-
psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - different system policies were instituted to improve medication administration safety, and their overlap led
-
psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - blocked coronary artery, but this information was somehow lost and the resulting delay in intervention led
-
psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - These safety problems led to improved venous access policies, practices, systems, and competencies, all
-
psnet.ahrq.gov/node/49569/psn-pdf
September 01, 2008 - tract or esophagus.(5)
What could have been done to detect this child's malpositioned tube before it led
-
psnet.ahrq.gov/node/49607/psn-pdf
August 01, 2010 - The concern for this neglected patient and the potential for similar events in the future led to a root
-
psnet.ahrq.gov/node/49536/psn-pdf
May 01, 2007 - preexisting BP differences, she was mistakenly placed on a
powerful IV vasoactive agent, which could have led
-
psnet.ahrq.gov/node/49407/psn-pdf
July 01, 2003 - The fact that warfarin has variable pharmacokinetics has led to the development of a widespread
infrastructure
-
psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - to discuss is the handoff, the transition of care between providers, which clearly was
subpar and led
-
psnet.ahrq.gov/node/49818/psn-pdf
January 01, 2018 - This policy has led the American Cancer Society to make the following recommendation: "Before you get
-
psnet.ahrq.gov/node/49823/psn-pdf
March 01, 2018 - However, knowledge of pregnancy-specific changes in
respiratory and immune physiology should have led
-
psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - He
may be best known for having led the Michigan Keystone project, which used checklists and other
-
psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - comprehensive unit-based safety program (CUSP)
customized for each institution.(11) Adoption of the bundle has led
-
psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - The abbreviation "K" led to
administration of the wrong drug.
-
psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - Robert Wachter, Editor, AHRQ WebM&M: What led you to do this study?
Dr.
-
psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - Hopefully I recover that function, but maybe it’s
led to functional incontinence because I’m not able
-
psnet.ahrq.gov/web-mm/paradoxical-pulse
May 01, 2013 - these lines of reasoning, in addition to over-the-phone reassurance by the on-call cardiologist, that led
-
psnet.ahrq.gov/node/33772/psn-pdf
September 01, 2014 - She led national initiatives to improve health care quality and safety at the Robert Wood
Johnson Foundation
-
psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - Postoperatively, the patient continued to have right lower quadrant pain, which led to a repeat CT scan
-
psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - expressed no symptoms), the patient wondered whether the delay in reporting
the MRI findings to her led
-
psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - The delay in recognizing the post-procedure intraperitoneal hemorrhage led to a detailed review by
the