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Total Results: 3,178 records

Showing results for "led".

2981. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. | PSNet
      psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
      August 31, 2022 - ischemic stroke and, more recently, endovascular therapy for large vessel occlusion (LVO) strokes, has led

2982. Duty to Disclose Someone Else's Error? | PSNet
      psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
      June 01, 2004 - revealed a diagnosis of venous sinus thromboses (blood clots in the veins of the brain), which had led

2983. The Perils of Cross Coverage | PSNet
      psnet.ahrq.gov/web-mm/perils-cross-coverage
      September 22, 2010 - handoffs, but also created a patchwork of coverage systems, including day and night float services that led

2984. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet
      psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
      April 08, 2019 - Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state

2985. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - between medical professionals involves using a standardized tool, such as the I-PASS system, which led

2986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867357/psn-pdf
      December 18, 2024 - The introduction of capnography into clinical anesthesia practice has led to a significant reduction

2987. Unexpected Drawbacks of Electronic Order Sets | PSNet
      psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
      December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets Citation Text: McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX …

2988. Diagnostic Delay in the Emergency Department | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
      September 18, 2024 - learning from missed opportunities.( 16 ) Receiving feedback on unexpected return visits to the ED that led

2989. Hidden Heparins: HIT Happens | PSNet
      psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
      March 27, 2024 - measured by ELISA, the median duration of HIT antibody positivity is 85 days.( 1 ) This observation has led

2990. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838197/psn-pdf
      September 28, 2022 - The suitability of PICC lines for such a broad range of clinical situations has led to highly variable

2991. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865466/psn-pdf
      March 27, 2024 - For example, implicit bias about racial differences in pain tolerance has led to systematic undertreatment

2992. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49537/psn-pdf
      June 01, 2007 - The impact of a consultant anaesthetist led pre-operative assessment clinic on patients undergoing major

2993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49849/psn-pdf
      January 01, 2019 - A formal root cause analysis of the case found many errors that led to the adverse events.

2994. A Fatal Twist in Pseudohyperkalemia | PSNet
      psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
      February 10, 2021 - Several errors led to the poor outcome, stemming from an initial failure to recognize pseudohyperkalemia

2995. The Role of the FDA in Ensuring Device Safety | PSNet
      psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
      May 28, 2020 - tools, as well as the challenge of getting clinical studies after a product is out in the marketplace, led

2996. What Happened on Telemetry? | PSNet
      psnet.ahrq.gov/web-mm/what-happened-telemetry
      January 18, 2012 - The nurse manager for the unit led a root cause analysis to determine what had happened.

2997. A Laceration that Needed a Proper Exam, Not an X-Ray | PSNet
      psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
      November 25, 2020 - failure to perform a complete hand examination and appropriately manage and refer a high-risk laceration led

2998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72517/psn-pdf
      November 25, 2020 - Later, problems with data gathering and information processing led to a brief delay in recognizing emerging

2999. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
      April 26, 2023 - of The Joint Commission's understanding of health care with high reliability organizational learning led

3000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867805/psn-pdf
      February 26, 2025 - The catheter-related bloodstream work, which was led by Dr.