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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865429/psn-pdf
    April 24, 2024 - (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 … shown to prolong life by reducing rates of myocardial infarction.20 Connect defibrillators to the ECG leads … With this set-up, a separate pair of chest leads directly connected to the defibrillator is no longer

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47502/psn-pdf
    June 02, 2019 - psnet.ahrq.gov/primer/communication-between-clinicians https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50370/psn-pdf
    January 01, 2020 - analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61036/psn-pdf
    October 21, 2020 - new-us-health-crisis-looms-patients-without-covid-19-delay-care https://psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment

  5. Shakespeare was on target—don't be a borrower or lender. | PSNet

    psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
    May 11, 2022 - May 5, 2018 Misprogramming PCA concentration leads to dosing errors.

  6. Executive summary_Comparative Effectiveness Review No. 274: Diagnosis and Treatment of Tethered Spinal Cord (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-274-tethered-spinal-cord-executive-summary.pdf
    October 01, 2024 - As a result, there is abnormal tension on the lower spinal cord and associated nerves that leads to … Tethered cord syndrome is a clinical disorder associated with excessive spinal cord tension that leads

  7. Speakerbiosketches Deliberativemethodswebinar1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/speakerbiosketches_deliberativemethodswebinar1.pdf
    May 29, 2025 - Carman co-leads a team of over 50 health services research professionals conducting research on issues … Yegian leads the team providing staff support to the Effective Healthcare Program’s national Stakeholder

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44375/psn-pdf
    August 05, 2015 - associated with more errors, consistent with prior studies suggesting that increased nursing workload leads

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45925/psn-pdf
    April 19, 2017 - The authors suggest that this information gap leads to an urgent and addressable patient safety risk

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44894/psn-pdf
    March 16, 2016 - Non-compliance to medication, which leads to worsening of underlying conditions, was the most common

  11. On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
    December 01, 2017 - The nurse manager for each unit leads these meetings. … DON or ADON typically leads the meeting. … Rehab director typically leads the meeting. … DON or ADON leads the meeting. … DON typically leads the meeting.

  12. Puh-Implementation-Handouts (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
    July 01, 2016 - The nurse manager for each unit leads these meetings. … DON or ADON typically leads the meeting. … Rehab director typically leads the meeting. … DON or ADON leads the meeting. … DON typically leads the meeting.

  13. Standards and Regulatory Frameworks Workgroup: Charter – Option Year 2 (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20SRF%20Workgroup%20Charter.pdf
    January 01, 2024 - Workgroup Leads. … The Workgroup will be led by the Workgroup Co-Leads Aziz Boxwala and Rachel Richesson, with support … the Agency for Healthcare Research and Quality (AHRQ), and Workgroup support teams, and Workgroup leads … Workgroup leads may be listed as co-senior authors to reflect their contribution to the conceptualization

  14. OY1 Innovation Center Charter (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-02/1_OY1%20Innovation%20Center%20Charter.pdf
    January 01, 2024 - Each Core will have co-leads and dedicated support staff. … High-Level) Project Directorate Task 3 Leadership Innovation Center Core 1 and 2 Co- Leads … In the execution of the two Cores, the Core co-leads will be responsible for identifying potential Core … After the projects are determined the Core co-leads, support staff, and implementation partners (as

  15. Trust and Patient-Centeredness Workgroup: Charter – Option Year 2 (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20TPC%20Workgroup%20Charter.pdf
    January 01, 2024 - Workgroup Leads. … The Workgroup will be led by the Workgroup co-leads Jessica Ancker and Angela Dobes, with support from … lead), the Agency for Healthcare Research and Quality (AHRQ), Workgroup support teams, and Workgroup leads … Workgroup leads may be listed as co-senior authors to reflect their contribution to the conceptualization

  16. Measurement and Outcomes Workgroup: Charter – Option Year 2 (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20MO%20Workgroup%20Charter.pdf
    January 01, 2024 - Workgroup Leads. … The Workgroup will be led by the Workgroup Co-Leads Mustafa Ozkaynak and Polina Kukhareva, with support … (i.e., the CDSiC PI and Stakeholder Center lead), AHRQ, and Workgroup support teams, and Workgroup leads … Workgroup leads may be listed as co-senior authors to reflect their contribution to the conceptualization

  17. OY2 Innovation Center Charter (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-12/OY2%20Innovation%20Center%20Charter_508.pdf
    January 01, 2024 - Each Core will have co-leads and dedicated support staff. … (High-Level) Project Directorate Task 3 Leadership Innovation Center Core 1 and 2 Co- Leads … In the execution of the two Cores, the Core co-leads will be responsible for identifying potential Core … After the projects are determined the Core co-leads, support staff, and implementation partners (as

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46629/psn-pdf
    November 22, 2017 - patients-and-families-perspectives-patient-safety-end-life-video-reflexive-ethnography-study https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43673/psn-pdf
    November 19, 2014 - effect-bar-code-technology-safety-medication-administration https://psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45888/psn-pdf
    December 19, 2017 - They conclude that a work systems approach leads to a better understanding of occupational fatigue and
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