Results

Total Results: 5,398 records

Showing results for "leads".

381. Error traps in pediatric patient blood management in the perioperative period. | PSNet
     psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
     January 12, 2022 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

382. Drug-induced hypoglycaemia--new insight into an old problem. | PSNet
     psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
     October 19, 2022 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared

383. Reminder: pay attention to the appearance of your medicines. | PSNet
     psnet.ahrq.gov/issue/reminder-pay-attention-appearance-your-medicines
     September 09, 2015 - March 6, 2018 Selection of incorrect medication pump leads to chemotherapy overdose.

384. Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. | PSNet
     psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
     August 08, 2018 - May 7, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads to

385. Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. | PSNet
     psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
     August 24, 2016 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared

386. Technology and error-prevention strategies: why are we still overlooking the IV room? | PSNet
     psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
     July 08, 2015 - November 16, 2015 The absence of a drug–disease interaction alert leads to a child's

387. Our long journey towards a safety-minded just culture. Part II: where we're going. | PSNet
     psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
     June 05, 2018 - November 2, 2022 The absence of a drug–disease interaction alert leads to a child's death

388. Fatal outcome after inadvertent injection of topical epinephrine. | PSNet
     psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine
     May 07, 2018 - May 7, 2018 Failed check system for chemotherapy leads to pharmacist's "no contest" plea

389. FDA Advise-ERR: medication errors associated with Cerebyx. | PSNet
     psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
     May 02, 2018 - April 20, 2022 Failed check system for chemotherapy leads to pharmacist's "no contest

390. Anticoagulant safety takes center stage in 2007. | PSNet
     psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
     May 02, 2018 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared

391. Quality indicators to detect pre-analytical errors in laboratory testing. | PSNet
     psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
     December 21, 2016 - October 9, 2013 When diagnostic testing leads to harm: a new outcomes-based approach

392. Preventing catheter/tubing misconnections: much needed help is on the way. | PSNet
     psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
     May 07, 2018 - September 22, 2010 Electronic prescribing vulnerabilities: height and weight mix-up leads

393. 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

394. Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine. | PSNet
     psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine
     August 05, 2015 - December 14, 2022 Leaving a discontinued FentaNYL infusion attached to the patient leads

395. Preventing high-alert medication errors in hospital patients. | PSNet
     psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
     November 18, 2015 - September 27, 2016 The absence of a drug–disease interaction alert leads to a child's

396. ER doctor discusses role in Ebola patient's initial misdiagnosis. | PSNet
     psnet.ahrq.gov/issue/er-doctor-discusses-role-ebola-patients-initial-misdiagnosis
     October 15, 2014 - August 11, 2010 Parkland knee surgery done by doctor in training leads to amputation,

397. Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? | PSNet
     psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
     June 10, 2018 - April 4, 2018 The absence of a drug–disease interaction alert leads to a child's death

398. The growing role of the Patient Safety Officer: implications for risk managers. | PSNet
     psnet.ahrq.gov/issue/growing-role-patient-safety-officer-implications-risk-managers
     February 17, 2009 - January 15, 2014 When diagnostic testing leads to harm: a new outcomes-based approach

399. Resolving human conflicts when questions about the safety of medical orders arise. | PSNet
     psnet.ahrq.gov/issue/resolving-human-conflicts-when-questions-about-safety-medical-orders-arise
     June 05, 2018 - March 11, 2020 Leaving a discontinued FentaNYL infusion attached to the patient leads

400. Doctors fear criminalization of medical mistakes. | PSNet
     psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes
     March 28, 2012 - February 20, 2019 Failed check system for chemotherapy leads to pharmacist's "no contest