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Total Results: 3,344 records

Showing results for "led".

3041. In Conversation with…Albert Wu, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
      March 24, 2025 - There is a well-developed system at the University of Missouri, led by Sue Scott .

3042. 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

3043. Advancing Patient Safety Through State Reporting Systems | PSNet
      psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
      June 01, 2007 - Analysis of wrong-patient/wrong-site surgical errors led to development of the New York preoperative

3044. EMR Entry Error: Not So Benign | PSNet
      psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
      July 01, 2012 - Thus, the efforts of industry-led certification groups to enhance information exchange across HIT platforms

3045. A Weighty Mistake | PSNet
      psnet.ahrq.gov/web-mm/weighty-mistake
      September 01, 2016 - quantity" (significantly higher fraction than in adults [ 4 ]), and 2.5% of those pediatric dosing errors led

3046. Triaging Interhospital Transfers | PSNet
      psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
      April 12, 2023 - stability of the patient was not adequately communicated to the receiving hospital prior to transfer, which led

3047. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet
      psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
      February 01, 2023 - Further workup led to a diagnosis of antiphospholipid syndrome, and she was treated with aspirin, mycophenolate

3048. Transfusion Overload | PSNet
      psnet.ahrq.gov/web-mm/transfusion-overload
      September 23, 2020 - modern guidelines ( 6,9 ), the clinicians might have avoided giving the second unit, which seems to have led

3049. In Conversation With… Thomas J. Nasca, MD, MACP | PSNet
      psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
      July 10, 2024 - Wachter : What led you to believe that a program like CLER was needed? Dr. Thomas J.

3050. Out of Sight, Out of Mind: Out-of-Office Test Result Management | PSNet
      psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
      September 01, 2007 - revealed that his C-reactive protein (CRP) was now elevated, suggesting that cessation of steroids had led

3051. Hidden Mystery | PSNet
      psnet.ahrq.gov/web-mm/hidden-mystery
      December 01, 2011 - the extra skin punctures during catheter placement and the delayed catheter changes in obese patients led

3052. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
      psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
      March 19, 2019 - meeting this Joint Commission requirement and failing to follow the patient safety safeguard of the 8 R’s led

3053. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet
      psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
      March 31, 2021 - Identifying Risks to Patient Safety In the presented case, there were undoubtedly multiple failures that led

3054. 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

3055. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
      psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
      February 26, 2025 - 90% of readmissions. 11 A pre-post study of 11 hospitals found that participation in Project BOOST led

3056. Transitions in Adolescent Medicine | PSNet
      psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
      August 04, 2021 - Medical advancements over the last 50 years have led to a significant increase in the lifespan of many

3057. 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

3058. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
      psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
      January 01, 2009 - The infection led to delayed wound healing and a prolonged hospital stay.

3059. 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

3060. Failure to Report | PSNet
      psnet.ahrq.gov/web-mm/failure-report
      July 01, 2008 - How many other patients must be harmed by similar mistakes before the factors that led to the mistakes