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psnet.ahrq.gov/web-mm/crossing-borderline
June 01, 2022 - It is not clear what precipitated the unsuccessful suicide attempt that led to the current hospitalization
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psnet.ahrq.gov/node/49640/psn-pdf
November 01, 2011 - of necessary time could be determined using queuing theory.(7) At
one medical center, open access led
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - interactions, the mistake on the after-visit summary and the communication discrepancies it generated led
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - If the surgeon had been present, it might have led to a decision to delay the procedure until neuromonitoring
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - //psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#2
record, including documented adverse effects that led
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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - 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/chest-tube-complications
September 27, 2023 - The committee noted that this variation led to confusion among bedside nurses about how to monitor patients
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psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - performing root cause analysis using a DEER Taxonomy
framework.(13) This activity at our institution led
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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - The findings were that the interpretation of roles, the social situation, and a legitimating ideology led
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psnet.ahrq.gov/web-mm/abnormal-volunteer-results
July 18, 2016 - expressed no symptoms), the patient wondered whether the delay in reporting the MRI findings to her led
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - 10 case studies in an
academic medical center shows that this novel approach to managing workload led
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - Luckily, the prolonged clamp time without anticoagulation led to no obvious clinical harm, making this
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - This policy has led the American Cancer Society to make the following recommendation: "Before you get
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - organizations have also published individual case reports similar to the case here in which hold orders led
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psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
October 01, 2013 - designed to help health care organizations optimize the safety of their EHRs.( 8 ) The issues that led
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - Best practices suggest that the time out be led by the physician responsible for performing the
procedure
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - Diagnostic work up with ultrasound-guided biopsy led to a diagnosis of ductal carcinoma in situ (DCIS
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - Then, we have a few cases in which EHR systems themselves have had problems that have led to injuries … and have led to claims.
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - There's a national initiative led by some societies and foundations to enhance clinicians' training in … authors concluded that well-constructed simulation programs for physicians, nurses, and pharmacists led
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - Then, we have a few cases in which EHR systems themselves have had problems that have led to injuries … and have led to claims.