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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44689/psn-pdf
    February 24, 2018 - The authors argue apportioning responsibility between systems and the individuals within them leads
  2. psnet.ahrq.gov/curated-library/rapid-response-systems
    September 15, 2024 - Read More Lack of Sepsis Recognition Leads to Delay in Care Following … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. By Gary S.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838197/psn-pdf
    September 28, 2022 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … /psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication- discharge-leads-picc … ://psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc … ://psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
  4. www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/sarah-wiehe-md-mph
    January 01, 2024 - Wiehe co-directs the Indiana Clinical and Translational Sciences Institute (CTSI) and leads its community
  5. digital.ahrq.gov/sites/default/files/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q1%202025.pdf
    September 01, 2025 - Lead, AHRQ project officers, the CDSiC Primary Investigator and Co-Investigators, and Workgroup Co-leads … During these meetings, Workgroup leads also gave input on the CDSiC 2025 Annual Meeting agenda. … In 3 addition, product development activities involve bi-weekly meetings between Workgroup Leads … The CDSiC Stakeholder Center leads this work and NORC is working collaboratively with Workgroup Leads … Additionally, the Planning Committee will meet as an opportunity for Workgroup Leads to share findings
  6. cdsic.ahrq.gov/sites/default/files/2025-03/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q1%202025.pdf
    January 01, 2025 - Lead, AHRQ project officers, the CDSiC Primary Investigator and Co-Investigators, and Workgroup Co-leads … During these meetings, Workgroup leads also gave input on the CDSiC 2025 Annual Meeting agenda. … In 3 addition, product development activities involve bi-weekly meetings between Workgroup Leads … The CDSiC Stakeholder Center leads this work and NORC is working collaboratively with Workgroup Leads … Additionally, the Planning Committee will meet as an opportunity for Workgroup Leads to share findings
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857259/psn-pdf
    November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. … https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred … medication errors can occur despite obvious “red flags” at the https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - than https://psnet.ahrq.gov/web-mm/failure-report https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia … hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
  9. 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
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45392/psn-pdf
    August 17, 2016 - However, if accuracy levels vary across providers, pooling independent judgment leads to worse diagnostic
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45091/psn-pdf
    February 14, 2017 - critical care interprofessional teams found that clinicians' emotional exhaustion affects teamwork, which leads
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. 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
  15. 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
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41325/psn-pdf
    October 06, 2016 - Missing equipment or information leads to interruptions in performing tasks, which have been linked
  18. 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
  19. www.ahrq.gov/news/newsroom/case-studies/201604.html
    May 01, 2016 - That leads to better and safer patient care."
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46411/psn-pdf
    April 12, 2019 - effect-health-information-exchange-recognition-medication-discrepancies- interrupted-when-data Inaccurate medication reconciliation leads