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Total Results: 3,344 records

Showing results for "led".

2681. Moved Too Soon | PSNet
      psnet.ahrq.gov/web-mm/moved-too-soon
      November 01, 2006 - reports from early adopters have identified a number of unintended effects of bar coding that have led

2682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49424/psn-pdf
      November 01, 2003 - study demonstrated higher mortality rates with lower nurse-to-patient ratios (4), a finding that has led

2683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33701/psn-pdf
      October 01, 2010 - Indeed, use of these principles has led to two strikingly successful and widely discussed medical checklists

2684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49751/psn-pdf
      January 01, 2016 - Guides designed to help health care organizations optimize the safety of their EHRs.(8) The issues that led

2685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49796/psn-pdf
      June 01, 2017 - The committee noted that this variation led to confusion among bedside nurses about how to https://psnet.ahrq.gov

2686. Fumbled Handoff | PSNet
      psnet.ahrq.gov/web-mm/fumbled-handoff
      September 01, 2006 - Of the 25,000-30,000 preventable adverse events that led to permanent disability in Australia, 11% were

2687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49844/psn-pdf
      October 01, 2018 - At our hospital, the implementation of our Capacity Coordination Center has led to improvement in ED

2688. Rescue Improvement Conference Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
      September 23, 2024 - For example, the RIC has led to changes in patient positioning and equipment in the operating room that

2689. Detection of Safety Hazards | PSNet
      psnet.ahrq.gov/primer/detection-safety-hazards
      March 30, 2022 - This led one  commentator  to compare safety hazard detection methods with an Indian fable in which five

2690. Electronic Health Records | PSNet
      psnet.ahrq.gov/primer/electronic-health-records
      March 15, 2025 - review 1  of EHR safety and usability, investigators found that the switch from paper records to EHRs led

2691. Misleading Complaint | PSNet
      psnet.ahrq.gov/web-mm/misleading-complaint
      December 01, 2009 - care, the patient was treated for the life-threatening emergency without suggestion that the delay led

2692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846935/psn-pdf
      March 29, 2023 - The AIM program has led the development of patient safety bundles that provide structured processes

2693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867652/psn-pdf
      February 26, 2025 - standardize RCA practices across healthcare institutions and encourage spread, it also unintentionally led

2694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863641/psn-pdf
      February 28, 2024 - An integrative review concluded that the implementation of TeamSTEPPS has led to changes in clinical

2695. Not a Miscarriage | PSNet
      psnet.ahrq.gov/web-mm/not-miscarriage
      June 01, 2005 - The failure to recognize a continuing pregnancy could have led to teratogenic exposure to the fetus.

2696. Rapid Mis-St(r)ep | PSNet
      psnet.ahrq.gov/web-mm/rapid-mis-strep
      February 01, 2004 - One swab (right) resulted in a strongly positive plate, while the other (left) led to only three colonies

2697. Glossary | PSNet
      psnet.ahrq.gov/glossary
      January 01, 2003 - Error Chain Error chain generally refers to the series of events that led to a disastrous outcome, … These findings provided the basis for the concept of magnet hospital and led 10 years later to the … Metacognition refers to thinking about thinking—that is, reflecting on the thought processes that led … The need for improved teamwork has led to the application of teamwork training principles, originally … community hospital, for example, more than 1000 triggers were generated in 6 months, and approximately 25% led

2698. Glossary | PSNet
      psnet.ahrq.gov/glossary-0
      January 01, 2003 - Error Chain Error chain generally refers to the series of events that led to a disastrous outcome … These findings provided the basis for the concept of magnet hospital and led 10 years later to the … Metacognition refers to thinking about thinking—that is, reflecting on the thought processes that led … The need for improved teamwork has led to the application of teamwork training principles, originally … community hospital, for example, more than 1000 triggers were generated in 6 months, and approximately 25% led

2699. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
      psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
      August 21, 2005 - Unfortunately, this long unexpected gap in treatment led to a re-thrombosis of his popliteal artery.  … “Pharmacist-led medication reconciliation to reduce discrepancies in transitions of care in Spain.”

2700. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - Lucian Leape has led this work. … Each initiative or activity is led by one person who is asked to provide the overall leadership, usually