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psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
June 03, 2020 - Audiovisual Presentation
Unprofessional Behavior Leads to Complications. … Citation Text:
Unprofessional Behavior Leads to Complications. JN Learning. 2020. … Cite
Citation
Citation Text:
Unprofessional Behavior Leads … February 12, 2020
How health care complexity leads to cooperation and affects the autonomy … August 25, 2009
When medical care leads to harm—difficulty finding words: a teachable
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-facilitator-guide.docx
July 01, 2023 - Facilitator Guide for Hospital AIM Team Leads
Facilitator Guide for Hospital AIM Team Leads
What Is … We refer to these individuals as “Hospital AIM Team Leads” throughout this guide. … Hospital AIM Team Leads will have attended a 1-day in-person teamwork training workshop that will provide … Preparing for In-Person Facilitation Sessions
We recommend Hospital AIM Team Leads follow the steps below … No. 23-0046
July 2023
AHRQ Safety Program for Perinatal Care II Facilitator Guide AIM Team Leads 1
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Lapse in Antibiotics Leads to Sepsis
Citation Text:
Levy MM. … Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. … Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. … Lapse in Antibiotics Leads to Sepsis. PSNet [internet].
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - Diffusion of Responsibility Leads to Danger
Citation Text:
Balcezak TJ, Deshpande O. … Diffusion of Responsibility Leads to Danger. PSNet [internet]. … Diffusion of Responsibility Leads to Danger. PSNet [internet]. … Diffusion of Responsibility Leads to Danger. PSNet [internet].
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Medication Mix-Up Leads to Patient Death
Citation Text:
Sanchez L, Romano PS. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. … Medication Mix-Up Leads to Patient Death. PSNet [internet].
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - "Superficial" Report Leads to "Deep" Problem
Citation Text:
Dhaliwal G. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet].
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psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
May 02, 2018 - Newspaper/Magazine Article
Misprogramming PCA concentration leads to dosing errors … Citation Text:
Misprogramming PCA concentration leads to dosing errors. … Cite
Citation
Citation Text:
Misprogramming PCA concentration leads
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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap
Citation Text:
Solsky I, Haynes … Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. … Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. … Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-facilitator-guide.docx
July 01, 2023 - Facilitator Guide for Hospital AIM Team Leads
Facilitator Guide for Hospital AIM Team Leads
What Is … We refer to these individuals as “Hospital AIM Team Leads” throughout this guide. … Hospital AIM Team Leads will have attended a 1-day in-person teamwork training workshop that will provide … Preparing for In-Person Facilitation Sessions
We recommend Hospital AIM Team Leads follow the steps below … No. 23-0046
July 2023
AHRQ Safety Program for Perinatal Care II Facilitator Guide AIM Team Leads 1
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-facilitator-guide.docx
July 01, 2023 - Facilitator Guide for Hospital AIM Team Leads
Facilitator Guide for Hospital AIM Team Leads
What Is … We refer to these individuals as “Hospital AIM Team Leads” throughout this guide. … Hospital AIM Team Leads will have attended a 1-day in-person teamwork training workshop that will provide … Preparing for In-Person Facilitation Sessions
We recommend Hospital AIM Team Leads follow the steps below … No. 23-0046
July 2023
AHRQ Safety Program for Perinatal Care II Facilitator Guide AIM Team Leads 1
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - A Costly Colonoscopy Leads to a Delay in Diagnosis
Citation Text:
Moriates C. … A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. … A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. … Leads the World in Health Expenditures. New York Times. June 1, 2013. [Available at] 14. … A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet].
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psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
April 29, 2020 - Audiovisual
COVID-19 leads to increased need for dialysis machines. … Citation Text:
COVID-19 leads to increased need for dialysis machines. Mosley T. Here & Now. … Copy URL
Cite
Citation
Citation Text:
COVID-19 leads
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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]. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. … August 31, 2022
WebM&M Cases
Saline Flush Leads
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
January 01, 2013 - of recruited hospitals reduced the opportunity for peer learning and provided less impetus for State leads … Teams reported to the State leads that the monthly data collection was too frequent and found the tool … All State leads further reported that senior leader engagement was very important to their successful … Some State leads used small incentives like inexpensive food gift cards to encourage struggling teams … After this point State leads led the coaching calls on their own.
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psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
November 01, 2023 - Inadvertent Use of More Potent Acid Leads to Burn
Citation Text:
Maibach HI. … Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. … Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. … Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet].
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psnet.ahrq.gov/issue/mother-says-er-misdiagnosis-leads-sons-death
December 19, 2007 - Audiovisual
Mother says ER misdiagnosis leads to son's death.
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psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
September 09, 2015 - Newspaper/Magazine Article
Selection of incorrect medication pump leads to chemotherapy … Citation Text:
Selection of incorrect medication pump leads to chemotherapy overdose. … Cite
Citation
Citation Text:
Selection of incorrect medication pump leads … September 8, 2021
Electronic prescribing vulnerabilities: height and weight mix-up leads
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www.ahrq.gov/news/newsroom/case-studies/criteria.html
December 01, 2019 - Impact Case Studies are developed by AHRQ's Office of Communications (OC) based on leads that are provided … Viable leads follow the general development process outlined below. … Criteria
Development of an Impact Case Study starts by collecting leads. … Viable leads must meet the following criteria:
The user (person or entity that uses AHRQ’s material
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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 … Error in body weight estimation leads to inadequate parenteral anticoagulation. … Error in body weight estimation leads to inadequate parenteral anticoagulation.
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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. … When a Vital Sign Leads a Country Astray—The Opioid Epidemic. … When a Vital Sign Leads a Country Astray—The Opioid Epidemic.