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psnet.ahrq.gov/node/34820/psn-pdf
February 04, 2010 - Findings also suggested that the longer waits led to
more inpatient days, indicating the need for greater
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psnet.ahrq.gov/node/41890/psn-pdf
December 12, 2012 - operating-room-what-would
This study found that anesthesia providers had poor rates of hand hygiene, which led
-
psnet.ahrq.gov/node/39010/psn-pdf
April 12, 2011 - Failure to detect the mismatches would have led to devastating clinical consequences.
-
psnet.ahrq.gov/node/46731/psn-pdf
July 25, 2018 - mean-girls-er-alarming-nurse-culture-bullying-and-hazing
https://psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi
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psnet.ahrq.gov/node/41240/psn-pdf
October 19, 2012 - prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-prospective-study
https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
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psnet.ahrq.gov/node/40362/psn-pdf
April 13, 2011 - The authors hypothesize that knowledge of the clinical scenario simply led residents to generate
heuristics
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psnet.ahrq.gov/node/42525/psn-pdf
November 20, 2013 - issue/promise-learn-commitment-act-improving-safety-patients-england
An international advisory group led
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psnet.ahrq.gov/node/44495/psn-pdf
September 30, 2015 - Participants believed that laws enhanced statewide collaboration and that
public reporting led to greater
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psnet.ahrq.gov/node/37811/psn-pdf
November 17, 2011 - acute-hepatitis-c-virus-infections-attributed-unsafe-injection-practices-endoscopy-clinic
https://psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-together
-
psnet.ahrq.gov/node/41727/psn-pdf
October 10, 2012 - routine part of maternity care, clinicians lacked a
structured approach to transferring care, which led
-
psnet.ahrq.gov/node/38889/psn-pdf
April 01, 2010 - anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-
system
This qualitative study examines the factors that led
-
psnet.ahrq.gov/node/38551/psn-pdf
April 15, 2009 - adverse events in two primary care practices and found that half had health
consequences and a third led
-
psnet.ahrq.gov/node/39450/psn-pdf
February 17, 2011 - malpractice-reform-opportunities-leadership-health-care-institutions-and-
liability-insurers
This commentary discusses emerging, institution-led
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Quality Improvement and Patient Safety at the Agency for Healthcare Research and Quality, where she led … He has led multiple national and international projects focused on characterizing clinical reasoning … Barbara has also led system-wide employee safety efforts at the University of California, resulting in … Most recently, he co-led the creation of the Superior Health Quality Alliance, an eight-organization … Prior to being named Senior Vice President of Field Engagement, Watson led the MHA Keystone Center in
-
psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - That led me to want to study their journey—and that led me to the postdischarge period and readmission … RW : What led you to characterize what happens to patients after they leave the hospital as a syndrome … This led me to think about what might be the mechanism.
Where the idea came from is interesting. … That jet-lag experience led me to think about this toxicity. … Leora Horwitz (now at NYU) led a study that we did together in which we documented that people, soon
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - That led me to want to study their journey—and that led me to the postdischarge period and readmission … RW : What led you to characterize what happens to patients after they leave the hospital as a syndrome … This led me to think about what might be the mechanism.
Where the idea came from is interesting. … That jet-lag experience led me to think about this toxicity. … But the penalties have led places to make investments in improving the transition, improving safety.
-
psnet.ahrq.gov/node/43846/psn-pdf
January 21, 2015 - The
authors concluded that ecological and cohort studies led by unbiased researchers show the most promise
-
psnet.ahrq.gov/node/42504/psn-pdf
August 14, 2014 - of open access online educational modules, an
online forum for communication, and a reward system, led
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psnet.ahrq.gov/node/43082/psn-pdf
April 16, 2014 - pediatric-resuscitation
Using simulated code blues, this observation study found that a structured team training led
-
psnet.ahrq.gov/node/39887/psn-pdf
September 29, 2010 - This article describes how lack of communication around a near miss involving a high-alert medication led