-
psnet.ahrq.gov/node/851453/psn-pdf
July 19, 2023 - This secondary analysis of a national study of older adults with advanced
cancer sought to identify
-
psnet.ahrq.gov/node/73509/psn-pdf
July 21, 2021 - The National Health Service Secondary Care Trusts
(NSCT) are required to report, learn from, and prevent
-
psnet.ahrq.gov/node/73246/psn-pdf
May 12, 2021 - still benefits: it captured novel errors, provided a safe space to report those errors,
and encouraged secondary
-
psnet.ahrq.gov/node/47882/psn-pdf
May 01, 2019 - This secondary data analysis examined how oncology drug
shortages affected use of chemotherapy medications
-
psnet.ahrq.gov/node/846446/psn-pdf
March 22, 2023 - strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus
https://psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
-
psnet.ahrq.gov/node/838923/psn-pdf
October 26, 2022 - changes-burnout-and-satisfaction-work-life-integration-physicians-over-first-2-years-covid-19
https://psnet.ahrq.gov/issue/burnout-and-secondary-traumatic-stress-health-system-pharmacists-during-covid
-
psnet.ahrq.gov/node/60867/psn-pdf
September 02, 2020 - Approximately one-quarter of the safety events were secondary to diagnostic
errors.
-
psnet.ahrq.gov/node/867087/psn-pdf
January 01, 2025 - impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms
https://psnet.ahrq.gov/issue/secondary-traumatic-stress-ob-gyn-mixed-methods-analysis-assessing-physician-impact-and-needs
-
psnet.ahrq.gov/node/34899/psn-pdf
February 15, 2010 - effect on patient care and established a mean multi-institutional discrepancy frequency
(related to secondary
-
psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - Pinkney
et al., 2014
ICU Medication Errors Associated with IV Infusions (3)
Errors Associated with Secondary … Infusions
• Secondary (“piggyback”) infusions are IV infusions that are attached to
the primary continuous … scheduled medications, such as
antibiotics and electrolytes
• Medication errors associated with secondary … /piggyback infusion
– Attachment of a secondary infusion may result in transition of a continuous … associated with administration of multiple IV
infusions in the ICU include: rate or line mix-ups, secondary
-
psnet.ahrq.gov/node/34785/psn-pdf
February 18, 2011 - Many of these continue to treat one
illness but place patients at risk for developing a secondary condition
-
psnet.ahrq.gov/node/866104/psn-pdf
June 12, 2024 - psnet.ahrq.gov/issue/locum-doctor-working-and-quality-and-safety-qualitative-study-english-primary-and-secondary
-
psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - #17
Image adapted and printed with permission from Pinkney et al., 201417
Errors Associated with Secondary … Infusions
Secondary (“piggyback”) infusions are IV infusions that are attached to the primary continuous … Medication errors associated with secondary infusions arise from their complex setup
process and include … infusion bags, and programming
errors.24 Secondary infusion errors accounted for approximately 39% … associated with administration of multiple IV infusions in the ICU
include: rate or line mix-ups, secondary
-
psnet.ahrq.gov/node/844991/psn-pdf
February 22, 2023 - England’s National Health Service (NHS) implemented the Learning from Deaths program which
requires NHS Secondary
-
psnet.ahrq.gov/node/837807/psn-pdf
August 10, 2022 - This retrospective
study linking data reflecting primary and secondary care as well as cancer registry
-
psnet.ahrq.gov/node/853621/psn-pdf
September 20, 2023 - Based on a secondary data analysis
from the Systematic Dementia Screening by Multidisciplinary Team
-
psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - attributable
to anesthesia
Discharges with ICD-9-CM diagnosis codes for anesthesia
complications in any secondary … sores in patients
hospitalized for 4 days or
longer
Discharges with ICD-9-CM code of 707.0 in any secondary … after a
procedure
Discharges with ICD-9-CM codes for foreign body left in
during procedure in any secondary … procedure
such as insertion of a
central venous catheter
Discharges with ICD-9-CM code of 512.1 in any secondary … falls
among hospitalized
surgical patients
Discharges with ICD-9-CM code for [hip fracture] in any
secondary
-
psnet.ahrq.gov/node/40788/psn-pdf
September 21, 2011 - error-disclosures
This study revealed that nurses perceived their role in team-based error disclosure as secondary
-
psnet.ahrq.gov/node/36419/psn-pdf
July 14, 2010 - time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-
real-world-knowledge
The authors analyzed secondary
-
psnet.ahrq.gov/node/34960/psn-pdf
June 22, 2009 - Using
secondary data from a large Canadian nursing survey, the authors found that perceived understaffing