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Showing results for "leads".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49752/psn-pdf
    January 01, 2016 - Inadvertent Use of More Potent Acid Leads to Burn January 1, 2016 Maibach HI. … Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. 2016. … https://psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn The Case A 31-year-old woman … https://psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn By the end of World War II

82. Progress with preventing name confusion errors. | PSNet
    psnet.ahrq.gov/issue/progress-preventing-name-confusion-errors
    May 07, 2018 - September 14, 2016 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Misprogramming PCA concentration leads to dosing errors.

83. Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. | PSNet
    psnet.ahrq.gov/issue/proper-positioning-pharmacy-label-hospira-pca-vials-will-avoid-interference-scanning
    May 05, 2018 - Related Resources From the Same Author(s) Misprogramming PCA concentration leads … June 16, 2019 Misprogramming PCA concentration leads to dosing errors.

84. Human costs of training doctors. | PSNet
    psnet.ahrq.gov/issue/human-costs-training-doctors
    December 17, 2014 - December 17, 2014 Parkland knee surgery done by doctor in training leads to amputation … January 14, 2011 Parkland knee surgery done by doctor in training leads to amputation

85. Misidentification of alphanumeric symbols in both handwritten and computer-generated information. | PSNet
    psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
    May 07, 2018 - Related Resources From the Same Author(s) Failed check system for chemotherapy leads … June 10, 2018 Failed check system for chemotherapy leads to pharmacist's "no contest"

86. ISMP updates its list of drug name pairs with Tall man letters. | PSNet
    psnet.ahrq.gov/issue/ismp-updates-its-list-drug-name-pairs-tall-man-letters
    June 10, 2018 - From the Same Author(s) Electronic prescribing vulnerabilities: height and weight mix-up leads … May 7, 2018 Misprogramming PCA concentration leads to dosing errors.

87. Misidentification of alphanumeric symbols. | PSNet
    psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols
    March 26, 2014 - September 14, 2022 WebM&M Cases Saline Flush Leads to … August 5, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads

88. Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? | PSNet
    psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
    June 10, 2018 - November 3, 2021 The absence of a drug–disease interaction alert leads to a child's death … January 23, 2019 Misprogramming PCA concentration leads to dosing errors.

89. Error | PSNet
    psnet.ahrq.gov/taxonomy/term/3475
    June 09, 2025 - Error An act of commission (doing something wrong) or omission (failing to do the right thing) that leads

90. 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 - SPOTLIGHT CASE 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

91. Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. | PSNet
    psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff
    December 27, 2014 - December 27, 2014 An anesthesiology department leads culture change at a hospital system … March 2, 2011 An anesthesiology department leads culture change at a hospital system

92. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. | PSNet
    psnet.ahrq.gov/issue/role-housestaff-implementing-medication-reconciliation-admission-academic-medical-center
    March 30, 2011 - March 30, 2011 An anesthesiology department leads culture change at a hospital system … March 2, 2011 An anesthesiology department leads culture change at a hospital system

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866520/psn-pdf
    August 14, 2024 - post-error slowing is not simply due to increased caution, but due to impaired cognitive processing, and leads

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60903/psn-pdf
    March 15, 2023 - breaking-rules-understanding-non-compliance-policies-and-guidelines https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50373/psn-pdf
    September 25, 2019 - psnet.ahrq.gov/issue/2018-update-pediatric-medical-overuse-review https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment

96. 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

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837907/psn-pdf
    August 24, 2022 - ismp-medication-safety-self-assessmentr-perioperative-settings https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72537/psn-pdf
    December 02, 2020 - role-automation-complex-system-failures https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60739/psn-pdf
    July 29, 2020 - new-us-health-crisis-looms-patients-without-covid-19-delay-care https://psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73297/psn-pdf
     May 19, 2021 - cancer-diagnostic-delay-northern-and-central-italy-during-2020-lockdown-due-coronavirus https://psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment