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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. Horizon-Scan Research-Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/horizon-scan_research-protocol.pdf
     December 01, 2011 - New – The lead was recently uploaded and has not yet been reviewed by an analyst. c. … The analyst provides a brief rationale for discarding the lead. f. … The analyst provides a brief rationale for archiving the lead (e.g., the lead is out-of-date, superseded … by another lead). 6.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

423. Archived: Screening and Interventions for Childhood Obesity: Where Is the Evidence? A Commentary by the Childhood Obesity Working Group of the U.S. Preventive Services Task Force: Obesity in Children and Adolescents: Screening, July 2005 | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/screening-and-interventions-for-childhood-obesity-where-is-t/obesity-in-children-and-adolescents-screening-2005
     July 11, 2005 - been identified correctly); and whether intermediate outcomes such as weight loss or stabilization lead … Rivara FP, Whitaker R, Sherman PM, Cuttler L Influencing the childhood behaviors that lead to obesity … Arrow 4: Do interventions lead to improved intermediate outcomes, including behavioral, physiologic … Arrow 5: Do interventions (behavioral counseling, pharmacotherapy, surgery) lead to improved health

424. 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

425. Error in body weight estimation leads to inadequate parenteral anticoagulation. | PSNet
     psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
     April 14, 2021 - Study Error in body weight estimation leads to inadequate parenteral anticoagulation. Citation Text: 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.20…

426. When a vital sign leads a country astray—the opioid epidemic. | PSNet
     psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
     May 27, 2020 - Commentary When a vital sign leads a country astray—the opioid epidemic. Citation Text: Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. Copy Citation Format: …

427. Leading a highly visible hospital through a serious reportable event. | PSNet
     psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
     February 15, 2023 - Commentary Leading a highly visible hospital through a serious reportable event. Citation Text: 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. Copy Citation Format: DOI Googl…

428. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
     psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
     January 29, 2021 - When it is associated with impaired ventilation and inadequate brain oxygenation, it can lead to brain

429. 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

430. 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

431. 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

432. 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

433. 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…

434. 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

435. 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

436. 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

437. 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

438. 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

439. 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

440. 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