Results

Total Results: 5,103 records

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

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43075/psn-pdf
     August 02, 2015 - National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. August 2, 2015 Geller AI, Shehab N, Lovegrove MC, et al. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. JAMA Intern …

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43863/psn-pdf
     July 16, 2015 - Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. July 16, 2015 Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better future performance in a simulated …

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36813/psn-pdf
     March 24, 2011 - Ambulatory care adverse events and preventable adverse events leading to a hospital admission. March 24, 2011 Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-131. https://psnet.ahrq.gov/issue/amb…

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72670/psn-pdf
     January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys…

465. High reliability in a safety net hospital leading to operational excellence. | PSNet
     psnet.ahrq.gov/issue/high-reliability-safety-net-hospital-leading-operational-excellence
     March 01, 2011 - September 28, 2022 The Collective Leadership for Safety Culture (Co-Lead) team intervention

466. Medication overdoses leading to emergency department visits among children. | PSNet
     psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
     March 05, 2008 - Study Medication overdoses leading to emergency department visits among children. Citation Text: Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. Cop…

467. Leading successful rapid response teams: a multisite implementation evaluation. | PSNet
     psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation
     August 04, 2010 - Image/Poster Leading successful rapid response teams: a multisite implementation evaluation. Citation Text: Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819…

468. Mental health conditions leading cause of pregnancy-related deaths. | PSNet
     psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
     November 29, 2017 - Newspaper/Magazine Article Mental health conditions leading cause of pregnancy-related deaths. Citation Text: Mental health conditions leading cause of pregnancy-related deaths. Quick Safety. January 16 2023;(67):1-3. Copy Citation Save Save to your library …

469. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
     psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
     February 01, 2004 - SPOTLIGHT CASE Delay in Treatment: Failure to Contact Patient Leads to Significant Complications Citation Text: Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departmen…

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38577/psn-pdf
     April 22, 2009 - Leading your organization to high reliability. April 22, 2009 Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68. https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability This commentary describes high reliability …

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45225/psn-pdf
     June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R…

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36416/psn-pdf
     December 22, 2010 - A medical error leads to tragedy: how do we inform the patient? December 22, 2010 Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient This roundtable discussion p…

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40641/psn-pdf
     July 27, 2011 - Error in body weight estimation leads to inadequate parenteral anticoagulation. July 27, 2011 Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.2010.01.006. https://psnet.ahrq.gov/is…

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38886/psn-pdf
     August 26, 2009 - Medication overdoses leading to emergency department visits among children. August 26, 2009 Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. https://psnet.ahrq.gov/issue/medication…

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46463/psn-pdf
     October 04, 2017 - Effectively leading for quality. October 4, 2017 Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236. doi:10.1177/0840470417706705. https://psnet.ahrq.gov/issue/effectively-leading-quality Hospital boards and executives can help drive safety improvement. This commentary …

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41331/psn-pdf
     October 03, 2017 - Leading a highly visible hospital through a serious reportable event. October 3, 2017 Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38619/psn-pdf
     May 07, 2018 - Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2. https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea- involuntary-manslaughter …

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37417/psn-pdf
     March 28, 2012 - Medication use leading to emergency department visits for adverse drug events in older adults. March 28, 2012 Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765. https://psnet.ahrq.gov/issue/med…

479. When medical care leads to harm—difficulty finding words: a teachable moment. | PSNet
     psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
     September 23, 2017 - Related Resources From the Same Author(s) Polypharmacy in the elderly--when good drugs lead

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39110/psn-pdf
     June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3. https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time- leading-dru…