-
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/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/43945/psn-pdf
September 09, 2015 - This secondary data
analysis established a decrease in these events overall after introduction of the
-
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/47107/psn-pdf
June 20, 2018 - issue/challenges-communication-referring-clinicians-pathologists-electronic-health-
record-era
This secondary
-
psnet.ahrq.gov/node/45888/psn-pdf
December 19, 2017 - Investigators performed a secondary analysis of survey data from 340 inpatient nurses to determine how
-
psnet.ahrq.gov/node/44252/psn-pdf
January 01, 2016 - associations-between-safety-culture-and-employee-engagement-over-time-
retrospective-analysis
This secondary
-
psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - , multiple solution infusions.(12) In the
past, there was widespread confusion regarding the terms secondary … Piggyback infusion: [used interchangeably with
secondary infusion]: The drug infusion is administered … NB: It is
typical for the primary infusion to be paused while the piggyback/secondary infusion occurs … Simultaneous
infusion: The drug infusion is administered as a secondary infusion run concurrently with
-
psnet.ahrq.gov/node/46464/psn-pdf
November 01, 2017 - opioid-abuse-and-poisoning-trends-inpatient-and-emergency-department-
discharges
Using data from the Healthcare Cost and Utilization Project, this retrospective secondary
-
psnet.ahrq.gov/node/44811/psn-pdf
March 15, 2016 - This retrospective secondary data analysis found that
many hospitalizations from long-term care facilities
-
psnet.ahrq.gov/node/47279/psn-pdf
July 23, 2018 - https://psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
-
psnet.ahrq.gov/node/46669/psn-pdf
January 17, 2018 - issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-
and-upon
This secondary
-
psnet.ahrq.gov/node/44792/psn-pdf
January 13, 2016 - Highlighting strategies such
as using secondary notification systems and recalibrating alerts according
-
psnet.ahrq.gov/node/47239/psn-pdf
October 24, 2018 - effects-individual-nurse-and-hospital-characteristics-patient-adverse-events-
and-quality-care
This secondary
-
psnet.ahrq.gov/node/45090/psn-pdf
July 01, 2016 - This secondary
data analysis found that hospitals with higher star ratings had lower 30-day mortality
-
psnet.ahrq.gov/issue/same-hospital-readmission-rates-measure-pediatric-quality-care
September 18, 2024 - This secondary data analysis found that a significant proportion of readmissions were to a different
-
psnet.ahrq.gov/node/46889/psn-pdf
October 13, 2018 - evaluation-reasons-why-surgical-residents-exceeded-2011-duty-hour-
requirements-when-offered
This secondary
-
psnet.ahrq.gov/node/46905/psn-pdf
October 13, 2018 - association-hospital-participation-regional-trauma-quality-improvement-
collaborative-patient
This secondary
-
psnet.ahrq.gov/node/37487/psn-pdf
May 26, 2011 - This secondary data analysis estimated that the likely penetration of CPOE in hospitals across
the country
-
psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
August 04, 2021 - This study revealed that nurses perceived their role in team-based error disclosure as secondary to