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Total Results: 5,103 records

Showing results for "leads".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44689/psn-pdf
     February 24, 2018 - The authors argue apportioning responsibility between systems and the individuals within them leads

202. Rapid Response Systems | PSNet
     psnet.ahrq.gov/curated-library/rapid-response-systems
     September 15, 2024 - Read More Lack of Sepsis Recognition Leads to Delay in Care Following … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. By Gary S.

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838197/psn-pdf
     September 28, 2022 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … /psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication- discharge-leads-picc … ://psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc … ://psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857259/psn-pdf
     November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. … https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred … medication errors can occur despite obvious “red flags” at the https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33568/psn-pdf
     June 15, 2024 - than https://psnet.ahrq.gov/web-mm/failure-report https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia … hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45392/psn-pdf
     August 17, 2016 - However, if accuracy levels vary across providers, pooling independent judgment leads to worse diagnostic

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45907/psn-pdf
     December 22, 2017 - primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer Delayed diagnosis of colon cancer due to missed screening or follow-up leads

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45091/psn-pdf
     February 14, 2017 - critical care interprofessional teams found that clinicians' emotional exhaustion affects teamwork, which leads

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46985/psn-pdf
     July 02, 2019 - treatment-challenges-after-discharge https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications

210. For second opinion, consult a computer? | PSNet
     psnet.ahrq.gov/issue/second-opinion-consult-computer
     June 03, 2020 - Copy Citation Related Resources From the Same Author(s) Fear of Covid-19 leads

211. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. | PSNet
     psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
     January 29, 2021 - Disconnecting the ETT from the circuit leads to a transient loss of PEEP but makes it less likely for … WebM&M Cases An Incomplete Anesthesia History Leads … WebM&M Cases Uterine Artery Injury during Cesarean Delivery Leads … August 31, 2022 WebM&M Cases Saline Flush Leads

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35434/psn-pdf
     June 14, 2011 - translocation of root cause analysis (RCA) techniques from non-health care settings and how this method leads

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41325/psn-pdf
     October 06, 2016 - Missing equipment or information leads to interruptions in performing tasks, which have been linked

214. All consumer medication information is not created equal: implications for medication safety. | PSNet
     psnet.ahrq.gov/issue/all-consumer-medication-information-not-created-equal-implications-medication-safety
     June 15, 2022 - The authors suggest that this information gap leads to an urgent and addressable patient safety risk.

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46411/psn-pdf
     April 12, 2019 - effect-health-information-exchange-recognition-medication-discrepancies- interrupted-when-data Inaccurate medication reconciliation leads

216. Right Patient, Wrong Sample | PSNet
     psnet.ahrq.gov/web-mm/right-patient-wrong-sample
     June 01, 2004 - Mismatch of patient identifiers or failure to label the tube leads to test cancellation and caregiver … Examples of Patient Harm Associated with Laboratory Errors Error identifying an organism leads … Data entry error of a troponin result leads to false diagnosis of myocardial infarction and unnecessary … Mislabeled blood gas specimen leads to delay in results and mismanagement of a patient who is coding. … Miscommunication of a high INR result leads to near fatal bleeding in an outpatient who has received

217. Lack of standard dosing methods contributes to IV errors. | PSNet
     psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
     December 07, 2022 - June 10, 2018 Failed check system for chemotherapy leads to pharmacist's "no contest"

218. Anesthesia Patient Safety Podcast. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-podcast
     September 04, 2024 - March 27, 2024 WebM&M Cases Saline Flush Leads to Acute

219. Patient safety in the OR. | PSNet
     psnet.ahrq.gov/issue/patient-safety-or-0
     October 23, 2024 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43788/psn-pdf
     February 25, 2015 - Staff responses suggested that insufficient time to manage their workload leads to safety problems,