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Total Results: 3,178 records

Showing results for "led".

3001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853081/psn-pdf
      August 30, 2023 - issues and to catch potential problems, such as labs, medication errors, or procedures that would have led

3002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850361/psn-pdf
      June 14, 2023 - systems-based model for evaluating adverse events, we can see how the holes or gaps in care aligned and led

3003. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
      September 27, 2023 - Overcrowding in the ED , with boarding of admitted patients, led to inability to room and appropriately

3004. Mobility Lost in the ICU | PSNet
      psnet.ahrq.gov/web-mm/mobility-lost-icu
      August 01, 2018 - This led to a prolonged intensive care unit (ICU) stay for respiratory failure from an ischemic cardiac

3005. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
      March 30, 2020 - I believe this work in part led to me serving the technical expert panel for this report.

3006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73153/psn-pdf
      April 28, 2021 - system-oriented processes that hospital quality improvement professionals had previously implemented, led

3007. Difficult Encounters: A CMO and CNO Respond | PSNet
      psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
      March 01, 2018 - intra-service handoff protocols, to name a few) have not only improved caregiver communication but also led

3008. In Conversation With... Jeffrey Shuren, MD, JD | PSNet
      psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
      May 28, 2020 - tools, as well as the challenge of getting clinical studies after a product is out in the marketplace, led

3009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72516/psn-pdf
      November 25, 2020 - This led to a framing error and premature closure around isolated cardiac pathology.

3010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49597/psn-pdf
      February 01, 2010 - sexual history in a confidential setting may have revealed this patient's prior sexual assault and led

3011. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - The large increase of these types of treatments has led to the emergence of risks not seen previously

3012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73398/psn-pdf
      June 30, 2021 - This led to the design of a prototype operating room that we then implemented in two ambulatory surgery

3013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49682/psn-pdf
      April 01, 2013 - Consultation with infectious disease, rheumatology, and neurology led to a provisional diagnosis of

3014. Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health | PSNet
      psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
      March 27, 2024 - Vermont Blueprint for Health leaders to include the program in its application to CMS, which ultimately led

3015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33728/psn-pdf
      May 01, 2012 - The initial focus of patient safety on errors attracted a lot of interest, and led to the idea that

3016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60267/psn-pdf
      March 01, 2021 - Vermont Blueprint for Health leaders to include the program in its application to CMS, which ultimately led

3017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836879/psn-pdf
      April 27, 2022 - Absent that media spotlight, the same facts would have led to the same inaction that had continued for

3018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49415/psn-pdf
      September 01, 2003 - unclear A Working Conditions     Staffing levels, skill mix, and workload Nursing shortage has led

3019. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet
      psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
      January 31, 2024 - In this case, failure to follow unit policy in scanning EBM led to administering EBM from the wrong mother

3020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867359/psn-pdf
      December 18, 2024 - In this case, failure to follow unit policy in scanning EBM led to administering EBM from the wrong