Results

Total Results: 5,103 records

Showing results for "lead".
Users also searched for: pdsa

121. System planning for modern-day Just Culture to mitigate worker distress and second victim response. | PSNet
     psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
     July 19, 2023 - BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-000811. … BMJ Lead . 2024; 8 (2) :149-152 . View more articles from the same authors. … BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-000811.

122. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. | PSNet
     psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
     September 23, 2020 - BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-2022-000615. … BMJ Lead . 2023; 7 (2) :128-132 . View more articles from the same authors. … BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-2022-000615.

123. Incivility in healthcare: the impact of poor communication. | PSNet
     psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
     October 19, 2022 - BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. … BMJ Lead . 2024; 8 (1) :83-87 . View more articles from the same authors. … BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717.

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837299/psn-pdf
     June 01, 2022 - new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery- rates-maternal-and Cesarean delivery can lead … /psnet.ahrq.gov/primer/maternal-safety https://psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean

125. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet
     psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
     March 18, 2020 - that registration errors most commonly occur in outpatient areas and emergency departments and can lead … January 12, 2022 Does increased schedule flexibility lead to change?

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60825/psn-pdf
     August 19, 2020 - Results suggest that, for many cancer patients, treatment delays of 2-6 months will lead to a substantial … Results also indicate that even small delays (e.g., 2 months) can lead to substantial survival decrements

127. The compliance with a patient safety bundle for management of placenta accreta spectrum. | PSNet
     psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
     October 19, 2022 - in this study, but the intervention did improve adherence to the patient safety bundle, which could lead … November 9, 2016 Quality improvement initiatives lead to reduction in nulliparous term

128. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-alarm-fatigue-work-nurses-intensive-care-environment-systematic-review
     August 31, 2022 - Alarm fatigue , which can lead to desensitization and threaten  patient safety , is particularly concerning … January 25, 2023 Can the standard configuration of a cardiac monitor lead to medical

129. A Fatal Twist in Pseudohyperkalemia | PSNet
     psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
     February 10, 2021 - His 12-lead electrocardiogram (ECG) demonstrated normal sinus rhythm and right bundle branch block (RBBB … Lewis, MD This case illustrates how the misinterpretation of a common laboratory complication can lead … In this 12-lead ECG, hypokalemia is evidenced by prominent U waves (red arrows) and T wave inversions … Clinicians should have a low threshold to repeat diagnostic testing such as routine bloodwork and 12-lead … WebM&M Cases Missing ECG and Missed Diagnosis Lead

130. Five Medication Safety Tips for Older Adults. | PSNet
     psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
     April 23, 2012 - Highlighting how aging affects medication absorption that may lead to complications, this fact sheet … , 2012 Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead

131. Leading change: why transformation efforts fail. | PSNet
     psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
     March 03, 2021 - Commentary Classic Leading change: why transformation efforts fail. Citation Text: Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Copy Citation Save Save to your library …

132. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
     psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
     January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes Citation Text: Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

133. Fatal gas line mix-up: How to avoid making this "gastly" mistake. | PSNet
     psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
     April 29, 2018 - Related Resources From the Same Author(s) Loud wake-up call: unlabeled containers lead … April 29, 2018 Administering a saline flush "site unseen" can lead to a wrong route error … , 2018 Smart pump custom concentrations without hard "low concentration" alerts can lead

134. Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. | PSNet
     psnet.ahrq.gov/issue/effect-delays-2-week-wait-cancer-referral-pathway-during-covid-19-pandemic-cancer-survival-uk
     October 21, 2020 - Results suggest that, for many cancer patients, treatment delays of 2-6 months will lead to a substantial … Results also indicate that even small delays (e.g., 2 months) can lead to substantial survival decrements

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838220/psn-pdf
     September 27, 2019 - AHRQ, as one of the lead federal agencies in primary care research, funds research to understand how … AHRQ is the lead federal agency for patient safety research. … ’s, describing 7C’s,9 9C’s,10 or even 10C’s.11 These models all identify functions that ultimately lead … evidence- informed care, avoidance of low- value care Ineffective allocation of resources could lead … low or no value (cost- effectiveness) Engaging in value-based care Inefficient care delivery may lead

136. Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet
     psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
     May 06, 2020 - Older adults commonly use over-the-counter medications and dietary supplements , which can lead to … June 19, 2019 Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34790/psn-pdf
     December 23, 2008 - The authors conclude that cognitive errors lead to serious morbidity. … Classification of these error types may lead to future prevention efforts as a result of greater understanding

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49747/psn-pdf
     December 01, 2015 - Yet excessive false alarms may lead to unintended harm. … Since one monitor watcher is responsible for watching as many as 40 patients' data, only one ECG lead … If the telemetry algorithm uses just one ECG lead for analysis, this can more easily be misinterpreted … the responsible physician, the correct action would have been to search for another ECG monitoring lead … For example, the resident and nurse could have checked the patient's full diagnostic standard 12-lead

139. Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathioprine tablets in the U.S. and Puerto Rico. | PSNet
     psnet.ahrq.gov/issue/roxane-laboratories-initiates-nationwide-voluntary-recall-single-manufacturing-lot
     June 22, 2011 - Bottles may have been erroneously filled with another medication, which could lead to serious health … Differences in strength expression on product labels of compounders and conventional manufacturers may lead

140. Drug shortages: effect on parenteral nutrition therapy. | PSNet
     psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy
     June 20, 2018 - Shortages of medications and compounding components can lead to diversion from recommended treatment … October 3, 2018 The other opioid crisis: hospital shortages lead to patient pain, medical