-
psnet.ahrq.gov/issue/rate-and-costs-attributable-intravenous-patient-controlled-analgesia-errors
April 29, 2010 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
-
psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
August 24, 2016 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
-
psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
January 24, 2018 - May 2, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
-
psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
January 12, 2011 - January 12, 2011
Medical liability and patient safety: setting the proper course.
-
psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
January 11, 2017 - June 30, 2021
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
-
psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
September 14, 2016 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
-
psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
February 11, 2015 - May 2, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
-
psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error
June 10, 2018 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
-
psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - Proper handling of the result would have led to proper treatment and prevented patient
harm. … The timing increased the likelihood of error, since proper handling of the
laboratory result required
-
psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication
June 24, 2020 - October 13, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid
-
psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
January 12, 2022 - 9, 2015
Utilizing improvement science methods to improve physician compliance with proper
-
psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices
May 08, 2019 - May 8, 2019
WebM&M Cases
A Laceration that Needed a Proper
-
psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
September 23, 2020 - 2024
WebM&M Cases
A Laceration that Needed a Proper
-
psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models
April 09, 2013 - The Accreditation Council for Graduate Medical Education emphasized the importance of proper supervision
-
psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
February 13, 2019 - However, the effects of interruptions are not predictable and many interruptions are essential for proper
-
psnet.ahrq.gov/issue/evaluating-shared-decision-making-lung-cancer-screening
May 25, 2016 - related commentary discusses the potential for overdiagnosis of lung cancer if LDCT is used without proper
-
psnet.ahrq.gov/issue/nurses-shift-length-and-overtime-working-12-european-countries-association-perceived-quality
August 20, 2018 - A past AHRQ WebM&M interview with Barbara Blakeney discussed the importance of proper nursing staffing
-
psnet.ahrq.gov/node/37440/psn-pdf
January 02, 2008 - Usability study of two common defibrillators reveals
hazards.
January 2, 2008
Fairbanks RJ, Caplan SH, Bishop PA, et al. Usability Study of Two Common Defibrillators Reveals
Hazards. Ann Emerg Med. 2007;50(4):424-432. doi:10.1016/j.annemergmed.2007.03.029.
https://psnet.ahrq.gov/issue/usability-study-two-common-de…
-
psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - calculate patient-specific
loading doses.(8) Since transitions of care are prone to medication errors, proper … Unusual dosing should always be questioned and verified directly with the initiating service; proper
-
psnet.ahrq.gov/issue/identifying-causes-adverse-events-detected-automated-trigger-tool-through-depth-analysis
October 05, 2011 - 23, 2023
Utilizing improvement science methods to improve physician compliance with proper