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Total Results: 3,344 records

Showing results for "led".

3101. 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

3102. One Toxic Drug Is Not Like Another | PSNet
      psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
      October 02, 2019 - case may very well have had the best of intentions, his decision to provide care outside his scope led

3103. 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

3104. Postdischarge Follow-Up Phone Call | PSNet
      psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
      May 19, 2021 - large telephone follow-up program at a tertiary care medical center with medical–surgical patients led

3105. Which Line: Ordering Provider or Proceduralist? | PSNet
      psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
      September 16, 2015 - Simple checklists used at the time of ordering for self-check might have led the oncologist to identify

3106. The Forgotten Turn | PSNet
      psnet.ahrq.gov/web-mm/forgotten-turn
      August 01, 2018 - Furthermore, it became clear the patient had not been moved in her bed since her time in the ED, which likely led

3107. 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

3108. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - opioids via patient-controlled analgesia (PCA) and simultaneously via intravenous push has historically led

3109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33776/psn-pdf
      January 01, 2015 - Look at what's going on in General Motors in response to ignition switch problems that have led to deaths

3110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49792/psn-pdf
      May 01, 2017 - learning from missed opportunities.(16) Receiving feedback on unexpected return visits to the ED that led

3111. 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

3112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866618/psn-pdf
      December 31, 2024 - Several errors led to the poor outcome, stemming from an initial failure to recognize pseudohyperkalemia

3113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49591/psn-pdf
      October 01, 2009 - intra-service handoff protocols, to name a few) have not only improved caregiver communication but also led

3114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49431/psn-pdf
      January 01, 2004 - What led to the fatal diagnostic error in this case?

3115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50841/psn-pdf
      January 29, 2020 - errors was the wrong blood reaching the patient’s bedside, a high risk near-miss event that may have led

3116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850450/psn-pdf
      June 14, 2023 - Overcrowding in the ED, with boarding of admitted patients, led to inability to room and appropriately

3117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33828/psn-pdf
      March 01, 2017 - We were able to explicate the mechanisms that led to the change in Michigan and articulate things that

3118. Translating From Normal to Abnormal | PSNet
      psnet.ahrq.gov/web-mm/translating-normal-abnormal
      October 02, 2019 - The miscommunication led to patient distress, frustration, and unnecessary visits to the urgent care

3119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33862/psn-pdf
      July 01, 2018 - And that led to the name "The Human Diagnosis Project."

3120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33833/psn-pdf
      May 01, 2017 - David Juurlink: What got me interested was a 2009 study led by a colleague of mine, Dr.