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Total Results: 3,178 records

Showing results for "led".

2621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44894/psn-pdf
      March 16, 2016 - observational-study-adult-admissions-medical-icu-due-adverse-drug-events Examining adverse drug events that led

2622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46409/psn-pdf
      November 08, 2017 - coordination and insufficient family education, this news article discusses how citizen complaints led

2623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47051/psn-pdf
      October 18, 2018 - were common in this study performed at two English hospitals, but only a small proportion of errors led

2624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42421/psn-pdf
      May 19, 2014 - alerts for possible drug interactions between chemotherapy orders and ambulatory medications sometimes led

2625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44888/psn-pdf
      April 06, 2016 - structured systems-oriented morbidity and mortality conference in a pediatric intensive care unit led

2626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38782/psn-pdf
      August 01, 2009 - team to manage trauma patients from admission to discharge and found that the team's implementation led

2627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38976/psn-pdf
      October 07, 2009 - A past AHRQ WebM&M commentary discussed a radiology "wet read" error that led to administration of thrombolytics

2628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45941/psn-pdf
      March 08, 2017 - Three major insulin administration errors occurred, which led to training and process changes in order

2629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47843/psn-pdf
      March 06, 2019 - The authors describe how increasing complexity and bureaucracy associated with opioid prescribing led

2630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43578/psn-pdf
      October 01, 2014 - Reporting on how the push for early identification of cancer has led to screening, detection, and treatment

2631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34005/psn-pdf
      August 17, 2017 - A 2005 magazine article covers the backstory that led to the creation of the organization which has

2632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41653/psn-pdf
      December 30, 2014 - impact-hospital-wide-hand-hygiene-initiative-healthcare-associated-infections- results This study describes multiple hospital-wide interventions over a 3-year period that led

2633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40002/psn-pdf
      January 19, 2011 - In some cases, failure to appreciate human factors engineering principles led to the applications not

2634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34870/psn-pdf
      April 18, 2016 - The most common errors included ones of omission, and the majority of the errors led to no significant

2635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34697/psn-pdf
      December 08, 2010 - perspective of a risk manager, the author tells the story of a medication administration error that led

2636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49466/psn-pdf
      October 14, 2004 - performing root cause analysis and/or medico-legal review to determine what events and contributing factors led … this case) medical information, which, had it been detected by the clinicians at the time, could have led … All of them failed to communicate and/or receive critical medical information, and their failure led … clear, however, is whether this hospital has addressed the underlying communication problems that led

2637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46866/psn-pdf
      May 23, 2018 - collaborative, this program divided participating health systems into groups of six to eight hospitals, led

2638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47770/psn-pdf
      February 13, 2019 - that encouragement from staff, education about patient safety, and comprehensible information all led

2639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46965/psn-pdf
      March 28, 2018 - news article reports how reduced opioid production as an approach to address the opioid crisis has led

2640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43943/psn-pdf
      December 04, 2015 - culture-change-nhs-applying-lessons-francis-inquiries The Francis inquiry uncovered numerous problems in the National Health Service and led