-
psnet.ahrq.gov/node/47477/psn-pdf
November 14, 2018 - Written
by the patient's husband, the article outlines the failures that led to her death despite the
-
psnet.ahrq.gov/node/44329/psn-pdf
September 04, 2016 - electronic-medication-reconciliation-and-medication-errors
Implementation of an electronic medication reconciliation tool led
-
psnet.ahrq.gov/node/43833/psn-pdf
February 04, 2015 - sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety
Failure to follow safety practices at a compounding pharmacy led
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psnet.ahrq.gov/node/42028/psn-pdf
February 18, 2014 - mistakenly-applied
Describing several incidents of a corrosive chemical mistakenly applied to skin that led
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psnet.ahrq.gov/node/43247/psn-pdf
August 02, 2015 - The authors found that 25% of malpractice cases resulted in payout,
and diagnostic errors led to the
-
psnet.ahrq.gov/node/37015/psn-pdf
September 15, 2011 - their analysis of one type of surgical error and strategies for addressing the systemic
factors that led
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psnet.ahrq.gov/node/44480/psn-pdf
October 14, 2015 - Implementation of this program led to rapid report correction, and the error rate by
radiologists receiving
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psnet.ahrq.gov/node/36362/psn-pdf
October 27, 2010 - They found the changes led to significant improvements.
-
psnet.ahrq.gov/node/38559/psn-pdf
June 16, 2009 - regional-surveillance-emergency-department-visits-outpatient-adverse-drug-
events
This study found that many adverse drug events led
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - The agreement led to increased collaboration between frontline nursing staff and wound care consultants … This led to increased collaboration between frontline nursing staff and wound care consultants related
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - to include adaptive teamwork concerns
Develop a “system perspective” to see the hidden factors that led … SAY:
Look for the hidden, latent factors that led to the event, not just the individuals who were performing
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
August 26, 2014 - Investigators tested a coach-led intervention and a home-based, DVD-facilitated intervention, as well … There was no consistent evidence that behavioral counseling interventions led to paradoxical changes
-
psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - its Declaration to Advance Patient Safety, the National Steering Committee for Patient Safety
(NSC), led
-
psnet.ahrq.gov/web-mm/say-it-again
January 31, 2020 - This led to recommendations for a read-back or verification when verbal orders are necessary.
-
psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - may not be sufficient.( 7 ) Concern about the reliability of patient and sample identification has led
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - However, clozapine had significant potential for hematologic toxicity, which led to a search for agents
-
psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - It is impossible to say whether the underdose of the blood thinner led to more
cardiac damage.
-
psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - , (v) obtaining emotional first aid, and (vi) moving on.(18) The sixth stage was
unique in that it led
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - medication errors among elderly upon admission to hospital after implementation of clinical pharmacist-led
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023390-overby-final-report-2017.pdf
January 01, 2017 - of Medicine
Strategic partnerships:
• The Johns Hopkins Hospital Epic Research Innovation team (led … Coordinator III)
• The Johns Hopkins Hospital Healthcare Data Architecture and Integration team (led … The Center for Inherited Disease Research at Johns Hopkins University, Bioinformatics and IT team
(led … committees, PI Overby is a member of the Pharmacogenomics Task Force at
Johns Hopkins University (led … The Center for Inherited
Disease Research at Johns Hopkins University, Bioinformatics and IT team (led