Results

Total Results: 5,097 records

Showing results for "leads".

321. Improving pathologists' communication skills. | PSNet
     psnet.ahrq.gov/issue/improving-pathologists-communication-skills
     May 18, 2022 - July 27, 2016 When diagnostic testing leads to harm: a new outcomes-based approach for

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. Lewis Blackman Patient Safety Award. | PSNet
     psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
     April 28, 2021 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

324. Assessing medication safety in settings not designated solely for pediatric patients. | PSNet
     psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
     February 01, 2023 - January 14, 2021 Incorrect use of smart infusion pump in the operating room (OR) leads

325. 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

326. 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.

327. 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

328. 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

329. 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

330. 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.

331. 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.

332. 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.

333. 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.

334. Discharge missteps can send seniors back to hospital. | PSNet
     psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
     March 28, 2012 - March 7, 2012 Parkland knee surgery done by doctor in training leads to amputation, questions

335. Ongoing, preventable fatal events with fentanyl transdermal patches are alarming! | PSNet
     psnet.ahrq.gov/issue/ongoing-preventable-fatal-events-fentanyl-transdermal-patches-are-alarming
     May 07, 2018 - April 29, 2018 Misprogramming PCA concentration leads to dosing errors.

336. 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

337. DTaP–Tdap mix-ups now affecting hundreds of patients. | PSNet
     psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
     June 10, 2018 - June 10, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads

338. 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"

339. 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

340. Patient Safety in Surgery. | PSNet
     psnet.ahrq.gov/issue/patient-safety-surgery-0
     October 18, 2017 - Summary July 23, 2024 WebM&M Cases Saline Flush Leads