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Total Results: 6,293 records

Showing results for "led".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49651/psn-pdf
    May 01, 2012 - handoffs, but also created a patchwork of coverage systems, including day and night float services that led

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49744/psn-pdf
    October 01, 2015 - Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49648/psn-pdf
    March 01, 2012 - large telephone follow-up program at a tertiary care medical center with medical–surgical patients led

  4. Slippery Slide Into Life | PSNet

    psnet.ahrq.gov/web-mm/slippery-slide-life
    January 21, 2017 - confusion of roles among the labor and delivery team contributed to the error, which, through luck alone, led

  5. Module 4: Leadership

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptx
    January 05, 2022 - plan and key events that occurred and ask questions related to team performance, such as: What events led

  6. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
    January 01, 2014 - techniques that can be employed to encourage reporting, such as sharing examples of how the event reports led

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49858/psn-pdf
    April 01, 2019 - The nurse manager for the unit led a root cause analysis to determine what had happened.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49618/psn-pdf
    February 01, 2011 - case may very well have had the best of intentions, his decision to provide care outside his scope led

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49807/psn-pdf
    October 01, 2017 - The miscommunication led to patient distress, frustration, and unnecessary visits to the urgent care

  10. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet

    psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
    February 26, 2025 - Feedback following use of the instrument in several settings led to revisions to the tool.

  11. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
    August 21, 2015 - Module 5 4 Response and Disclosure is led by a team of trained Disclosure Leads.

  12. An Overview of the CANDOR Process

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
    September 10, 2015 - Continuous organizational learning—this allows for identification of contributing factors that led to

  13. Screening for Depression in Adults (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/depression/depsum2.html
    April 01, 2013 - received educational materials, assistance in treatment initiation and maintenance, and access to nurse-led

  14. How are CHIPRA quality demonstration States working together to improve the quality of health care for children? | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
    January 01, 2014 - facilitators in Idaho are using materials developed by Utah and are participating in Webinar trainings led

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74252/psn-pdf
    January 12, 2022 - That led to other staff members having to take the increased workload, further adding to staff fatigue

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74691/psn-pdf
    January 01, 2021 - Feedback following use of the instrument in several settings led to revisions to the tool.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865540/psn-pdf
    April 11, 2024 - between medical professionals involves using a standardized tool, such as the I-PASS system, which led

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863308/psn-pdf
    February 28, 2024 - #18 https://psnet.ahrq.gov//#19 patient suffered from a severe aspiration event, which most likely led

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49624/psn-pdf
    May 01, 2011 - revealed a diagnosis of venous sinus thromboses (blood clots in the veins of the brain), which had led

  20. Final Progress Report: Developing a Risk Index of Healthcare Provider Alertness To Improve Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-10/landrigan3-report.pdf
    January 01, 2024 - This project led to practical and theoretical extensions of our scheduling research program.
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