-
psnet.ahrq.gov/web-mm/check-anesthesia-machine
August 01, 2006 - August 31, 2022
WebM&M Cases
Saline Flush Leads
-
psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - patients to get deconditioned while we’re presumably healing them is also not acceptable and ultimately
leads
-
psnet.ahrq.gov/web-mm/air-side-caution
April 21, 2015 - care is present, requests for information or equipment have to be repeated frequently ( 2 ), which leads
-
psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - February 10, 2011
WebM&M Cases
Miscommunication in the OR Leads
-
psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - psnet.ahrq.gov//#4
https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error
-
psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - February 1, 2006
WebM&M Cases
A Costly Colonoscopy Leads
-
psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - The impacted fecaloma leads to increased luminal pressure, decreased capillary filling,
and eventually
-
psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - Causes of Medication Error and Adverse Outcomes
Medication administration is complex and often leads
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
October 01, 2024 - Slide 11
CUSP/Unit Champion
SAY:
The CUSP champion is the one who leads CUSP.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
July 01, 2005 - of vitamin K, preventing activation of factors II, VII, IX, and X
This relative factor deficiency leads
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pptx
March 01, 2022 - These may include:
Urinary catheters
G-tube, J-tubes
Chest tubes
Rectal tubes
EKG leads and wires
Basin
-
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - complication prolonged the hospital stay and impaired
mobilization
• Prolonged hospital bedrest leads
-
psnet.ahrq.gov/node/49493/psn-pdf
November 01, 2005 - In practice, this tension is exactly what leads to
cases such as the one presented here.
-
www.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
February 01, 2017 - think about our capacity to use VAP as a quality metric and our capacity to track whether better care leads
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pdf
March 01, 2022 - These may
include:
o Urinary catheters
o G-tube, J-tubes
o Chest tubes
o Rectal tubes
o EKG leads and
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
January 01, 2017 - Debriefing—
Is a semistructured conversation among frontline clinicians that a facilitator leads
Encourages
-
psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - This leads to a very important question
regarding the actions of the surgeon.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Residents who fall without injury often develop a fear of falling that leads to self-imposed limitation
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Failure to Set a Volume Limit for a Magnesium Bolus Dose Leads to Harm.
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
November 18, 2021 - leadership, owns creation of one-page overview document/elevator speech and
communication of it, and leads