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Total Results: 3,344 records

Showing results for "led".

  1. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet

    psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - intubation during general anesthesia. 28 It is possible that her obesity, and perhaps other social factors, led

  2. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet

    psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
    July 23, 2024 - group of vascular access experts from around the world, including several HMS member hospitals, and led

  3. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head | PSNet

    psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
    March 27, 2024 - December 7, 2016 Systematic review and meta-analysis of the effectiveness of pharmacist-led

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73202/psn-pdf
    April 28, 2021 - 2%).13,14,15  False positive antigen results led the FDA to issue an urgent national warning in early

  5. Missed Nursing Care: A Key Measure for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - In England, high mortality rates led to the detection of serious care failings at the Mid Staffordshire

  6. Intubation Mishap | PSNet

    psnet.ahrq.gov/web-mm/intubation-mishap
    April 26, 2023 - Conditions     Staffing levels, skill mix, and workload Nursing shortage has led

  7. Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet

    psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
    July 01, 2011 - A formal root cause analysis of the case found many errors that led to the adverse events.

  8. In Conversation With… Lawrence Smith, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
    February 01, 2012 - The death of 18-year-old Libby Zion at The New York Hospital in 1984 led to the recommendation by the

  9. Making Healthcare Safer III Report | PSNet

    psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
    March 30, 2020 - I believe this work in part led to me serving the technical expert panel for this report.

  10. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet

    psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
    November 01, 2008 - controlled trial found it to be more comfortable than the indwelling catheter, and in some patients it led

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867672/psn-pdf
    February 26, 2025 - gallbladder, should have prompted a surgical consultation for acute cholecystitis, which might have led

  12. In Conversation With… Jack Needleman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - and collaborative practice, illustrated by the new public–private partnership with foundations that led

  13. Adolescent Diabetes: A Routine Visit? | PSNet

    psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
    November 18, 2016 - sexual history in a confidential setting may have revealed this patient's prior sexual assault and led

  14. In Conversation with…Janet Corrigan, PhD, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
    April 01, 2010 - This has led to great variability in the approaches that local stakeholders employ to report quality

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851971/psn-pdf
    July 31, 2023 - This liability issue may have led the physicians in this case to delay the procedure, instead of proceeding

  16. In Conversation With… Linda Aiken, PhD, RN | PSNet

    psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - In England, high mortality rates led to the detection of serious care failings at the Mid Staffordshire

  17. Health Care Data Science for Quality Improvement and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
    October 01, 2016 - As part of that work, I was asked to develop an antimicrobial stewardship program and that led to a general

  18. In Conversation with…Sanjay Saint, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
    November 01, 2008 - controlled trial found it to be more comfortable than the indwelling catheter, and in some patients it led

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848124/psn-pdf
    April 26, 2023 - During my time at the college, I led research that provided terrific opportunities to collaborate with

  20. Health Plan Patient Safety Initiatives | PSNet

    psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - pharmacists, and other stakeholders to develop and implement a comprehensive opioid utilization policy that led
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