-
psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
June 28, 2010 - reduced when each dose of medication was scanned, but potential ADEs were increased in a configuration requiring
-
psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
May 27, 2020 -
Home PN administration is a complex endeavor , particularly in the pediatric population , requiring … PN orders requiring transcription of order information should undergo an independent double-check to … Proper mixing of parenteral nutrition should be ensured by requiring three independent processes for
-
psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - patient remained intubated, and was transported back to the PICU
without incident, although still requiring … Therefore, as it is in many clinical scenarios requiring handoffs, standardized
communication is critically … Collaborating clinicians need to evaluate the probable benefits of the diagnostic or
therapeutic intervention requiring
-
psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - may be related to the integrity of the lumbar drain.( 10 ) Many institutions have developed protocols requiring … Generally, patients tolerating intermittent CSF drainage may be eligible for mobilization, while patients requiring … early incremental mobilization of a patient with acute intracerebral and intraventricular hemorrhage requiring
-
psnet.ahrq.gov/node/49601/psn-pdf
April 01, 2010 - However, as this case demonstrates, epistaxis can be severe, requiring transfusion,
angiographic or … words, bleeds controlled with simple anterior packing or cautery are classified
as anterior and those requiring … bleeds
are more commonly seen in older individuals, and their management is more complex, typically requiring
-
psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - mistakenly be
diagnosed as acrochordon (skin tag), which also is a benign skin lesion, causing no harm and requiring … contrast, when the same skin lesion is erroneously diagnosed as squamous cell
carcinoma (a skin cancer requiring … In addition, standardizing
pathologist–clinician communication and requiring immediate interpretation
-
psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - and
underwent emergent cardiac catheterization, which revealed multivessel coronary artery disease requiring … The patient was subsequently transferred to the coronary care unit (CCU) with
respiratory failure requiring … mechanical ventilation and acute kidney injury requiring hemodialysis.
-
psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - the employee's responsibility to wear the PPE when performing
work that management has identified as requiring … This tool facilitates a
meticulous analysis of a risky process by requiring identification of hazards … For some GYN procedures requiring lithotomy, the
nurse must remove the bed end.
-
psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - February 18, 2015
Incidence and preventability of adverse events requiring intensive
-
psnet.ahrq.gov/issue/building-case-medication-reconciliation
June 10, 2018 - June 10, 2018
Challenges with requiring five characters during ADC drug searches via
-
psnet.ahrq.gov/issue/clinical-decision-support-software-guidance-industry-and-food-and-drug-administration-staff
May 25, 2022 - March 4, 2015
FDA requiring color changes to Duragesic (fentanyl) pain patches to aid
-
psnet.ahrq.gov/issue/access-prescription-opioids-primum-non-nocere-teachable-moment
July 02, 2019 - January 23, 2019
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
-
psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
February 09, 2022 - March 10, 2021
Challenges with requiring five characters during ADC drug searches via
-
psnet.ahrq.gov/issue/mix-ups-between-influenza-flu-vaccine-and-covid-19-vaccines
October 21, 2020 - October 21, 2020
Challenges with requiring five characters during ADC drug searches via
-
psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
-
psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
January 15, 2020 - September 22, 2021
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
-
psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - February 22, 2023
Challenges with requiring five characters during ADC drug searches
-
psnet.ahrq.gov/issue/so-why-didnt-you-think-baby-was-ill-decision-making-acute-paediatrics
April 10, 2019 - August 5, 2015
Pediatric emergency department discharge prescriptions requiring pharmacy
-
psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
February 14, 2024 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
-
psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
March 12, 2025 - August 5, 2015
Pediatric emergency department discharge prescriptions requiring pharmacy