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Total Results: 3,344 records

Showing results for "led".

  1. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
    August 01, 2015 - The near miss led to several discussions about optimizing signout processes while also protecting patient

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49824/psn-pdf
    March 01, 2018 - blocked coronary artery, but this information was somehow lost and the resulting delay in intervention led

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49619/psn-pdf
    February 01, 2011 - these lines of reasoning, in addition to over-the-phone reassurance by the on-call cardiologist, that led

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49510/psn-pdf
    May 01, 2006 - Most obviously, it led to the medication error.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49581/psn-pdf
    March 21, 2009 - web-mm/double-dosing-rules instituted to improve medication administration safety, and their overlap led

  6. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
    December 01, 2010 - Furthermore, it became clear the patient had not been moved in her bed since her time in the ED, which likely led

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49503/psn-pdf
    February 01, 2006 - The incident led to an internal review of the case.

  8. Patient Allergies and Electronic Health Records | PSNet

    psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
    August 21, 2005 - This case led to a system-wide analysis of practices regarding allergy documentation in the EHR and development

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49488/psn-pdf
    August 21, 2005 - documented three deaths that occurred during PCA use.(12) In at least two of the cases, the errors that led

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49520/psn-pdf
    September 01, 2006 - Fortunately, the error led to no inappropriate resuscitative measures, but the event did generate a

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60169/psn-pdf
    March 25, 2020 - transplanted kidney.8 Approach to Improving Safety & Patient Safety Target Several work practices led

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33850/psn-pdf
    January 01, 2018 - in general, and electronic health records (EHRs) in particular, the widespread adoption of EHRs has led

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49781/psn-pdf
    January 01, 2017 - Her stool tested positive for Clostridium difficile colitis, which led to admission to the medicine

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72737/psn-pdf
    February 09, 2021 - Multidisciplinary teams are led by addiction specialists.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843736/psn-pdf
    February 01, 2023 - of knowledge of the risks involved, or overconfidence in their own skills is unclear; however, it led

  16. Measurement of Patient Safety | PSNet

    psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - To Err Is Human report drew national attention to the problem of preventable harm in medicine and led

  17. Patient Engagement in Safety | PSNet

    psnet.ahrq.gov/perspective/patient-engagement-safety
    January 01, 2018 - The PROSPECT study led to a 30% reduction in adverse events in the intensive care unit and an increase

  18. Fatigue, Sleep Deprivation, and Patient Safety | PSNet

    psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
    September 15, 2024 - Indeed, the strength of the circadian cycle has led researchers to argue that human beings are "biologically

  19. Opioid Safety | PSNet

    psnet.ahrq.gov/primer/opioid-safety
    December 15, 2024 - Both of these factors led to an increase in opioid prescribing (and relative underuse of nonopioid therapies

  20. Maternal Safety | PSNet

    psnet.ahrq.gov/perspective/maternal-safety
    January 01, 2015 - Initially led by the California Maternal Quality Care Collaborative and later taken up by the National
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