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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - While the error led to a delay in follow-up, the patient had no further complications.
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - Fortunately, the error led to no inappropriate resuscitative measures, but the event did generate a hospital
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - Most obviously, it led to the medication error.
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - consultation at tertiary care hospitals.( 3,4 ) Providers felt that comanagement improved patient care and led
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psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - (14) This concept from aviation may be
beneficial in certain health care situations and might have led
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Reason's work led to the
development of the systems approach, which takes the view that most errors
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - This led one
commentator to compare safety hazard detection methods with an Indian fable in which five
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psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - This led to recommendations for a
read-back or verification when verbal orders are necessary.
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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
https://psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
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psnet.ahrq.gov/node/49575/psn-pdf
November 01, 2008 - provider-to-provider communication and up-to-date software could have prevented the
information gap that led
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - Diagnostic
work up with ultrasound-guided biopsy led to a diagnosis of ductal carcinoma in situ (DCIS
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psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - psnet.ahrq.gov//#ref12
interpretation of roles, the social situation, and a legitimating ideology led
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - Luckily, the prolonged clamp
time without anticoagulation led to no obvious clinical harm, making this
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psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - Her stool tested positive for Clostridium difficile colitis, which led to admission to the medicine
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psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - of detected errors caused no harm, while another institution
reported that 4.9% of detected errors led
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psnet.ahrq.gov/node/49686/psn-pdf
May 01, 2013 - Better communication and shared decision-making within this team might have led to better results.
-
psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
October 30, 2024 - Multidisciplinary teams are led by addiction specialists.
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - any medical procedure, done
overseas is that the operation is less expensive.(1) This advantage has led
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - including engaging leadership and overhauling the system’s
approach to patient safety.2 Efforts were led
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - clindamycin should have alerted the
practitioner to the possibility of clindamycin-resistant S. aureus and led