-
psnet.ahrq.gov/node/44689/psn-pdf
February 24, 2018 - The authors argue apportioning responsibility between systems and the
individuals within them leads
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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.
-
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
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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
-
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
-
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
-
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
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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
-
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/45091/psn-pdf
February 14, 2017 - critical care
interprofessional teams found that clinicians' emotional exhaustion affects teamwork, which leads
-
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/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
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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