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Total Results: 5,399 records

Showing results for "leads".

541. 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.

542. The cost of poor blood specimen quality and errors in preanalytical processes. | PSNet
     psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
     April 22, 2009 - March 26, 2014 When diagnostic testing leads to harm: a new outcomes-based approach for

543. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. | PSNet
     psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims
     July 05, 2017 - December 21, 2022 When a vital sign leads a country astray—the opioid epidemic.

544. Crises in clinical care: an approach to management. | PSNet
     psnet.ahrq.gov/issue/crises-clinical-care-approach-management
     March 23, 2011 - WebM&M Cases Uterine Artery Injury during Cesarean Delivery Leads

545. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. | PSNet
     psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using
     September 26, 2016 - July 29, 2020 Electronic prescribing vulnerabilities: height and weight mix-up leads

546. The effect of an organizational network for patient safety on safety event reporting. | PSNet
     psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
     October 16, 2013 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads

547. Near misses: paradoxical realities in everyday clinical practice. | PSNet
     psnet.ahrq.gov/issue/near-misses-paradoxical-realities-everyday-clinical-practice
     May 04, 2012 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads

548. E-prescribing first step to improved safety. | PSNet
     psnet.ahrq.gov/issue/e-prescribing-first-step-improved-safety
     February 16, 2011 - October 10, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads

549. Anesthesia medication handling needs a new vision. | PSNet
     psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision
     July 10, 2017 - Radiology Reads in the Digital Era January 1, 2017 An anesthesiology department leads

550. Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
     August 15, 2018 - August 10, 2011 Error in body weight estimation leads to inadequate parenteral anticoagulation

551. On the ball: leadership for patient safety and learning in critical care. | PSNet
     psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
     October 16, 2013 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads

552. Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. | PSNet
     psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
     September 29, 2017 - Download Citation Related Resources From the Same Author(s) When medical care leads

553. Rate of occult specimen provenance complications in routine clinical practice. | PSNet
     psnet.ahrq.gov/issue/rate-occult-specimen-provenance-complications-routine-clinical-practice
     January 05, 2012 - March 12, 2014 When diagnostic testing leads to harm: a new outcomes-based approach for

554. Sentinel events, serious reportable events, and root cause analysis. | PSNet
     psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
     February 26, 2014 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

555. Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-interprofessional-education-report-key-issues-two-interprofessional
     August 20, 2018 - Cases Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads

556. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. | PSNet
     psnet.ahrq.gov/issue/alternative-perspectives-safety-home-delivered-health-care-sequential-exploratory-mixed
     February 17, 2016 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads

557. An automated, dynamic radiation oncology prescription checking system. | PSNet
     psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system
     October 27, 2010 - June 16, 2019 Electronic prescribing vulnerabilities: height and weight mix-up leads

558. Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. | PSNet
     psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
     February 10, 2015 - July 6, 2022 WebM&M Cases Lack of Sepsis Recognition Leads

559. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. | PSNet
     psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
     October 31, 2014 - Cases Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads

560. When systems fail. | PSNet
     psnet.ahrq.gov/issue/when-systems-fail
     February 10, 2011 - April 14, 2021 Error in body weight estimation leads to inadequate parenteral anticoagulation