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Showing results for "leads".

61. An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet
    psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and
    March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system … An anesthesiology department leads culture change at a hospital system level to improve quality and patient … An anesthesiology department leads culture change at a hospital system level to improve quality and patient

62. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room | PSNet
    psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
    February 01, 2019 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837308/psn-pdf
    June 01, 2022 - delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery … https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications

64. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/867659
    July 10, 2024 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. … delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. By Gary S. … https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery https

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42535/psn-pdf
    October 16, 2013 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads … Implementing an interprofessional patient safety learning initiative: insights from participants, project leads

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43661/psn-pdf
    November 05, 2014 - challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error … https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47616/psn-pdf
    August 14, 2019 - The authors theorized that misalignment leads to missed follow-up testing and deterioration in patient–physician … issue/process-care-failures-breast-cancer-diagnosis https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis

68. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
    psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - CME/MOC Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads … Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and … Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and … Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and

69. Safety still compromised by computer weaknesses. | PSNet
    psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
    September 14, 2016 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared … August 24, 2016 Misprogramming PCA concentration leads to dosing errors. … July 17, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47441/psn-pdf
    September 26, 2018 - patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations Inadequate nurse staffing in hospitals leads … reassessment, which are particularly important for seriously ill patients, and that inadequate staffing leads

71. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
    January 01, 2024 - . – The anesthesia resident had only connected ECG leads into the anesthesia monitor, and not into … ) may be induced by attempted cardioversion.8 – It is therefore very important to connect the ECG leads … pacing mode, as in the electrophysiology lab or in the operating room, where pacing via epicardial leads … – With this set-up, a separate pair of chest leads directly connected to the defibrillator is no … (1) Connect defibrillators to the ECG leads (2) Connect defibrillators to the ECG leads (3) Be familiar

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49747/psn-pdf
    December 01, 2015 - While a standard diagnostic ECG acquires data from 12 different leads (via 10 electrodes placed on the … could have checked the patient's full diagnostic standard 12-lead ECG to determine which of the 12 leads … Another suggestion for industry is to create algorithms that analyze all of the available ECG leads, … rather than only a select few leads. … Low voltage QRS complexes are present in the seven leads available for monitoring (I, II, III, aVR,

73. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
    psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
    July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without

74. PowerPoint Presentation (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
    December 01, 2015 - often monitored using telemetry A standard electrocardiogram (ECG) acquires data from 12 different leads … Telemetry monitoring is a 5-electrode configuration Acquires 6 limb leads (I, II, III, aVR, aVL, aVF … ) and 1 chest lead (V) Telemetry display usually only shows 2 leads (often leads II and V) A computer … algorithm then continuously analyzes a limited number of leads (usually 1–2) The algorithm monitors … 19 Device Settings to Combat Alarm Fatigue (2) Creating algorithms that analyze all available ECG leads

75. Pharmacy mixes up prescriptions. | PSNet
    psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
    March 10, 2021 - Pharmacy error leads to fatal medication mix-up. … Pharmacy error leads to fatal medication mix-up.

76. Patient outcomes after the introduction of statewide ICU nurse staffing regulations. | PSNet
    psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations
    June 19, 2019 - Inadequate nurse staffing in hospitals leads to increased morbidity and mortality . … reassessment, which are particularly important for seriously ill patients , and that inadequate staffing leads

77. Harm From Alarm Fatigue | PSNet
    psnet.ahrq.gov/web-mm/harm-alarm-fatigue
    February 14, 2018 - While a standard diagnostic ECG acquires data from 12 different leads (via 10 electrodes placed on the … patient's body), telemetry monitoring systems typically acquire data from fewer leads (via 3–6 electrodes … could have checked the patient's full diagnostic standard 12-lead ECG to determine which of the 12 leads … Another suggestion for industry is to create algorithms that analyze all of the available ECG leads, … rather than only a select few leads.

78. 2022 HQI Annual Conference | PSNet
    psnet.ahrq.gov/training-catalog/2022-hqi-annual-conference
    January 01, 2022 - professionals in attendance will highlight successes, celebrating achievements, and charting a course that leads

79. Hidden medication loss when using a primary administration set for small-volume intermittent infusions. | PSNet
    psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
    December 14, 2022 - October 20, 2021 Leaving a discontinued FentaNYL infusion attached to the patient leads … October 21, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49818/psn-pdf
    January 01, 2018 - A Costly Colonoscopy Leads to a Delay in Diagnosis January 1, 2018 Moriates C. … A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. 2018. … https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis The Case A 50-year-old man presented … https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis The Commentary by Christopher … Leads the World in Health Expenditures. New York Times. June 1, 2013. [Available at] 14. Cooke M.