-
psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - management systems in commercial aviation
in the 1990s increased the cognitive demands on pilots and led
-
psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - These findings led to a series of studies that
demonstrated that individuals at high risk are more challenged
-
psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - Simple checklists used at the time of ordering for
self-check might have led the oncologist to identify
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
January 01, 2010 - item: This office compares patient safety before
and after the changes are made to see if the changes led
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
November 01, 2019 - syndrome-specific intervention that
specifically aimed to integrate house staff into the
decision-making process led
-
psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - This led to a prolonged intensive care unit (ICU) stay
for respiratory failure from an ischemic cardiac
-
www.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
January 01, 2017 - Findings showed that adherence to the bundle led to a significant reduction of VAP.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - UTIs—demonstrated that 7 days of fluoroquinolones or trimethoprim-sulfamethoxazole antibiotic therapy led
-
psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - extra skin punctures during catheter placement and the delayed
catheter changes in obese patients led
-
psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - About 10 years ago, I was privileged to attend one of the early Resilient Health Care
Network meetings led
-
psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - Medical advancements over the last 50 years have led to a significant increase
in the lifespan of many
-
psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - of the Never Events list was AHRQ commissioning a report called Making Health Care Safer that I led
-
psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - , it became clear the patient had not been moved in her bed since her time in
the ED, which likely led
-
psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - Identifying Risks to Patient Safety In the presented case, there were undoubtedly multiple failures that led
-
psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - disease persists over many years. 17 In this case, premature closure on the diagnosis of “panic attack” led
-
www.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - Organization (QIO) program, and
Technical assistance and catalytic efforts of the HHS PfP initiative led
-
psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - In this case, the medication error, a preventable ADE, led to patient harm.
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/visual-impairment-in-children-ages-1-5-screening-2004
January 14, 2004 - months (using the cover test, Cardiff Cards, Kay Picture test, and HOTV letters by an eye professional) led
-
psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - The local soft tissue infection led to MRSA bacteremia and then to an epidural abscess.
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - It is important that this type of session be led by a trained peer supporter.