Results

Total Results: 3,344 records

Showing results for "led".

3141. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33831/psn-pdf
      April 01, 2017 - The Joint Commission's understanding of health care with high reliability organizational learning led

3142. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49525/psn-pdf
      December 01, 2006 - measured by ELISA, the median duration of HIT antibody positivity is 85 days.(1) This observation has led

3143. Technology as a Tool for Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
      April 26, 2023 - alerts were overridden, only 9.3% of those were inappropriately overridden, and very few overrides led

3144. Patient as a Team Member in Clinical Care | PSNet
      psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
      March 15, 2025 - found that encouragement from staff, education about patient safety, and comprehensible information all led

3145. Hypoxemia after Emergency Intubation | PSNet
      psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
      March 24, 2019 - The introduction of capnography into clinical anesthesia practice has led to a significant reduction

3146. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet
      psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
      April 01, 2005 - ectopic pregnancy with possible early delays in care which were flagged in the SureNet system that led

3147. Implementation of Patient Safety Projects | PSNet
      psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
      May 05, 2025 - This systematic review examined which aspects of new safety practice implementations led to actual improvement

3148. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - While this has led to a gradual shift toward the use of process measures (what was done) instead of outcomes

3149. Maternal Safety | PSNet
      psnet.ahrq.gov/curated-library/maternal-safety
      January 31, 2024 - collaborative, this program divided participating health systems into groups of six to eight hospitals, led

3150. The Perils of Cross Coverage | PSNet
      psnet.ahrq.gov/web-mm/perils-cross-coverage
      September 22, 2010 - handoffs, but also created a patchwork of coverage systems, including day and night float services that led

3151. Crushing Chest Pain: A Missed Opportunity | PSNet
      psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
      February 01, 2007 - What led to the fatal diagnostic error in this case?

3152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49537/psn-pdf
      June 01, 2007 - The impact of a consultant anaesthetist led pre-operative assessment clinic on patients undergoing major

3153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49849/psn-pdf
      January 01, 2019 - A formal root cause analysis of the case found many errors that led to the adverse events.

3154. Hidden Heparins: HIT Happens | PSNet
      psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
      March 27, 2024 - measured by ELISA, the median duration of HIT antibody positivity is 85 days.( 1 ) This observation has led

3155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838197/psn-pdf
      September 28, 2022 - The suitability of PICC lines for such a broad range of clinical situations has led to highly variable

3156. A Fatal Twist in Pseudohyperkalemia | PSNet
      psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
      February 10, 2021 - Several errors led to the poor outcome, stemming from an initial failure to recognize pseudohyperkalemia

3157. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865466/psn-pdf
      March 27, 2024 - For example, implicit bias about racial differences in pain tolerance has led to systematic undertreatment

3158. Diagnostic Delay in the Emergency Department | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
      September 18, 2024 - learning from missed opportunities.( 16 ) Receiving feedback on unexpected return visits to the ED that led

3159. 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

3160. 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