leaving a discontinued FentaNYL infusion attached to the patient leads

319. A system-based approach to managing patient safety in ambulatory care (and beyond). | PSNet
     psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
     December 09, 2020 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared

320. Laura Levis' death outside ER has changed hospital signage, lighting in Mass. | PSNet
     psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
     May 05, 2021 - May 10, 2017 COVID-19 leads to increased need for dialysis machines.