Results

Total Results: 5,103 records

Showing results for "leads".

321. 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

322. Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? | PSNet
     psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
     November 18, 2020 - September 23, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads

323. 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

324. 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

325. 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

326. 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.

327. 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

328. 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

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49865/psn-pdf
     June 01, 2019 - nonsevere penicillin allergy, treatment with cephalosporins without preceding penicillin skin testing leads … Use of non–beta-lactam alternatives in patients reporting penicillin allergies leads to more treatment … National Penicillin Allergy Day (September 28).(16) Take-Home Points Unverified penicillin allergy leads

330. FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels. | PSNet
     psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
     May 02, 2018 - May 5, 2018 Misprogramming PCA concentration leads to dosing errors.

331. ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. | PSNet
     psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events
     June 10, 2018 - May 2, 2018 Misprogramming PCA concentration leads to dosing errors.

332. Accidental overdoses involving fluorouracil infusions. | PSNet
     psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions
     July 08, 2015 - June 10, 2018 Selection of incorrect medication pump leads to chemotherapy overdose.

333. I can't turn my brain off. | PSNet
     psnet.ahrq.gov/issue/i-cant-turn-my-brain
     December 14, 2016 - December 14, 2016 Fear of Covid-19 leads other patients to decline critical treatment

334. That’s the way we do things around here! | PSNet
     psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
     June 10, 2018 - October 26, 2011 An anesthesiology department leads culture change at a hospital system

335. Sick children face potentially deadly danger: medication errors. | PSNet
     psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors
     September 02, 2009 - May 19, 2018 Failed check system for chemotherapy leads to pharmacist's "no contest"

336. Building a case for medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/building-case-medication-reconciliation
     June 10, 2018 - May 7, 2018 The absence of a drug–disease interaction alert leads to a child's death.

337. Inattentional blindness: what captures your attention? | PSNet
     psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention
     May 07, 2018 - June 30, 2021 Electronic prescribing vulnerabilities: height and weight mix-up leads

338. How has the current economy affected patient safety? | PSNet
     psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
     May 07, 2018 - May 7, 2018 Failed check system for chemotherapy leads to pharmacist's "no contest" plea

339. People with disabilities fear pandemic will worsen medical biases. | PSNet
     psnet.ahrq.gov/issue/people-disabilities-fear-pandemic-will-worsen-medical-biases
     April 27, 2016 - April 17, 2019 COVID-19 leads to increased need for dialysis machines.

340. The most crucial half-hour at a hospital: the shift change. | PSNet
     psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change
     August 17, 2016 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads