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Total Results: 3,344 records

Showing results for "led".

3241. 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

3242. 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

3243. 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

3244. 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

3245. 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

3246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836976/psn-pdf
      April 27, 2022 - Her wounds led to significant blood loss.

3247. 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

3248. 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

3249. 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
      September 27, 2023 - This liability issue may have led the physicians in this case to delay the procedure, instead of proceeding

3250. 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.

3251. 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

3252. 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

3253. 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 …

3254. 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

3255. 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

3256. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
      psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
      September 29, 2021 - Her wounds led to significant blood loss.

3257. 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

3258. 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

3259. 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.

3260. In Conversation With… Susan Haas, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
      March 01, 2019 - And that often doesn't happen, or it happens in a flurry of white coats being led around without getting