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Total Results: 3,344 records

Showing results for "led".

2581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60548/psn-pdf
      May 28, 2020 - tools, as well as the challenge of getting clinical studies after a product is out in the marketplace, led

2582. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - approximately 17 million patients across the country.( 4 ) The Graduate Medical Education (GME) community, led … signouts, which have informed broader initiatives that go well beyond training programs, other GME-led … Selected residents also led our institution's Joint Commission–required Failure Modes Effects Analysis

2583. In Conversation with…Thomas J. Nasca, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
      February 01, 2010 - approximately 17 million patients across the country.( 4 ) The Graduate Medical Education (GME) community, led … signouts, which have informed broader initiatives that go well beyond training programs, other GME-led … Selected residents also led our institution's Joint Commission–required Failure Modes Effects Analysis

2584. In Conversation With…Kaveh G. Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
      September 01, 2011 - He led the team that produced the 2001 AHRQ evidence report, Making Health Care Safer , and was awarded … that the highest priorities should include ensuring that providers know when incident reporting has led … front-end providers, gets their attention, provides a rationale for any changes, conveys when reporting led

2585. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
      September 24, 2024 - including engaging leadership and overhauling the system’s approach to patient safety. 2 Efforts were led … It causes us to ask, “What were the contributing factors that led to this event, and how can we prevent … strides in safety culture improvement under the leadership of a CEO who personally and passionately led

2586. Maternal Safety and Perinatal Mental Health | PSNet
      psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
      March 28, 2023 - The AIM program has led the development of patient safety bundles that provide structured processes … which highlights the importance of clinician and community-based partnerships, particularly Black-women-led … organizations and patient advocate-led organizations.

2587. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - You and colleagues began to chart a strategy to get this on the radar screen, and ultimately that led … That led to the formation in 2011 of the Society to Improve Diagnosis in Medicine (SIDM), through which … The electronic record has become a wall that's led to separations that I hope can be replaced, but I'm

2588. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - They led with  humility and generosity, and modeled real-time learning, support, and problem-solving. … foundation to attract, support, and strengthen a thriving and diverse nursing workforce through nurse-led … Declaration to Advance Patient Safety , the National Steering Committee for Patient Safety (NSC), led

2589. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - Declaration to Advance Patient Safety , the National Steering Committee for Patient Safety (NSC), led … They led with  humility and generosity, and modeled real-time learning, support, and problem-solving. … foundation to attract, support, and strengthen a thriving and diverse nursing workforce through nurse-led

2590. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
      psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
      March 29, 2023 - which highlights the importance of clinician and community-based partnerships, particularly Black-women-led … organizations and patient advocate-led organizations. … The AIM program has led the development of patient safety bundles that provide structured processes

2591. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - that the highest priorities should include ensuring that providers know when incident reporting has led … front-end providers, gets their attention, provides a rationale for any changes, conveys when reporting led … He led the team that produced the 2001 AHRQ evidence report, Making Health Care Safer , and was awarded

2592. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
      psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
      September 01, 2017 - How technology led a hospital to give a patient 38 times his dosage. Wired. March 30, 2015. … He led the development of an electronic health record (EHR) system at Dartmouth and subsequently was … Then what we've missed is the opportunity for specialized areas of clinical practice led by specialty

2593. Healthcare 411: Provider insider--medical handoffs. | PSNet
      psnet.ahrq.gov/issue/healthcare-411-provider-insider-medical-handoffs
      October 18, 2006 - When the Meds Don’t Reach the Bed August 26, 2020 Pharmacist-led

2594. Healthcare 411: Consumer insider--medical handoffs. | PSNet
      psnet.ahrq.gov/issue/healthcare-411-consumer-insider-medical-handoffs
      October 18, 2006 - August 26, 2020 Pharmacist-led program to improve transitions from acute care to skilled

2595. Fourth Cause Campaign. | PSNet
      psnet.ahrq.gov/issue/fourth-cause-campaign
      April 22, 2009 - September 28, 2022 'We had such trust, we feel such fools’: how shocking hospital mistakes led

2596. Hospitals tackle high-risk drugs to reduce errors. | PSNet
      psnet.ahrq.gov/issue/hospitals-tackle-high-risk-drugs-reduce-errors
      October 07, 2015 - Workplace Violence and Creating a Safer Workplace October 31, 2023 Pharmacy-led

2597. State: nurse error caused death. | PSNet
      psnet.ahrq.gov/issue/state-nurse-error-caused-death
      May 10, 2006 - This article reports on a federal warning issued to a hospital after a medication error led to the death

2598. Limb Loss after Vasopressor Use | PSNet
      psnet.ahrq.gov/web-mm/limb-loss-after-vasopressor-use
      March 14, 2012 - not provide the close intensive monitoring that befitted her situation; such monitoring might have led … On a systemic level, hospital overcrowding has led to a problematic shift in the care of critically ill

2599. Overuse as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/overuse-patient-safety-problem
      September 01, 2014 - better outcomes, in many instances they seem to do worse.( 9 ) For the population overall, more care has led … She led national initiatives to improve health care quality and safety at the Robert Wood Johnson Foundation

2600. In Conversation With… Rosemary Gibson, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
      September 01, 2014 - She led national initiatives to improve health care quality and safety at the Robert Wood Johnson Foundation … better outcomes, in many instances they seem to do worse.( 9 ) For the population overall, more care has led