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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - Hopefully I recover that function, but maybe it’s led to functional incontinence because I’m not able
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Multiple Health System Vulnerabilities
May 26, 2021
Success of a resident-led
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - gallbladder, should
have prompted a surgical consultation for acute cholecystitis, which might have led
-
psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - Consultation with infectious disease, rheumatology, and neurology led to a provisional diagnosis of primary
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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
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-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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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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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - system-oriented processes that hospital quality improvement professionals had previously implemented, led
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psnet.ahrq.gov/psnet-collection
January 15, 2024 - of quantitative evidence found that healthcare provider participation in interventions including IPL led
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psnet.ahrq.gov/web-mm/overdose-oxygen
August 02, 2023 - This increased oxygen tension likely led to progressive hypercapnia (increasing CO2 level) overnight
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 25, 2024 - gallbladder, should have prompted a surgical consultation for acute cholecystitis, which might have led
-
psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Doing so could have expedited her transfer from the waiting room to
a treatment bed and may have led
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - Miscommunication amongst team members led to a delay in the administration of high-flow oxygen.
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - population with low prevalence of SARS-CoV-2 (e.g., ≤2%). 13 , 14 , 15 False positive antigen results led
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
April 27, 2022 - This led to a framing error and premature closure around isolated cardiac pathology.
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - group of vascular access experts from
around the world, including several HMS member hospitals, and led
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - Miscommunication amongst team members led to a delay in the administration of
high-flow oxygen.
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - Everybody learned from a particular person or an institution—which led to, you know, this is the Penn
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - and collaborative practice, illustrated by the new public–private partnership with foundations that led
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - This has led to great variability in the approaches that local stakeholders employ to report quality