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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - • In this case, failure to diagnosis acute alcohol intoxication (AAI) mimicking stroke
led to overdiagnosis … • But what led to the diagnostic error in this case?
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - Wachter : Tell us a little bit about your background and how it led to your work.
Dr. Sigall K. … OurNotes, led by Jan Walker and team, enables interested patients or proxies to contribute to the note
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psnet.ahrq.gov/node/852700/psn-pdf
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
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - Wachter: Tell us a little bit about your background and how it led to your work.
Dr. Sigall K. … OurNotes, led by Jan Walker and
team, enables interested patients or proxies to contribute to the note
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psnet.ahrq.gov/issue/optimizing-medication-reconciliation-and-transitions-care-insights-pharmacist-and-pharmacy
July 25, 2023 - June 24, 2020
Impact of pharmacist-led multidisciplinary medication review on the safety
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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - complex process, and early users experienced high-
profile failures or safety hazards that in some cases led
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
May 01, 2018 - revealed that his C-reactive protein (CRP) was now elevated, suggesting that cessation of steroids had led
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psnet.ahrq.gov/node/49700/psn-pdf
February 01, 2014 - However, escalation of the
patient's level of care would likely have led the patient to a care environment
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psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - reports from early adopters have identified a number of unintended effects of bar coding
that have led
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - This led to the calculation of a corrected phenytoin level: it was 33 (therapeutic 10-20 mcg/mL).
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psnet.ahrq.gov/node/33773/psn-pdf
September 01, 2014 - better outcomes, in many instances they seem to do
worse.(9) For the population overall, more care has led
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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - the healthcare system.13
The rapid proliferation of artificial intelligence (AI) in recent years has led
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psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - physiologic impairment.(8-10) Recent emergence of MRSA with reduced susceptibility and treatment failure
has led
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - To date, the Council's efforts have led to several major initiatives, including a computerized physician
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - While some might call this case a "near miss" or close call—a situation that could have led to an adverse
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - However, the cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state.
6
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - analysis examined the effect of the US Drug Enforcement Agency's rescheduling of hydrocodone, which led
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - administering the medication to the infant upon his return home might have detected the misunderstanding that led
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psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - Daily serum drug levels consistently fell below the therapeutic range, which led the physicians to gradually
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - The errors led to considerable soul searching and, ultimately, a major change in institutional practices