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Total Results: 3,343 records

Showing results for "led".

  1. In Conversation With... Heidi Wald, MD | PSNet

    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

  2. The Impact of Communication on Medication Errors | PSNet

    psnet.ahrq.gov/web-mm/impact-communication-medication-errors
    August 01, 2009 - Multiple Health System Vulnerabilities May 26, 2021 Success of a resident-led

  3. 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

  4. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case | PSNet

    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

  5. 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

  6. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet

    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

  7. 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

  8. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet

    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

  9. The PSNet Collection | PSNet

    psnet.ahrq.gov/psnet-collection
    January 15, 2024 - of quantitative evidence found that healthcare provider participation in interventions including IPL led

  10. Overdose on Oxygen? | PSNet

    psnet.ahrq.gov/web-mm/overdose-oxygen
    August 02, 2023 - This increased oxygen tension likely led to progressive hypercapnia (increasing CO2 level) overnight

  11. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet

    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

  12. Psn-Pdf (pdf file)

    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

  13. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet

    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.

  14. A Postpartum Woman with an Erroneous SARS-CoV-2 Test | PSNet

    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

  15. Premature Closure: Was It Just Syncope? | PSNet

    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.

  16. Psn-Pdf (pdf file)

    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

  17. Psn-Pdf (pdf file)

    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.

  18. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet

    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

  19. Preparing for Health Reform: The Federal Government and the Nursing Workforce | PSNet

    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

  20. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet

    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
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