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Total Results: 3,178 records

Showing results for "led".

2881. SNFs: Opening the Black Box | PSNet
      psnet.ahrq.gov/web-mm/snfs-opening-black-box
      August 27, 2012 - Early learnings have led to adoption of cross-continuum teams in other states and regions as well http

2882. Signout Fallout | PSNet
      psnet.ahrq.gov/web-mm/signout-fallout
      November 16, 2022 - on resident workflow.( 6 ) Using this work as a foundation, the I-PASS Study Group was formed and led

2883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33580/psn-pdf
      April 01, 2022 - The strength of these data has led several states, beginning with California in 2004, to establish legislatively

2884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49771/psn-pdf
      July 01, 2016 - management systems in commercial aviation in the 1990s increased the cognitive demands on pilots and led

2885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33690/psn-pdf
      December 01, 2009 - These findings led to a series of studies that demonstrated that individuals at high risk are more challenged

2886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50611/psn-pdf
      October 30, 2019 - difficulty ordering complex medication regimens, inflexible systems, and excessive alerts—these challenges led

2887. Peripheral IV in Too Long | PSNet
      psnet.ahrq.gov/web-mm/peripheral-iv-too-long
      September 15, 2011 - The local soft tissue infection led to MRSA bacteremia and then to an epidural abscess.

2888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49822/psn-pdf
      March 01, 2018 - https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references In this case, several errors led

2889. In Conversation With…Christine A. Sinsky, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withchristine-sinsky-md
      February 26, 2025 - changes were imposed on physicians, but it strikes me that physicians participated in some decisions that led

2890. Mismanagement of Delirium | PSNet
      psnet.ahrq.gov/web-mm/mismanagement-delirium
      February 13, 2014 - continued to experience nighttime agitation and was aggressive toward staff during nights 3–5, which led

2891. Empiric Steroids: the Good, the Bad, and the Ugly | PSNet
      psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
      June 01, 2015 - Case C: Part 2 The blood smear showing fragmented RBCs led to other tests: fibrinogen was low; fibrin

2892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74713/psn-pdf
      January 26, 2022 - opioids via patient-controlled analgesia (PCA) and simultaneously via intravenous push has historically led

2893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851870/psn-pdf
      July 31, 2023 - /Initiatives/National-Steering-Committee-Patient-Safety/Pages/default.aspx Regina Hoffman: Yes, I led

2894. Slippery Slide Into Life | PSNet
      psnet.ahrq.gov/web-mm/slippery-slide-life
      January 21, 2017 - confusion of roles among the labor and delivery team contributed to the error, which, through luck alone, led

2895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49858/psn-pdf
      April 01, 2019 - The nurse manager for the unit led a root cause analysis to determine what had happened.

2896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49618/psn-pdf
      February 01, 2011 - case may very well have had the best of intentions, his decision to provide care outside his scope led

2897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49807/psn-pdf
      October 01, 2017 - The miscommunication led to patient distress, frustration, and unnecessary visits to the urgent care

2898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74252/psn-pdf
      January 12, 2022 - That led to other staff members having to take the increased workload, further adding to staff fatigue

2899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74691/psn-pdf
      January 01, 2021 - Feedback following use of the instrument in several settings led to revisions to the tool.

2900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865540/psn-pdf
      April 11, 2024 - between medical professionals involves using a standardized tool, such as the I-PASS system, which led