-
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
-
psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - However, knowledge of pregnancy-specific changes in respiratory and immune physiology should have led
-
psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - inpatient psychiatric facility and felt that the information about structural issues within a facility that led
-
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
-
psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - At our hospital, the implementation of our Capacity Coordination Center has led to improvement in ED
-
psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Nurse-led change: a statewide multidisciplinary
collaboration targeting intensive care unit delirium
-
psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - confusion of roles among the labor and delivery team contributed
to the error, which, through luck alone, led
-
psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - That led to the decision to refer to them now as
serious reportable events.
-
psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Similar to the
case described here, under-counting of heart rate due to low-voltage QRS complexes led
-
psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - guideline recommendations, requiring a longer hospitalization
and use of the indwelling catheter, which led
-
psnet.ahrq.gov/node/49461/psn-pdf
September 01, 2004 - ionic radiographic contrast agents
with low-osmolality nonionic agents (for intravascular use) has led
-
psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - Repeated exposure to these problems led workers to devise
relatively straightforward solutions, such
-
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
-
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
-
psnet.ahrq.gov/periodic-issue/periodic-issue-301
July 28, 2021 - communication during care transitions and healthcare setting capability, and that these misalignments led
-
psnet.ahrq.gov/periodic-issue/periodic-issue-277
February 10, 2021 - information inadequacy, not listening, and dismissive behavior contributed to communication breakdowns that led
-
psnet.ahrq.gov/periodic-issue/periodic-issue-311
September 29, 2021 - estimated that 23% of delayed diagnosis cases were likely to be preventable and that delayed diagnosis led
-
psnet.ahrq.gov/periodic-issue/periodic-issue-304
August 25, 2021 - training program for surgical teams focused on improving individual and shared situational awareness which led
-
psnet.ahrq.gov/periodic-issue/periodic-issue-352
July 08, 2022 - The COVID-19 pandemic led to a significant increase in the use of telehealth.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-347
May 16, 2022 - departments resulted in small increases in the use of telemedicine for patients presenting with sepsis and led