Results

Total Results: 5,398 records

Showing results for "leads".

441. 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

442. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. | PSNet
     psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
     July 02, 2014 - March 30, 2011 An anesthesiology department leads culture change at a hospital system

443. Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma. | PSNet
     psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
     June 21, 2016 - February 19, 2014 Error in body weight estimation leads to inadequate parenteral anticoagulation

444. The development of a patient safety program across the continuum of care. | PSNet
     psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
     September 21, 2009 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads

445. Chemotherapy dose limits set by users of a computer order entry system. | PSNet
     psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system
     August 13, 2008 - May 11, 2019 Electronic prescribing vulnerabilities: height and weight mix-up leads to

446. The ongoing quality improvement journey: next stop, high reliability. | PSNet
     psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
     January 23, 2012 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads

447. 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

448. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. | PSNet
     psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
     June 14, 2011 - January 15, 2014 When diagnostic testing leads to harm: a new outcomes-based approach

449. Negotiating medical virtues: toward the development of a physician mistake disclosure model. | PSNet
     psnet.ahrq.gov/issue/negotiating-medical-virtues-toward-development-physician-mistake-disclosure-model
     June 14, 2017 - June 14, 2011 A medical error leads to tragedy: how do we inform the patient?

450. 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

451. No-fault compensation for medical injuries: the prospect for error prevention. | PSNet
     psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
     May 20, 2015 - February 17, 2011 A medical error leads to tragedy: how do we inform the patient?

452. 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 - May 7, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads to

453. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? | PSNet
     psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
     May 23, 2018 - March 27, 2024 Leaving a discontinued FentaNYL infusion attached to the patient leads

454. 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.

455. 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

456. Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. | PSNet
     psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
     February 24, 2016 - December 2, 2015 The absence of a drug–disease interaction alert leads to a child's death

457. Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. | PSNet
     psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
     March 09, 2016 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared

458. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
     January 01, 2015 - January 13, 2013 An anesthesiology department leads culture change at a hospital system

459. The path to safe and reliable healthcare. | PSNet
     psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
     August 20, 2018 - August 26, 2011 An anesthesiology department leads culture change at a hospital system

460. Patient safety: is it just another bandwagon? | PSNet
     psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
     June 12, 2013 - July 30, 2014 When diagnostic testing leads to harm: a new outcomes-based approach for