Results

Total Results: 5,103 records

Showing results for "leads".

421. Are you listening...Are you really listening? | PSNet
     psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening
     December 04, 2016 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads

422. 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

423. Removing the "me" from "MD." | PSNet
     psnet.ahrq.gov/issue/removing-me-md
     July 18, 2016 - February 8, 2023 View More Related Resources Unprofessional Behavior Leads

424. 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

425. Safety of anesthetic and perioperative medication practices. | PSNet
     psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
     January 14, 2019 - May 4, 2022 WebM&M Cases Saline Flush Leads to Acute

426. Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. | PSNet
     psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use-non-profiled
     May 07, 2014 - June 10, 2018 Misprogramming PCA concentration leads to dosing errors.

427. Medication reconciliation in the hospital: what, why, where, when, who and how? | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
     March 05, 2013 - March 30, 2011 An anesthesiology department leads culture change at a hospital system

428. 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.

429. 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

430. 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

431. 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.

432. 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

433. 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

434. 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

435. The day Joy died. | PSNet
     psnet.ahrq.gov/issue/day-joy-died
     August 20, 2018 - WebM&M Cases Uterine Artery Injury during Cesarean Delivery Leads

436. 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.

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. Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. | PSNet
     psnet.ahrq.gov/issue/medical-trainees-formal-and-informal-incident-reporting-across-five-hospital-academic-medical
     May 10, 2016 - June 15, 2011 An anesthesiology department leads culture change at a hospital system

439. Mortality as a measure of quality: implications for palliative and end-of-life care. | PSNet
     psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
     June 30, 2011 - March 2, 2011 An anesthesiology department leads culture change at a hospital system

440. 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