Results

Total Results: 5,402 records

Showing results for "leads".

821. 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

822. 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

823. 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

824. 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

825. 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

826. 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

827. 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

828. 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

829. 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

830. 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

831. 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

832. Auto identification technology and its impact on patient safety in the operating room of the future. | PSNet
     psnet.ahrq.gov/issue/auto-identification-technology-and-its-impact-patient-safety-operating-room-future
     June 22, 2009 - June 28, 2023 WebM&M Cases Saline Flush Leads to Acute

833. What 'just culture' doesn't understand about just punishment. | PSNet
     psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment
     December 30, 2014 - July 14, 2010 Error in body weight estimation leads to inadequate parenteral anticoagulation

834. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. | PSNet
     psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
     January 14, 2011 - September 27, 2017 When diagnostic testing leads to harm: a new outcomes-based approach

835. Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. | PSNet
     psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
     April 20, 2016 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads

836. Hospital credentialing and privileging of surgeons: a potential safety blind spot. | PSNet
     psnet.ahrq.gov/issue/hospital-credentialing-and-privileging-surgeons-potential-safety-blind-spot
     September 24, 2017 - Summary July 23, 2024 WebM&M Cases Saline Flush Leads

837. Understanding safer practices in health care: a prologue for the role of indicators. | PSNet
     psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
     May 07, 2008 - November 21, 2012 Learning through simulated independent practice leads to better future

838. Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet
     psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
     November 03, 2015 - WebM&M Cases Delay in Treatment: Failure to Contact Patient Leads

839. Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. | PSNet
     psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
     July 24, 2013 - January 20, 2021 WebM&M Cases Lack of Sepsis Recognition Leads

840. Medication administration process assessment: applying lessons learned from commercial aviation. | PSNet
     psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
     May 25, 2011 - March 23, 2011 An anesthesiology department leads culture change at a hospital system