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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - /Institute for Healthcare Improvement
launched a National Steering Committee for Patient Safety co-led
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psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - this Joint Commission requirement and failing to follow the patient safety
safeguard of the 8 R’s led
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
May 04, 2025 - Instead, optimal teamwork and positive safety culture led the high-performing wards to implement these
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psnet.ahrq.gov/periodic-issue/periodic-issue-282
March 15, 2021 - The program led to a significant reduction in antibiotic use over the 1-year period and a 20% reduction
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psnet.ahrq.gov/periodic-issue/periodic-issue-275
January 29, 2021 - e.g., equipment access, lack of closed-loop communication, out-of-date checklists) and these findings led
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psnet.ahrq.gov/periodic-issue/periodic-issue-329
February 23, 2022 - A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to
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psnet.ahrq.gov/periodic-issue/periodic-issue-330
February 23, 2022 - A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to
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psnet.ahrq.gov/periodic-issue/periodic-issue-339
April 27, 2022 - A cyberattack led to a 25-day shutdown of a hospital’s EHR that necessitated a rapid shift to manual
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psnet.ahrq.gov/periodic-issue/periodic-issue-334
March 31, 2022 - A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to
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psnet.ahrq.gov/periodic-issue/periodic-issue-327
February 23, 2022 - A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to
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psnet.ahrq.gov/periodic-issue/periodic-issue-333
March 31, 2022 - A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to
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psnet.ahrq.gov/periodic-issue/periodic-issue-336
April 27, 2022 - Of these events, three-quarters resulted in hip fracture and 20% led to death.
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psnet.ahrq.gov/node/50611/psn-pdf
October 30, 2019 - difficulty ordering complex medication
regimens, inflexible systems, and excessive alerts—these challenges led
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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
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - revealed a diagnosis
of venous sinus thromboses (blood clots in the veins of the brain), which had led
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psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - Robert Wachter, Editor, AHRQ WebM&M: What led to your partnership with Hopkins?
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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
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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
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Moreover, the lack of familiarity with the limited efficacy of aztreonam in anaerobic coverage led to