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Total Results: 3,343 records

Showing results for "led".

  1. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet

    psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - Everybody learned from a particular person or an institution—which led to, you know, this is the Penn

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841467/psn-pdf
    December 14, 2022 - A goals-of-care discussion was led by the palliative care service; the patient and his designated decision-makers

  3. Making Just Culture a Reality: One Organization's Approach | PSNet

    psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
    October 01, 2007 - November 1, 2016 Sustained impact of a pediatric resident-led patient safety council.

  4. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective | PSNet

    psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
    June 01, 2016 - safety officer, it is vital that I listen to the health care team when they explain the events that led

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836976/psn-pdf
    April 27, 2022 - Her wounds led to significant blood loss.

  6. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet

    psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
    February 26, 2020 - Doing so could have expedited her transfer from the waiting room to a treatment bed and may have led

  7. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet

    psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
    March 29, 2023 - This liability issue may have led the physicians in this case to delay the procedure, instead of proceeding

  8. Balancing Supervision and Autonomy: An Ongoing Tension | PSNet

    psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
    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. Safety and Medical Education | PSNet

    psnet.ahrq.gov/perspective/safety-and-medical-education
    December 01, 2013 - commentary by two noted patient safety experts raised concern that further restriction of duty hours has led

  10. In Conversation with…Donald M. Berwick, MD, MPP | PSNet

    psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
    November 01, 2005 - In December 2004, he announced an IHI-led "Campaign to Save 100,000 Lives"—promoting the implementation

  11. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet

    psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
    April 10, 2024 - Regulatory guidelines on PPE, testing, and visitation, for example, while necessary and important, led … commission included 25 LTC experts, consumer advocates, academics, state authorities, and residents, and was led

  12. Unexpected Drawbacks of Electronic Order Sets | PSNet

    psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
    December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets Citation Text: McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX …

  13. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
    April 01, 2009 - that delays in receiving dilute solutions from the pharmacy turned ICUs into de facto pharmacies and led

  14. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet

    psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
    June 01, 2016 - safety officer, it is vital that I listen to the health care team when they explain the events that led

  15. In Conversation with...Lucian Leape, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
    August 01, 2006 - This focus on safety led to significant decreases in risks to patients.

  16. In Conversation with…Eric G. Poon, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
    September 01, 2008 - In both cases, errors led to the wrong concentration of IV heparin being administered, resulting in 1000

  17. In Conversation with…Thomas H. Gallagher, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
    January 01, 2009 - That led to my interest in an even more challenging conversation, which is how doctors and patients talk

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60362/psn-pdf
    April 13, 2018 - which, in turn, has reduced complications, generated cost savings to the state Medicaid program, and led

  19. In Conversation With... Barbara Drew, RN, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
    May 01, 2016 - team-based approach, combined with a formal alarm management committee structure and broad-based education, led

  20. Disclosure of Medical Error | PSNet

    psnet.ahrq.gov/perspective/disclosure-medical-error
    January 01, 2009 - That led to my interest in an even more challenging conversation, which is how doctors and patients talk
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