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421. Situation Monitoring: Severe Hypertension - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
     July 01, 2023 - If we don’t treat it, it can lead to seizures and become life threatening. … If we don’t treat it, it can lead to seizures and become life threatening. … Ground Rules Host the debrief as soon as possible following a case or event Anyone can request and lead … Importantly, any team member and request and lead a debrief. … Notice how the team lead adopted the role of debrief facilitator rather than sole expert.

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42410/psn-pdf
     July 10, 2013 - doctors-perform-thousands-unnecessary-surgeries This newspaper article explains how unnecessary surgeries may lead

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37165/psn-pdf
     May 02, 2018 - lack-standard-dosing-methods-contributes-iv-errors This article discusses the myriad dosing methods that can lead

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42735/psn-pdf
     November 13, 2013 - healthcare-technology-hazards This article summarizes an annual report that spotlights health technologies that may lead

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43340/psn-pdf
     July 23, 2014 - do-doctors-understand-test-results This magazine article reports how weaknesses in physician understanding of statistics can lead

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39146/psn-pdf
     December 02, 2009 - This commentary explains how inaccurately estimating patient weight in the emergency department can lead

427. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
     July 01, 2023 - Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation Mutual Support Obstetric Hemorrhage Module 5 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 5 of the SPPC-II Teamwork Toolkit. In this module, we will discuss the different facets of mutua…

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36096/psn-pdf
     September 28, 2010 - how-series-errors-led-recurrent-hypoglycemia This case study illustrates how therapeutic duplication can lead

429. Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. | PSNet
     psnet.ahrq.gov/issue/effects-resident-duty-hour-reform-surgical-and-procedural-patient-safety-indicators-among
     November 26, 2014 - November 26, 2014 Did duty hour reform lead to better outcomes among the highest risk … April 6, 2011 Did duty hour reform lead to better outcomes among the highest risk patients

430. Gibbons (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/gibbons.pdf
     January 01, 2010 - Future o Doctors Like Me; Patients Like Mine o “Doc”  sourcing Slide  11: Will Health Care  Lead … Health Care Disparities (3) • The opportunity is real. • The potential is exciting. • Will health care lead

431. Horizon Scanning Protocol and Operations Manual September 2015 Revision (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/ahrq-healthcare-horizon-scan-protocol-operations-manual-151001.pdf
     September 01, 2015 - Lead Review and Topic Identification.) … The analyst provides a brief rationale for archiving the lead (e.g., the lead is out-of-date, superseded … by another lead). 6. … The analyst may then use various tags to further classify the lead (e.g., lead source, manufacturer … Lead Review and Topic Identification Initial Lead Sorting and Topic Identification Initial Posting

432. Horizon Scanning Protocol and Operations Manual September 2015 Revision (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/ahrq-healthcare-horizon-scan-protocol-operations-manual-151001.pdf
     September 01, 2015 - Lead Review and Topic Identification.) … The analyst provides a brief rationale for archiving the lead (e.g., the lead is out-of-date, superseded … by another lead). 6. … The analyst may then use various tags to further classify the lead (e.g., lead source, manufacturer … Lead Review and Topic Identification Initial Lead Sorting and Topic Identification Initial Posting

433. Errors in Paramedic Endotracheal Intubation (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2006Wang_051611comp.pdf
     January 01, 2006 -  Highlight how studies of ETI errors have lead to broader questions regarding the structure, nature … Pittsburgh School of Medicine - Department of Emergency Medicine “How Can a Life-Saving Intervention Lead …  Scientific data does not lead to change in practice.

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38407/psn-pdf
     February 11, 2009 - science-and-economics-improving-clinical-communication This article presents a case scenario focusing on communication breakdowns that lead

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39153/psn-pdf
     December 02, 2009 - diagnosis, this news column illustrates how strictly following quality improvement procedures might lead

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36587/psn-pdf
     January 14, 2011 - authors describe a tissue specimen marking mechanism that helped identify discrepancies that could lead

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42807/psn-pdf
     February 17, 2015 - https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40718/psn-pdf
     August 31, 2011 - misinformation-medical-literature-what-role-do-error-and-fraud-play This commentary discusses how research errors, bias, and fraud lead

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35833/psn-pdf
     July 23, 2010 - the literature on medication administration errors and categorize systems and personnel issues that lead

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37851/psn-pdf
     June 18, 2008 - identification-and This article reviews how the complexity of care in the pediatric intensive care unit may lead