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Total Results: 6,293 records

Showing results for "led".

  1. One Dose, Two Errors | PSNet

    psnet.ahrq.gov/web-mm/one-dose-two-errors
    September 29, 2017 - Didactic education might have led the resident or the ID specialist to use an echinocandin instead of

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60269/psn-pdf
    April 29, 2020 - Identifying Risks to Patient Safety In the presented case, there were undoubtedly multiple failures that led

  3. Production Pressures | PSNet

    psnet.ahrq.gov/web-mm/production-pressures
    November 16, 2022 - with 10 case studies in an academic medical center shows that this novel approach to managing workload led

  4. Establishing a Business Case for Health Information Exchange (HIE) (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/UHIN_BusinessCaseReport.pdf
    November 01, 2005 - Led by the National Opinion Research Center (NORC) at the University of Chicago, the NRC includes the

  5. Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
    January 01, 2013 - This also led to variation in approaches to conducting the process.

  6. CVC Placement: Speak Now or Do Not Use the Line | PSNet

    psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
    November 01, 2003 - Proper communication during handoffs may have led to further investigation of the line integrity prior

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49531/psn-pdf
    March 01, 2007 - How many other patients must be harmed by similar mistakes before the factors that led to the mistakes

  8. Screening for Depression in Adults | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/depression/depsum1.html
    April 01, 2013 - Intervention-group patients were offered a series of six weekly group educational sessions led by a nurse

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - In this case, four significant problems led to the alignment of the “holes” in the “slices” of the Swiss

  10. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
    January 01, 2021 - system-oriented processes that hospital quality improvement professionals had previously implemented, led

  11. Resuscitation Errors: A Shocking Problem | PSNet

    psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
    October 19, 2022 - charged and devices were kept in circulation far in excess of their natural life expectancy of 5–8 years, led

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49540/psn-pdf
    August 21, 2007 - and devices were kept in circulation far in excess of their natural life expectancy of 5–8 years, led

  13. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet

    psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
    February 21, 2024 - night staffing, poorly calibrated trainee autonomy, and cultural hierarchy barriers that ultimately led

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33678/psn-pdf
    January 01, 2009 - That led to my interest in an even more challenging conversation, which is how doctors and patients

  15. Standard Deviations | PSNet

    psnet.ahrq.gov/web-mm/standard-deviations
    January 01, 2006 - Once this patient begins to feel better, the personality factors that led to his homelessness and drug

  16. Missed Patient Assignment: Is Anyone There? | PSNet

    psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
    September 01, 2017 - The concern for this neglected patient and the potential for similar events in the future led to a root

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49669/psn-pdf
    November 01, 2012 - modern guidelines (6,9), the clinicians might have avoided giving the second unit, which seems to have led

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49639/psn-pdf
    November 01, 2011 - At the drug manufacturer's level, a packaging design decision led the atropine and LMWH syringes to

  19. Final Progress Report: Conference: Physician-Level Interventions: What Works to Improve Quality of Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-04/wolfson-report.pdf
    January 01, 2024 - The dialogue also led to the idea—borrowed from the legal context—that research regarding health system

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33885/psn-pdf
    August 01, 2019 - I don't know the exact turnover rate, but it's enough that it's somewhat troublesome and has led to
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