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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - Regina Hoffman: Yes, I led the subcommittee on Learning Systems along with Dr. Stephen Muething. … to report can be further improved by creating feedback loops that can highlight how reporting has led
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
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
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - infusions in
parallel, when either initiating IV therapy or changing
medications and their tubing, has led … administration,
human factors must be considered as well, and
– The COVID-19 pandemic, which has led
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - and ultimately septic
shock.
13
Recognition of Pediatric Sepsis (3)
• In adults, these concerns led … They often present like the
child described in this case, which may have led clinicians to anchor on
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - About 10 years ago, I was privileged to attend one of the early Resilient Health Care Network meetings led … limitations for addressing the challenges presented by contemporary nonlinear, complex systems have led
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - • Hospice regulations have led to persistent non-referral of patients
to hospice or referral during … This insightful assessment and recognition of the persistent late
referral of patients to hospice led
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - That finding led to a collaboration with the Centers for Disease Control and Prevention (CDC) and a company … So that’s led me to this path of looking at prescribing by dentists, but in general I'm very interested
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - Moreover, these reports and growing public concern about HAIs led to several federal programs tying reimbursement … systems are still in evolution today.( 17 )
Fourth, the need for scientific evidence to reduce HAIs led
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - First, ED crowding led to a significant delay for a patient with a high-risk presentation. … physicians and nurses, vascular surgery team, and OR staff would have expedited OR setup and possibly led
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - to report can be further improved by creating feedback loops that can highlight how reporting has led … Regina Hoffman: Yes, I led the subcommittee on Learning Systems along with Dr. Stephen Muething.
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - limitations for addressing the challenges presented by contemporary nonlinear, complex systems have led … About 10 years ago, I was privileged to attend one of the early Resilient Health Care Network meetings led
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psnet.ahrq.gov/issue/four-medication-safety-tips-older-adults
March 26, 2008 - November 28, 2018
Effect of a pharmacist-led educational intervention on inappropriate
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psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
January 09, 2019 - November 25, 2009
Creating a nurse-led culture to minimize horizontal violence in the
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psnet.ahrq.gov/issue/individual-based-framework-study-medical-error
November 11, 2020 - 2010
Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led
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psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
December 22, 2021 - September 16, 2024
- September 17, 2024
The impact of a nursing-led intervention bundle
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psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
June 05, 2024 - September 28, 2022
Pharmacist-led program to improve transitions from acute care to skilled
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psnet.ahrq.gov/issue/communication-medical-product-risk-how-effective-effective-enough
January 17, 2007 - December 20, 2017
Scaling-up a pharmacist-led information technology intervention (PINCER
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - breakdowns in
the operating room, as well as the broader operating room environment and system factors that led
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psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - In both cases, errors led to the
wrong concentration of IV heparin being administered, resulting in
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - While the prone
position has led to better outcomes, it has also created a unique challenge for nursing