Results

Total Results: 5,399 records

Showing results for "leads".

341. 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 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared

342. 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

343. 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.

344. With oral chemotherapy, we simply must do better! | PSNet
     psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better
     February 13, 2019 - June 10, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads

345. 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

346. 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

347. 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 - November 17, 2021 Leaving a discontinued FentaNYL infusion attached to the patient leads

348. 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
     March 15, 2022 - December 4, 2024 WebM&M Cases Medication Mix-Up Leads

349. 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

350. 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.

351. 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.

352. 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

353. Effect of patient safety strategies on the incidence of adverse events. | PSNet
     psnet.ahrq.gov/issue/effect-patient-safety-strategies-incidence-adverse-events
     March 09, 2022 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads

354. The contribution of sociotechnical factors to health information technology–related sentinel events. | PSNet
     psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
     September 18, 2024 - October 31, 2018 Fear of Covid-19 leads other patients to decline critical treatment.

355. Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study. | PSNet
     psnet.ahrq.gov/issue/incidence-accidental-awareness-during-general-anaesthesia-obstetrics-multicentre-prospective
     December 10, 2024 - WebM&M Cases Uterine Artery Injury during Cesarean Delivery Leads

356. Influence of burnout on patient safety: systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/influence-burnout-patient-safety-systematic-review-and-meta-analysis
     August 16, 2023 - March 9, 2022 Error in body weight estimation leads to inadequate parenteral anticoagulation

357. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. | PSNet
     psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
     June 21, 2023 - May 22, 2019 WebM&M Cases Lapse in Antibiotics Leads

358. Performance of a web-based clinical diagnosis support system for internists. | PSNet
     psnet.ahrq.gov/issue/performance-web-based-clinical-diagnosis-support-system-internists
     August 02, 2023 - April 3, 2018 When diagnostic testing leads to harm: a new outcomes-based approach for

359. Errors in the administration of intravenous medication in Brazilian hospitals. | PSNet
     psnet.ahrq.gov/issue/errors-administration-intravenous-medication-brazilian-hospitals
     October 05, 2022 - August 11, 2014 Error in body weight estimation leads to inadequate parenteral anticoagulation

360. Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet
     psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
     October 05, 2022 - December 16, 2011 Error in body weight estimation leads to inadequate parenteral anticoagulation