-
www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsisum.html
January 01, 2013 - These State clinical leads worked with their State hospital associations and recruited NICUs to participate
-
psnet.ahrq.gov/node/45392/psn-pdf
August 17, 2016 - However, if accuracy levels vary across providers, pooling
independent judgment leads to worse diagnostic
-
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
-
psnet.ahrq.gov/node/45091/psn-pdf
February 14, 2017 - critical care
interprofessional teams found that clinicians' emotional exhaustion affects teamwork, which leads
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/node/41325/psn-pdf
October 06, 2016 - Missing equipment or
information leads to interruptions in performing tasks, which have been linked
-
www.ahrq.gov/sites/default/files/publications/files/clabsineonatal.pdf
October 01, 2012 - These State clinical leads worked with
their State hospital associations and recruited NICUs to participate … These State clinical leads worked with
their State hospital associations and recruited NICUs to participate … The State leads were neonatologists, not employed by a State hospital association.
2. … For these interventions, the national project team provided the State clinical leads and their
units … These new State clinical leads
have also completed plans to spread the success of the NCLABSI project
-
www.ahrq.gov/news/newsroom/case-studies/201604.html
May 01, 2016 - That leads to better and safer patient care."
-
psnet.ahrq.gov/node/46411/psn-pdf
April 12, 2019 - effect-health-information-exchange-recognition-medication-discrepancies-
interrupted-when-data
Inaccurate medication reconciliation leads
-
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
-
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"
-
psnet.ahrq.gov/issue/anesthesia-patient-safety-podcast
September 04, 2024 - March 27, 2024
WebM&M Cases
Saline Flush Leads to Acute
-
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
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
February 01, 2017 - The cycle begins with generating patient volume, which ultimately leads to earning revenue. … Cost efficiency: process improvement leads to faster medicine delivery with less errors
Cost reduction … malpractice claims or increased capital equipment assets
Intangible improvement: higher staff engagement leads
-
psnet.ahrq.gov/node/43788/psn-pdf
February 25, 2015 - Staff responses suggested that insufficient time to manage their workload leads to safety problems,
-
digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/engaging-patients-and-families-their-health-care
January 01, 2018 - Care
Research shows that patient and family engagement in healthcare leads
-
www.ahrq.gov/news/newsroom/case-studies/201603.html
May 01, 2016 - empowers our patients to make more informed decisions, participate more in their care, and ultimately leads