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  1. FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels. | PSNet

    psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
    May 02, 2018 - May 5, 2018 Misprogramming PCA concentration leads to dosing errors.

  2. People with disabilities fear pandemic will worsen medical biases. | PSNet

    psnet.ahrq.gov/issue/people-disabilities-fear-pandemic-will-worsen-medical-biases
    April 27, 2016 - April 17, 2019 COVID-19 leads to increased need for dialysis machines.

  3. Accidental overdoses involving fluorouracil infusions. | PSNet

    psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions
    July 08, 2015 - June 10, 2018 Selection of incorrect medication pump leads to chemotherapy overdose.

  4. Discharge missteps can send seniors back to hospital. | PSNet

    psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
    March 28, 2012 - March 7, 2012 Parkland knee surgery done by doctor in training leads to amputation, questions

  5. Ongoing, preventable fatal events with fentanyl transdermal patches are alarming! | PSNet

    psnet.ahrq.gov/issue/ongoing-preventable-fatal-events-fentanyl-transdermal-patches-are-alarming
    May 07, 2018 - April 29, 2018 Misprogramming PCA concentration leads to dosing errors.

  6. The most crucial half-hour at a hospital: the shift change. | PSNet

    psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change
    August 17, 2016 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads

  7. DTaP–Tdap mix-ups now affecting hundreds of patients. | PSNet

    psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
    June 10, 2018 - June 10, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads

  8. Sick children face potentially deadly danger: medication errors. | PSNet

    psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors
    September 02, 2009 - May 19, 2018 Failed check system for chemotherapy leads to pharmacist's "no contest"

  9. That’s the way we do things around here! | PSNet

    psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
    June 10, 2018 - October 26, 2011 An anesthesiology department leads culture change at a hospital system

  10. Patient Safety in Surgery. | PSNet

    psnet.ahrq.gov/issue/patient-safety-surgery-0
    October 18, 2017 - Summary July 23, 2024 WebM&M Cases Saline Flush Leads

  11. Overview | Digital Healthcare Research

    digital.ahrq.gov/2019-year-review/research-summary/overview
    January 01, 2019 - Research Program’s funding opportunities are designed to fund research that fills knowledge gaps and leads

  12. Best Practices for Safe Medication Administration During Anesthesia Care. | PSNet

    psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care
    July 05, 2016 - September 30, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads

  13. Hospital safety records, CEO pay increasingly linked. | PSNet

    psnet.ahrq.gov/issue/hospital-safety-records-ceo-pay-increasingly-linked
    March 03, 2010 - November 23, 2016 Parkland knee surgery done by doctor in training leads to amputation

  14. Aas IH 2002 "Telemedicine and changes in the distribution of tasks between levels of care." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/aas-ih-2002
    January 01, 2002 - "Teledermatology leads to some change in the performance of tasks for primary care and the dermatology

  15. #06 Developmental Delays ADHD, and Autism (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/06_devdelays_autism_potential_high_impact_june_2012.pdf
    January 01, 2012 - AHRQ did not directly participate in horizon scanning, assessing the leads for topics, or providing … Since that implementation, more than 11,000 leads about topics have resulted in identification and … Discussion This priority area has a paucity of leads and innovations, despite intensive scanning for

  16. DEMENTIA INCLUDING ALZHEIMER'S #04 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1506.pdf
    June 01, 2015 - AHRQ did not directly participate in horizon scanning, assessing the leads for topics, or providing … Since that implementation, review of more than 21,000 leads about potential topics has resulted in identification … Besides tracking topics formally, the leads for potential topics identified by the system’s staff of

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49833/psn-pdf
    June 01, 2018 - Studies have demonstrated that earlier treatment with thrombolytics leads to better functional outcomes … neck and head could have excluded a basilar artery thrombosis, one of the few ischemic strokes that leads … on reducing underdiagnosis of stroke, overdiagnosis can also be problematic, particularly when it leads

  18. Procedure Manual Appendix V. Work Plan/Research Plan Template | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-v-work-planresearch-plan-template
    July 01, 2017 - following this template is circulated prior to the first topic conference call with the Task Force leads … public comment, the entire work plan is finalized by the EPC review team and approved by the Task Force leads … Project Title: AHRQ Medical Officer: EPC Project Lead Investigator: EPC Project Staff: Task Force Leads

  19. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet

    psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
    July 02, 2011 - This process leads to arrythmias including ST and T wave changes, neurogenic pulmonary edema, hypertension … December 14, 2022 WebM&M Cases Saline Flush Leads … Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

  20. Preventing catheter/tubing misconnections: much needed help is on the way. | PSNet

    psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
    May 07, 2018 - June 10, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads
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