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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - The duty hours and residents' fatigue is what caught the attention of the public and led to the focus … of an electronic documentation tool reduced the time required to prepare handover documentation and led
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - That led to other staff members having to take the increased workload, further adding to staff fatigue … While the prone position has led to better outcomes, it has also created a unique challenge for nursing
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - the underlying cause is often the inability to find open inpatient beds for admitted patients, has led … ED crowding has led to a dose-response increase in all-cause 30-day mortality and one preventable death
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - While the prone position has led to better outcomes, it has also created a unique challenge for nursing … That led to other staff members having to take the increased workload, further adding to staff fatigue
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - SPOTLIGHT CASE
Delay in Treatment: Failure to Contact Patient Leads to Significant Complications
Citation Text:
Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departmen…
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - accessible COVID-19 learning website, pulmonary and critical care division faculty meetings, fellow-led
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Because of this error, her pregnancy was continued, which led to acute alveolar pulmonary edema with
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - 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/72834/psn-pdf
March 10, 2021 - Success will likely rely on using a combination of patient/family-centered
HIT and pharmacist-led counseling
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - This family's insistence that the infant's breastfeeding difficulties be addressed ultimately led to
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - Postoperatively, the patient continued to have right lower quadrant pain, which led to a repeat CT scan
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psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - in this case was fortunate in that his INR, though
approaching dangerously high levels, had not yet led
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - or esophagus.( 5 ) What could have been done to detect this child's malpositioned tube before it led
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - would
speculate that in this case, the localized ileus that may be associated with severe pancreatitis led
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - required an
unplanned vascular surgical repair, delayed his necessary bypass surgery, and ultimately led
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psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - The assumption that
most bleeding in IBD is mild may have led the clinician to downplay these signs
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - Proper communication during handoffs may have led to further investigation of
the line integrity prior
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psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - Repeated exposure to these problems led workers to devise
relatively straightforward solutions, such
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - That led to the decision to refer to them now as
serious reportable events.
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Once this patient
begins to feel better, the personality factors that led to his homelessness and drug