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Showing results for "leads".

181. 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

182. 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

183. 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

184. 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

185. 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

186. 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

187. 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

188. 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

189. CDSiC Stakeholder Community and Outreach Center: Quarterly Report (pdf file)
     digital.ahrq.gov/sites/default/files/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q4%202023_0.pdf
     September 01, 2024 - Priyanka Desai, PhD, MSPH, from NORC leads the Stakeholder Center. … Each Workgroup is led by two Co-Leads (see Exhibit 1). … Workgroup leads set the overall direction for the development of Workgroup products, facilitate meetings … Workgroup Leadership Workgroup Workgroup Co-Leads (Affiliation) Measurement and Outcomes ■ Polina … Additionally, the Planning Committee will meet as an opportunity for Workgroup Leads to share findings

190. When COVID-19 hit, many elderly were left to die. | PSNet
     psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
     June 24, 2020 - November 10, 2021 When medical care leads to harm—difficulty finding words: a teachable … February 10, 2015 Fear of Covid-19 leads other patients to decline critical treatment

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49752/psn-pdf
     January 01, 2016 - Inadvertent Use of More Potent Acid Leads to Burn January 1, 2016 Maibach HI. … Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. 2016. … https://psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn The Case A 31-year-old woman … https://psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn By the end of World War II

192. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
     May 17, 2016 - SurvivingSepsis/SSC-Pediatric- Guidelines.mp4 • AHRQ Innovations Exchange: Emergency Department Protocol Leads … Pediatric Patients With Sepsis https://innovations.ahrq.gov/profiles/emergency-department-protocol-leads-faster … SurvivingSepsis/SSC-Pediatric-Guidelines.mp4 https://innovations.ahrq.gov/profiles/emergency-department-protocol-leads-faster-identification-and-treatment-pediatric-patients … https://innovations.ahrq.gov/profiles/emergency-department-protocol-leads-faster-identification-and-treatment-pediatric-patients

193. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
     May 17, 2016 - SurvivingSepsis/SSC-Pediatric- Guidelines.mp4 • AHRQ Innovations Exchange: Emergency Department Protocol Leads … Pediatric Patients With Sepsis https://innovations.ahrq.gov/profiles/emergency-department-protocol-leads-faster … SurvivingSepsis/SSC-Pediatric-Guidelines.mp4 https://innovations.ahrq.gov/profiles/emergency-department-protocol-leads-faster-identification-and-treatment-pediatric-patients … https://innovations.ahrq.gov/profiles/emergency-department-protocol-leads-faster-identification-and-treatment-pediatric-patients

194. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
     psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
     March 09, 2022 - SPOTLIGHT CASE Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads … Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and … Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and … Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and

195. Progress with preventing name confusion errors. | PSNet
     psnet.ahrq.gov/issue/progress-preventing-name-confusion-errors
     May 07, 2018 - September 14, 2016 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Misprogramming PCA concentration leads to dosing errors.

196. Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. | PSNet
     psnet.ahrq.gov/issue/proper-positioning-pharmacy-label-hospira-pca-vials-will-avoid-interference-scanning
     May 05, 2018 - Related Resources From the Same Author(s) Misprogramming PCA concentration leads … June 16, 2019 Misprogramming PCA concentration leads to dosing errors.

197. Human costs of training doctors. | PSNet
     psnet.ahrq.gov/issue/human-costs-training-doctors
     December 17, 2014 - December 17, 2014 Parkland knee surgery done by doctor in training leads to amputation … January 14, 2011 Parkland knee surgery done by doctor in training leads to amputation

198. CDSiC Stakeholder Community and Outreach Center: Quarterly Report (pdf file)
     cdsic.ahrq.gov/sites/default/files/2024-02/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q4%202023_0.pdf
     January 01, 2024 - Priyanka Desai, PhD, MSPH, from NORC leads the Stakeholder Center. … Each Workgroup is led by two Co-Leads (see Exhibit 1). … Workgroup leads set the overall direction for the development of Workgroup products, facilitate meetings … Workgroup Leadership Workgroup Workgroup Co-Leads (Affiliation) Measurement and Outcomes ■ Polina … Additionally, the Planning Committee will meet as an opportunity for Workgroup Leads to share findings

199. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Ginsberg (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-unc-webcast-ginsberg.pdf
     June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture

200. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
     August 20, 2015 - The Implementation Team Lead and other Team Leads help build and promote a shared vision of organizational … The CANDOR Implementation Team Lead and Team Leads play an important role in ensuring that frontline … Coach team leads to motivate and inspire. Reinforce positive experiences. … Team leads should continue to be coached to motivate leaders and team members to support program interventions … Encourage your Team Leads to discuss actual CANDOR events to drive home important lessons.