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Showing results for "leads".

61. 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

62. 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

63. 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

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47616/psn-pdf
    January 01, 2020 - 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

65. Safety still compromised by computer weaknesses. | PSNet
    psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
    September 14, 2016 - September 7, 2022 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Misprogramming PCA concentration leads to dosing errors. … Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared

66. "Use as directed" can cause confusion for both patients and practitioners. | PSNet
    psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
    August 24, 2016 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared … February 24, 2016 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Misprogramming PCA concentration leads to dosing errors.

67. 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,

68. 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

69. 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

70. 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.

71. Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors. | PSNet
    psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
    August 07, 2024 - September 14, 2016 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Misprogramming PCA concentration leads to dosing errors.

72. 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.

73. 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

74. 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.

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836942/psn-pdf
    April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in … https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper- medication-labeling … The Commentary By Robert Scott Kriss, DO https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling … https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling

76. 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

77. Semantically ambiguous language in the teaching operating room. | PSNet
    psnet.ahrq.gov/issue/semantically-ambiguous-language-teaching-operating-room
    November 11, 2020 - March 29, 2023 WebM&M Cases Saline Flush Leads to … Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

78. Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. | PSNet
    psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
    February 12, 2020 - December 16, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads … November 17, 2021 Leaving a discontinued FentaNYL infusion attached to the patient leads

79. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
    psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
    March 25, 2020 - VF) may be induced by attempted cardioversion. 8 It is therefore very important to connect the ECG leads … This may take place in the electrophysiology lab or in the operating room where pacing via epicardial leads … team forgetting to check that the cardioverter/defibrillator had been hooked up correctly to the ECG leads … With this set-up, a separate pair of chest leads directly connected to the defibrillator is no longer … May 16, 2022 WebM&M Cases Saline Flush Leads to

80. When COVID-19 hit, many elderly were left to die. | PSNet
    psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
    June 24, 2020 - November 10, 2021 When medical care leads to harm—difficulty finding words: a teachable … February 10, 2015 Fear of Covid-19 leads other patients to decline critical treatment