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Total Results: 3,344 records

Showing results for "led".

  1. The Unfamiliar Catheter | PSNet

    psnet.ahrq.gov/web-mm/unfamiliar-catheter
    November 01, 2006 - testing, mentoring programs, and lectures on patient safety and medical errors.( 3,8,12,13 ) Nurse-led

  2. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient | PSNet

    psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
    October 04, 2023 - therapy. 1 For example, studies have shown that rectal administration of acetaminophen during surgery led

  3. Impact of System Failures on Healthcare Workers | PSNet

    psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
    August 30, 2023 - The news of Vaught’s conviction led healthcare professionals to reflect on the impact that the conviction

  4. Missed Patient Assignment: Is Anyone There? | PSNet

    psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
    September 01, 2017 - The concern for this neglected patient and the potential for similar events in the future led to a root

  5. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet

    psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
    February 26, 2025 - Close follow-up and early recognition of treatment failure may have led to prompt fecal diversion.

  6. Production Pressures | PSNet

    psnet.ahrq.gov/web-mm/production-pressures
    November 16, 2022 - with 10 case studies in an academic medical center shows that this novel approach to managing workload led

  7. Opioid Overdose as a Patient Safety Problem | PSNet

    psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
    May 01, 2017 - David Juurlink : What got me interested was a 2009 study led by a colleague of mine, Dr.

  8. Beyond the Hospital: the New Frontier of Patient Safety | PSNet

    psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
    August 01, 2014 - So that has led to a lag in focusing on outpatient safety. … If there were an ambulatory missed opportunity that led to a subsequent hospitalization that would be

  9. In Conversation With… Urmimala Sarkar, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
    August 22, 2014 - So that has led to a lag in focusing on outpatient safety. … If there were an ambulatory missed opportunity that led to a subsequent hospitalization that would be

  10. What Have We Learned About Safe Inpatient Handovers? | PSNet

    psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
    March 01, 2011 - of an electronic documentation tool reduced the time required to prepare handover documentation and led … The duty hours and residents' fatigue is what caught the attention of the public and led to the focus

  11. How Does Health Care Simulation Affect Patient Care? | PSNet

    psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
    August 01, 2018 - authors concluded that well-constructed simulation programs for physicians, nurses, and pharmacists led … There's a national initiative led by some societies and foundations to enhance clinicians' training in

  12. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-278
    February 10, 2021 - The COVID-19 pandemic has led to wide-ranging changes to health care delivery, some of which may negatively

  13. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-309
    September 29, 2021 - The COVID-19 pandemic has led to dramatic changes in healthcare delivery.

  14. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-405
    August 30, 2023 - patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led

  15. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
    January 01, 2020 - nurses, vascular surgery team, and the OR staff likely would have expedited OR setup and possibly led

  16. Death by PCA | PSNet

    psnet.ahrq.gov/web-mm/death-pca
    January 06, 2017 - Like many iatrogenic errors, active and latent decisions ( 1 ) led to a tragic patient outcome.

  17. Medication Safety Events Related to Diagnostic Imaging | PSNet

    psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
    January 26, 2022 - In case 2, the healthcare providers’ desire to complete the MRI quickly led to repeated dosing of both

  18. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. | PSNet

    psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
    November 16, 2022 - Impact of bedside re-explorations in a cardiovascular surgery intensive care unit led by surgeons.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73300/psn-pdf
    July 01, 2022 - 90% of readmissions.11 A pre-post study of 11 hospitals found that participation in Project BOOST led

  20. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - opioids via patient-controlled analgesia (PCA) and simultaneously via intravenous push has historically led
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