Results

Total Results: 5,097 records

Showing results for "leads".

421. High-reliability organizations (HROs): what they know that we don't (Part II). | PSNet
     psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-ii
     June 10, 2018 - May 7, 2018 Misprogramming PCA concentration leads to dosing errors.

422. Implementing Optimal Team-Based Care to Reduce Clinician Burnout. | PSNet
     psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
     January 16, 2019 - April 28, 2021 Unprofessional Behavior Leads to Complications.

423. The incidence of diagnostic error in medicine. | PSNet
     psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
     July 15, 2015 - April 3, 2018 When diagnostic testing leads to harm: a new outcomes-based approach for

424. Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. | PSNet
     psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
     July 08, 2015 - April 16, 2014 The absence of a drug–disease interaction alert leads to a child's death

425. Good intention, uncertain outcome...our take on physician dispensing in offices and clinics. | PSNet
     psnet.ahrq.gov/issue/good-intention-uncertain-outcomeour-take-physician-dispensing-offices-and-clinics
     February 13, 2019 - June 16, 2019 Electronic prescribing vulnerabilities: height and weight mix-up leads

426. Beware of basal opioid infusions with PCA therapy. | PSNet
     psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
     June 05, 2018 - Related Resources Leaving a discontinued FentaNYL infusion attached to the patient leads

427. Our long journey towards a safety-minded just culture. Part I: Where we've been. | PSNet
     psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
     November 13, 2018 - June 19, 2019 Incorrect use of smart infusion pump in the operating room (OR) leads to

428. Quality in cancer diagnosis. | PSNet
     psnet.ahrq.gov/issue/quality-cancer-diagnosis
     April 08, 2008 - Improving Diagnostic Safety and Quality April 26, 2023 When diagnostic testing leads

429. Sounding the alarm. Nurses, organizations work to address alarm fatigue. | PSNet
     psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
     July 19, 2017 - April 26, 2023 Leaving a discontinued FentaNYL infusion attached to the patient leads

430. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet
     psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
     May 02, 2018 - June 24, 2020 Electronic prescribing vulnerabilities: height and weight mix-up leads

431. Independent double checks: worth the effort if used judiciously and properly. | PSNet
     psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
     January 23, 2019 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared

432. Teaching about diagnostic errors through virtual patient cases: a pilot exploration. | PSNet
     psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
     September 18, 2013 - March 2, 2022 WebM&M Cases "Superficial" Report Leads

433. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. | PSNet
     psnet.ahrq.gov/issue/comprehensive-collaborative-patient-safety-residency-curriculum-address-acgme-core
     October 06, 2011 - August 26, 2011 An anesthesiology department leads culture change at a hospital system

434. Maximizing smart pump technology to enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
     April 25, 2018 - May 5, 2018 Misprogramming PCA concentration leads to dosing errors.

435. 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

436. Taking a closer look at medication errors that involve oxytocin. | PSNet
     psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
     July 18, 2018 - June 10, 2018 Misprogramming PCA concentration leads to dosing errors.

437. Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. | PSNet
     psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision
     October 22, 2014 - October 10, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads

438. Preventing patient positioning injuries in the nonoperating room setting. | PSNet
     psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
     November 21, 2012 - June 15, 2022 WebM&M Cases Saline Flush Leads to Acute

439. As COVID-19 bears down, doctors confront difficult choices on elective surgeries. | PSNet
     psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries
     March 31, 2010 - June 17, 2020 Fear of Covid-19 leads other patients to decline critical treatment.

440. Complementary telephone strategies to improve postdischarge communication. | PSNet
     psnet.ahrq.gov/issue/complementary-telephone-strategies-improve-postdischarge-communication
     July 02, 2014 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads