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psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
February 26, 2025 - And that led to the name "The Human Diagnosis Project."
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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
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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
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Getting Started
The RCA team is usually led by a member of the institution’s patient safety or quality
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - The catheter-related
bloodstream work, which was led by Dr.
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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
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - For example, implicit bias about racial differences in pain tolerance has led to systematic undertreatment
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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
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - intubation
during general anesthesia.28 It is possible that her obesity, and perhaps other social factors, led
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Later, problems with data gathering and information processing led to a brief delay in recognizing emerging
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - Although death was averted, it seems quite evident that earlier investigation and intervention might have led
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - tools, as well as the challenge of getting clinical studies after a product is out in the marketplace, led
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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
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - Ten years from now, people will probably still say that the projects that led to checklists being the
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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
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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
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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
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - errors was the wrong blood reaching the patient’s bedside, a high risk near-miss event that may have led
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - July Syndrome
Citation Text:
Young JQ. July Syndrome. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - An Obstructed View
Citation Text:
Carter J. An Obstructed View. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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