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4821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50929/psn-pdf
      February 26, 2020 - A lead clinician (pharmacist, advanced practice provider, or physician) must take responsibility to

4822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49495/psn-pdf
      December 01, 2005 - We have documented one case in which this dynamic helped lead to a patient’s cardiac resuscitation being

4823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840175/psn-pdf
      November 16, 2022 - with mechanical aortic valves, and that transiently low or even normal INR values do not invariably lead

4824. A Painful Dilemma | PSNet
      psnet.ahrq.gov/web-mm/painful-dilemma
      September 01, 2013 - opioid metabolites are excreted by the kidney, accumulate in patients with kidney failure, and may lead

4825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49863/psn-pdf
      May 01, 2019 - Its absence can quickly lead to misunderstandings, failed directives, and disruptions in workflow that

4826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33691/psn-pdf
      December 01, 2009 - brought to the individual's attention, awareness as to perceptions and assumptions about the event lead

4827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49462/psn-pdf
      October 01, 2004 - In addition, following the lead of the anesthesia machine, developing oxygen analyzer systems for low-pressure

4828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33642/psn-pdf
      November 01, 2006 - The other thing is that we learn a lot by mistakes and errors that do not lead to harm.

4829. Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents | PSNet
      psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
      July 23, 2024 - 1 Hospitalizations among residents can disrupt resident plans of care, impact quality of life, and lead

4830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49665/psn-pdf
      September 01, 2012 - safety suggest improving team communication, flattening hierarchy, and teaching and enhancing teamwork lead

4831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33820/psn-pdf
      December 01, 2016 - It improved our ability to lead. Many said if you're not doing this, you're missing the boat.

4832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49593/psn-pdf
      October 01, 2009 - million per RFO event prevented.(12) Looking to the future, the search for a better solution may lead

4833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33722/psn-pdf
      December 01, 2011 - Early on you talked about how some of the tools are too broad and your rates are too high and lead to

4834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44303/psn-pdf
      January 10, 2018 - Leading Health Care Transformation: A Primer for Clinical Leaders. January 10, 2018 Joshi M, Erb N, Zhang S, Sikka R. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498700184. https://psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders Leadership can enable the change needed to address heal…

4835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45565/psn-pdf
      May 24, 2017 - Leading a Culture of Safety: a Blueprint for Success. May 24, 2017 Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017. https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success Health care leadership plays an undeniable role in sust…

4836. In Conversation with...Geri Amori, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
      December 01, 2010 - the time attendings were not notified after "trigger" events.( 16 ) A list of 13 triggers that should lead … Better collaboration and efforts to improve safety, quality, and risk will lead to safer patient care

4837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44183/psn-pdf
      November 03, 2015 - The absence of a drug–disease interaction alert leads to a child's death. November 3, 2015 ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death The disabling of alerts due to alarm fatigue can hinder the abilit…

4838. Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet
      psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
      August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. Citation Text: Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…

4839. Oral chemotherapy: not just an ordinary pill. | PSNet
      psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
      May 05, 2018 - Newspaper/Magazine Article Oral chemotherapy: not just an ordinary pill. Citation Text: Oral chemotherapy: not just an ordinary pill. ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2. Copy Citation Save Save to your library Print Download PDF …

4840. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. | PSNet
      psnet.ahrq.gov/issue/adverse-events-cough-and-cold-medications-after-market-withdrawal-products-labeled-infants
      August 02, 2015 - Study Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Citation Text: Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Pediatrics. 20…