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Total Results: 3,344 records

Showing results for "led".

2841. After-Visit Confusion | PSNet
      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

2842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33864/psn-pdf
      January 01, 2019 - authors concluded that well-constructed simulation programs for physicians, nurses, and pharmacists led

2843. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
      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

2844. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
      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.

2845. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
      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.

2846. In Conversation with…Vineet Arora, MD, MA | PSNet
      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

2847. EMS Perils from Hospital Overcrowding | PSNet
      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

2848. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
      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

2849. In Conversation With… Matthew Weinger, MD | PSNet
      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

2850. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
      October 30, 2019 - incremental but steady improvements in outcomes over the past few decades. (2) These improvements have led … Adoption of this approach has led to substantial reduction of key neonatal morbidities and costs of care

2851. Distractors in obstetric ultrasound: do sonographers have safety concerns? | PSNet
      psnet.ahrq.gov/issue/distractors-obstetric-ultrasound-do-sonographers-have-safety-concerns
      March 08, 2023 - September 8, 2021 Impact of pharmacist-led multidisciplinary medication review on the

2852. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-426
      February 28, 2024 - While at Abt Associates, he co-led the TeamSTEPPS 3.0 revisions in collaboration with AHRQ.

2853. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-433
      March 27, 2024 - The COVID-19 pandemic led to dramatic changes in healthcare delivery and presented new challenges to

2854. The Missing Suction Tip | PSNet
      psnet.ahrq.gov/web-mm/missing-suction-tip
      January 01, 2006 - breakdowns in the operating room, as well as the broader operating room environment and system factors that led

2855. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
      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

2856. "Recurrent" Appendicitis | PSNet
      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

2857. On the Other Hand | PSNet
      psnet.ahrq.gov/web-mm/other-hand
      December 12, 2012 - preexisting BP differences, she was mistakenly placed on a powerful IV vasoactive agent, which could have led

2858. Sick and Pregnant | PSNet
      psnet.ahrq.gov/web-mm/sick-and-pregnant
      August 25, 2021 - provider-to-provider communication and up-to-date software could have prevented the information gap that led

2859. Are You Mrs. A? An Issue of Identification Over Telephone | PSNet
      psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
      January 01, 2016 - B and his family—and there are other examples of wrong patient errors that led to death.( 8 ) Although

2860. Acute Respiratory Arrest in Pregnancy | PSNet
      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