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Showing results for "leads".

  1. Horizon Scanning Protocol and Operations Manual January 2013 Revision (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/ahrq-healthcare-horizon-scan-protocol-operations-manual_130826.pdf
    August 01, 2013 - Populating the “Initial Leads List” To Develop Topics After searchers have collected leads from broad … scanning using the above criteria, leads are uploaded to the Initial Leads List. … This is a document library containing all leads identified by searchers as well as leads generated from … The analysts classify leads by topic class (see Table 7). … The horizon scanning analysts then link related leads from the Initial Leads List to the appropriate

  2. Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors. | PSNet

    psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
    August 07, 2024 - September 14, 2016 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Misprogramming PCA concentration leads to dosing errors.

  3. Ericka Gibson, M.D., M.P.H. | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/ericka-gibson-md-mph
    January 01, 2025 - Gibson leads the Perinatal Patient Safety team at the Southeast Permanente Medical Group, establishing … She leads the Kaiser Georgia MMRC, whose primary goal is to identify interventions across multiple levels

  4. Pharmacy mixes up prescriptions. | PSNet

    psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
    March 10, 2021 - Pharmacy error leads to fatal medication mix-up. … Pharmacy error leads to fatal medication mix-up.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47441/psn-pdf
    September 26, 2018 - patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations Inadequate nurse staffing in hospitals leads … reassessment, which are particularly important for seriously ill patients, and that inadequate staffing leads

  6. Vision Screening for Children 1 to 5 Years: Clinical Summary of U.S. Preventive Services Task Force Recommendation (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/66Xr-6hsNVawhm_yx99Yqu
    benefits There is adequate evidence that early treatment of amblyopia in children ages 3 to 5 years leads … There is inadequate evidence that early treatment of amblyopia in children younger than 3 years of age leads

  7. Learn From Defects - Implementation Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/defects.html
    May 01, 2017 - Senior leaders, facility team leads, team members. How should you use this tool?

  8. Common Problems Identified During Peer Review | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/process/grant-app-basics/peerprob.html
    October 01, 2014 - Too little detail in the research plan (leads to reviewers questioning investigators' ability to carry

  9. 19-Perioperative-Teams (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
    June 01, 2023 - How to use the tool: Hospital leadership (e.g., ISCR project leads, clinical champions) should review … Regularly report data to frontline staff via managers and department leads. … Another way to invite the voices of team members is to deepen the discussion by asking, “What leads you … opportunities for improvement and works closely with teams to develop programs to improve surgical outcomes Leads … Current work involves continuous clinical QI, hospital-acquired conditions, and physician engagement, and leads

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49818/psn-pdf
    January 01, 2018 - A Costly Colonoscopy Leads to a Delay in Diagnosis January 1, 2018 Moriates C. … A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. 2018. … https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis The Case A 50-year-old man presented … https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis The Commentary by Christopher … Leads the World in Health Expenditures. New York Times. June 1, 2013. [Available at] 14. Cooke M.

  11. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - East Alabama Health (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-rice.pdf
    June 02, 2025 - formance Improvement Cu l t ure EPIC LEAN INCREASING STANDARDIZATION, REDUCES VARIATION, WHICH LEADS … resources, security, patient safety • Trend data • Develop metrics RESIDENT Workplace Safety Leads

  12. Learn From Defects - Implementation Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
    April 01, 2017 - Senior leaders, facility team leads, team members. How should you use this tool?

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836942/psn-pdf
    April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in … https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper- medication-labeling … The Commentary By Robert Scott Kriss, DO https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling … https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling

  14. Hidden medication loss when using a primary administration set for small-volume intermittent infusions. | PSNet

    psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
    December 14, 2022 - October 20, 2021 Leaving a discontinued FentaNYL infusion attached to the patient leads … October 21, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads

  15. Horizon-Scan Research-Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/horizon-scan_research-protocol.pdf
    December 01, 2011 - Populating the “Initial Leads List” to develop topics After searchers have collected leads from broad … scanning using the above criteria, leads are uploaded to the Initial Leads List. … This is a document library containing all leads identified by searchers as well as leads generated … The analysts classify leads by topic class (see below). … The horizon scanning analysts then link related leads from the Initial Leads List to the appropriate

  16. Semantically ambiguous language in the teaching operating room. | PSNet

    psnet.ahrq.gov/issue/semantically-ambiguous-language-teaching-operating-room
    November 11, 2020 - March 29, 2023 WebM&M Cases Saline Flush Leads to … Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

  17. Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. | PSNet

    psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
    February 12, 2020 - December 16, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads … November 17, 2021 Leaving a discontinued FentaNYL infusion attached to the patient leads

  18. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet

    psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
    March 25, 2020 - VF) may be induced by attempted cardioversion. 8 It is therefore very important to connect the ECG leads … This may take place in the electrophysiology lab or in the operating room where pacing via epicardial leads … team forgetting to check that the cardioverter/defibrillator had been hooked up correctly to the ECG leads … With this set-up, a separate pair of chest leads directly connected to the defibrillator is no longer … May 16, 2022 WebM&M Cases Saline Flush Leads to

  19. Improving Antibiotic Use Is a Patient Safety Issue | Agency for Healthcare Research and Quality

    www.ahrq.gov/antibiotic-use/long-term-care/safety/improve-use.html
    June 01, 2021 - Recognize that changes to the system, not just to the behavior of individuals, leads to sustained improvements

  20. Marie (Tonette) Krousel-Wood, M.D., M.S.P.H. | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/marie-tonette-krousel-wood-md-msph
    January 01, 2024 - Tonette leads the National Institutes of Health (NIH)–funded Tulane K12 Building Interdisciplinary Research … in Women’s Health (BIRCWH), co-leads the Center for Biomedical Research Excellence in Sex-Based Precision
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