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Total Results: 6,293 records

Showing results for "led".

4521. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
      psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
      March 19, 2019 - meeting this Joint Commission requirement and failing to follow the patient safety safeguard of the 8 R’s led

4522. Failure to Report | PSNet
      psnet.ahrq.gov/web-mm/failure-report
      July 01, 2008 - How many other patients must be harmed by similar mistakes before the factors that led to the mistakes

4523. Final Revised Operations Center Operational Framework (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Operations%20Center%20Operational%20Framework.pdf
      January 01, 2024 - updates from broader CDS ecosystem including AHRQ’s broader PCOR CDS Initiative, CDS stakeholder-led

4524. Final Operations Center Operational Framework (pdf file)
      cdsic.ahrq.gov/sites/default/files/2022-05/Final%20Operations%20Center%20Operational%20Framework.pdf
      January 01, 2022 - updates from broader CDS ecosystem including AHRQ’s broader PCOR CDS Initiative, CDS stakeholder-led

4525. Stakeholder Community and Outreach Center: Operational Framework – Option Year 2 (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20Stakeholder%20Center%20Operational%20Framework.pdf
      January 01, 2024 - The Stakeholder Center will: • Establish four stakeholder-led Workgroups focused on key topic areas

4526. Delayed Sepsis Management Due to Ambiguous Allergy | PSNet
      psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
      January 13, 2021 - Moreover, the lack of familiarity with the limited efficacy of aztreonam in anaerobic coverage led to

4527. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - At the drug manufacturer's level, a packaging design decision led the atropine and LMWH syringes to look

4528. Nursing and Patient Safety | PSNet
      psnet.ahrq.gov/primer/nursing-and-patient-safety
      September 15, 2024 - The strength of these data has led several states, beginning with California in 2004, to establish legislatively

4529. Triaging Interhospital Transfers | PSNet
      psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
      April 12, 2023 - stability of the patient was not adequately communicated to the receiving hospital prior to transfer, which led

4530. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/international/medical-office/translators.html
      January 01, 2010 - item: This office compares patient safety before and after the changes are made to see if the changes led

4531. Transfusion Overload | PSNet
      psnet.ahrq.gov/web-mm/transfusion-overload
      September 23, 2020 - modern guidelines ( 6,9 ), the clinicians might have avoided giving the second unit, which seems to have led

4532. Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
      September 28, 2016 - instructions for nurses to help patients understand after-hospital care instructions • Additional funding led

4533. Meeting Minutes, November 2019 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2019-11-nac/nacmtg01121-minutes.html
      March 01, 2020 - States added the opioid overdose crisis, which now is led by synthetic opioids (fentanyl and fentanyl

4534. Evidence Map on Home and Community Based Services (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/evidence-map-hcbs-protocol.pdf
      July 27, 2023 - The conferences will be led by two clinical and research experts, who will document responses using

4535. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/2014-final.html
      January 01, 2018 - QIO program to hospitals, and technical assistance and catalytic efforts of the HHS PfP initiative led

4536. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - The increasing linguistic and cultural diversity of our country has led to the potential for communication

4537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865610/psn-pdf
      April 24, 2024 - effectiveness, and the standard use of the new procedures and interventions from ED-SAFE 1.3 This led

4538. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
      psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
      February 26, 2025 - 90% of readmissions. 11 A pre-post study of 11 hospitals found that participation in Project BOOST led

4539. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
      June 11, 2003 - The new “Culture of Safety” led to a paradigm shift in assessing an individual’s performance, event

4540. Digital Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
      May 01, 2024 - Health Clinics at High-Risk for Clinician Burnout P14: Is Telehealth Effective for Providing Nurse-Led