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www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - requires leadership, and the care across all the teams within the MTS also must be coordinated and led
-
psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - required an
unplanned vascular surgical repair, delayed his necessary bypass surgery, and ultimately led
-
psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - The assumption that
most bleeding in IBD is mild may have led the clinician to downplay these signs
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - Proper communication during handoffs may have led to further investigation of
the line integrity prior
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-facguide.docx
January 01, 2017 - SAY:
Debriefing is a semistructured conversation among frontline clinicians led by a facilitator.
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - At our hospital, the implementation of our Capacity Coordination Center has led to improvement in ED
-
psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - Repeated exposure to these problems led workers to devise
relatively straightforward solutions, such
-
psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - That led to the decision to refer to them now as
serious reportable events.
-
psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Once this patient
begins to feel better, the personality factors that led to his homelessness and drug
-
psnet.ahrq.gov/node/60173/psn-pdf
March 30, 2020 - I believe this work in part led to me serving the
technical expert panel for this report.
-
psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - Proper handling of the result would have led to proper treatment and prevented patient
harm.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
January 01, 2010 - administrators compare resident safety
before and after the changes are made to see if the changes led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - Mistakes have led to positive changes here.
A13.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
December 01, 2017 - What systems may have led to the events?
-
psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Nurse-led change: a statewide multidisciplinary
collaboration targeting intensive care unit delirium
-
psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - However, knowledge of pregnancy-specific changes in respiratory and immune physiology should have led
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - This may have led to lapses in infection prevention best practices.
-
psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - that delays in
receiving dilute solutions from the pharmacy turned ICUs into de facto pharmacies and led
-
psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - during intrahospital transport of critically ill patients is well
described in the literature and has led
-
psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - The infection led to
delayed wound healing and a prolonged hospital stay.