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Showing results for "leads".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38619/psn-pdf
    May 07, 2018 - Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea- involuntary-manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73498/psn-pdf
    July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error July 14, 2021 … https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error … https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error

83. Procedure Manual Section 7. Formulation of Task Force Recommendations | United States Preventive Services Taskforce
    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-7-formulation-task-force-recommendations
    June 21, 2025 - After full consideration and decision on both certainty and magnitude of net benefit, the topic leads … , the leads identify any grade changes and discuss the rationale for proposed grade change. … The leads refine the draft recommendation with final language before it is released for public comment … At that point, any new evidence is reviewed by the topic leads with help from AHRQ and the appropriate … The topic leads present their motion and any important new evidence to the full Task Force (most often

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44239/psn-pdf
    September 29, 2017 - When medical care leads to harm—difficulty finding words: a teachable moment. … When medical care leads to harm- difficulty finding words: a teachable moment. … https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment … https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment https

85. Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error | PSNet
    psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
    February 10, 2021 - Magazine Article Leaving a discontinued FentaNYL infusion attached to the patient leads … tragic error Citation Text: Leaving a discontinued FentaNYL infusion attached to the patient leads … Citation Citation Text: Leaving a discontinued FentaNYL infusion attached to the patient leads

86. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Mazur (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-unc-webcast-mazur.pdf
    June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … U N C H E A L T H C A R E Implementation of an Event Reporting and Learning System Leads … rewards & recognition, • Lead by example Implementation of an Event Reporting and Learning System Leads

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45452/psn-pdf
    August 24, 2016 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared … https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors- leads-error-prone-use … https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use … https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use

88. 165-Cusp-Monthly-Meeting-Agenda (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/165-cusp-monthly-meeting-agenda.docx
    June 02, 2025 - Agenda Overview: CUSP Champion or designated team leads summarizes the agenda. … State of Our Safety Union: CUSP Champion or designated team leads/guest speakers may share dashboard … Status of Safety Efforts: CUSP Champion or designated team leads share status of current safety projects

89. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
    psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
    August 14, 2024 - SPOTLIGHT CASE Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. … Citation Text: Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. … Cite Citation Citation Text: Failure to Ensure Patient Safety Leads … Cite Citation Citation Text: Failure to Ensure Patient Safety Leads

90. Appendix B: Meeting Attendees’ Biographical Sketches | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/appendix-b.html
    October 01, 2024 - Thought Leaders Porcha Carter  - In the role of Director of Community Partnerships, Porcha leads … Donohue leads the Data Coordinating Center, conducts research to improve the quality and equity of care … In this role, she also leads the California Quality Collaborative (CQC), a multi-stakeholder healthcare … As the Chief Informatics Officer, Andrew leads AllianceChicago’s strategy related to developing health … In these roles, she leads initiatives to generate and/or translate data for policymakers to inform the

91. 068-Cusp-Monthly-Meeting-Agenda (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/068-cusp-monthly-meeting-agenda.docx
    April 01, 2025 - Agenda Overview: The CUSP Champion or designated team leads summarize the agenda. … Safety Update: The CUSP Champion or designated team leads/guest speakers may share dashboard data, harm … Status of Safety Efforts: The CUSP Champion or designated team leads share the status of current safety

92. Parkland knee surgery done by doctor in training leads to amputation, questions. | PSNet
    psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions
    August 11, 2010 - Newspaper/Magazine Article Parkland knee surgery done by doctor in training leads … Citation Text: Parkland knee surgery done by doctor in training leads to amputation, questions. … Cite Citation Citation Text: Parkland knee surgery done by doctor in training leads

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38051/psn-pdf
    May 05, 2018 - Misprogramming PCA concentration leads to dosing errors. … https://psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors This article describes … https://psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors

94. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet
    psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
    November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. … Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

95. Intervention Leads to Increase in Lung Cancer Screenings | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/924.html
    August 01, 2024 - Intervention Leads to Increase in Lung Cancer Screenings Issue Number 924 AHRQ News Now is … Today's Headlines: Intervention Leads to Increase in Lung Cancer Screenings . … Intervention Leads to Increase in Lung Cancer Screenings Lung cancer screening rates increased due to

96. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
    psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
    February 01, 2004 - SPOTLIGHT CASE Delay in Treatment: Failure to Contact Patient Leads to Significant Complications … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications.

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40055/psn-pdf
    December 01, 2010 - Parkland knee surgery done by doctor in training leads to amputation, questions. … https://psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions This … https://psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions https

98. Healthcare-Associated Infections (HAIs) | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/healthcare-associated-infections-hais.html
    May 12, 2015 - Use in the Emergency Department South Carolina Hospital’s Use of AHRQ Patient Safety Program Leads

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39825/psn-pdf
    June 10, 2018 - Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. … https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error … https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error

100. Communication Assessment Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
     August 01, 2022 - you identify effective communicators who can participate in disclosure conversations as Disclosure Leads … Individuals who are effective Disclosure Leads or Communicators will: Demonstrate empathy, sincerity … Individuals who are effective Disclosure Leads or Communicators will be experienced members of the organization … The CAQ is not meant to be used as the sole basis for identifying candidates for Disclosure Leads or