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Total Results: 3,178 records

Showing results for "led".

2801. The Result Stopped Here | PSNet
      psnet.ahrq.gov/web-mm/result-stopped-here
      December 01, 2006 - Proper handling of the result would have led to proper treatment and prevented patient harm.

2802. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
      January 01, 2021 - system-oriented processes that hospital quality improvement professionals had previously implemented, led

2803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49600/psn-pdf
      April 01, 2010 - In this case, the medication error, a preventable ADE, led to patient harm.

2804. Resuscitation Errors: A Shocking Problem | PSNet
      psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
      October 19, 2022 - charged and devices were kept in circulation far in excess of their natural life expectancy of 5–8 years, led

2805. CVC Placement: Speak Now or Do Not Use the Line | PSNet
      psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
      November 01, 2003 - Proper communication during handoffs may have led to further investigation of the line integrity prior

2806. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854897/psn-pdf
      October 31, 2023 - In this case, four significant problems led to the alignment of the “holes” in the “slices” of the Swiss

2807. More Treatment—Better Care? | PSNet
      psnet.ahrq.gov/web-mm/more-treatment-better-care
      August 11, 2021 - guideline recommendations, requiring a longer hospitalization and use of the indwelling catheter, which led

2808. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - issue to discuss is the handoff, the transition of care between providers, which clearly was subpar and led

2809. Harm From Alarm Fatigue | PSNet
      psnet.ahrq.gov/web-mm/harm-alarm-fatigue
      February 14, 2018 - Similar to the case described here, under-counting of heart rate due to low-voltage QRS complexes led

2810. Liver Biopsy: Proceed With Caution | PSNet
      psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
      March 07, 2012 - The delay in recognizing the post-procedure intraperitoneal hemorrhage led to a detailed review by the

2811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49540/psn-pdf
      August 21, 2007 - and devices were kept in circulation far in excess of their natural life expectancy of 5–8 years, led

2812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33678/psn-pdf
      January 01, 2009 - That led to my interest in an even more challenging conversation, which is how doctors and patients

2813. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49639/psn-pdf
      November 01, 2011 - At the drug manufacturer's level, a packaging design decision led the atropine and LMWH syringes to

2814. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33885/psn-pdf
      August 01, 2019 - I don't know the exact turnover rate, but it's enough that it's somewhat troublesome and has led to

2815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33801/psn-pdf
      February 01, 2016 - were imposed on physicians, but it strikes me that physicians participated in some decisions that led

2816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33822/psn-pdf
      January 01, 2017 - During his tenure at Alcoa, he led the company to become the safest workplace in the world.

2817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841139/psn-pdf
      December 14, 2022 - The increasing linguistic and cultural diversity of our country has led to the potential for communication

2818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61078/psn-pdf
      October 28, 2020 - Further workup led to a diagnosis of antiphospholipid syndrome, and she was treated with aspirin, mycophenolate

2819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49408/psn-pdf
      July 01, 2003 - the extent to which patients can be distracted from understanding or retaining new information has led

2820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49552/psn-pdf
      January 01, 2008 - second victims" of medical errors.(6) In one study of internal medicine residents, committing an error led