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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - Coordinating Entities
(CEs)
CEs recruited hospital perioperative teams, led monthly coaching calls … Coaching Calls
Coordinating entity-led coaching calls provided safety program teams with an opportunity … This
led to “noise” in the data with variability by quarter. … These variations in organizational
characteristics led to significant variation in local implementation … The loss of this role led to frequent leadership turnover in the surgical safety program team
and the
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/tracking-patient-outcomes
February 01, 2024 - disclose they began using opioids again, providers should try to understand the reasons or stressors that led
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psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - any medical procedure, done overseas is that the operation is less expensive.( 1 ) This advantage has led
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - unit-based safety program (CUSP) customized for each institution.( 11 ) Adoption of the bundle has led
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meps.ahrq.gov/data_files/publications/st177/stat177.pdf
July 01, 2007 - cy for Healthcare
earch and Quality
Highlights
ng all U.S. employees
led in job-related
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - or esophagus.( 5 ) What could have been done to detect this child's malpositioned tube before it led
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - would
speculate that in this case, the localized ileus that may be associated with severe pancreatitis led
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - Postoperatively, the patient continued to have right lower quadrant pain, which led to a repeat CT scan
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - breakdowns in the operating room, as well as the broader operating room environment and system factors that led
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psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - In December 2004, he announced an IHI-led "Campaign to Save
100,000 Lives"—promoting the implementation
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psnet.ahrq.gov/node/49547/psn-pdf
October 01, 2007 - Yet the location of
this arrest—outside the main hospital—doubtless led to the poor technique, inadequately
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - of detected errors caused no harm, while another institution reported that 4.9% of detected errors led
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - This family's insistence that the infant's breastfeeding difficulties be addressed ultimately led to
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Success will likely rely on using a combination of patient/family-centered
HIT and pharmacist-led counseling
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-1.pdf
May 01, 2016 - The
practice is focusing on things that are important to
patients, which has led to reduced patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
May 02, 2016 - All of these factors led
to improved patient and provider engagement as well as
improved patient safety
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Because of this error, her pregnancy was continued, which led to acute alveolar pulmonary edema with
-
psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - in this case was fortunate in that his INR, though
approaching dangerously high levels, had not yet led
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www.ahrq.gov/talkingquality/translate/display/index.html
May 01, 2019 - fictional materials used in a CAHPS II research study conducted by American Institutes for Research (led
-
psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - B and his family—and there are other examples of wrong patient errors that led to death.( 8 ) Although