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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - tools, as well as the challenge of getting clinical studies after a product is out in the marketplace, led
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - Although well intended, there are two fundamental differences inherent in centralized monitoring that have led
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - This led to a prolonged intensive care unit (ICU) stay for respiratory failure from an ischemic cardiac
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - intra-service handoff protocols, to name a few) have not only improved caregiver communication but also led
-
psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Getting Started
The RCA team is usually led by a member of the institution’s patient safety or quality
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - I believe this work in part led to me serving the technical expert panel for this report.
-
psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - system-oriented processes that hospital
quality improvement professionals had previously implemented, led
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - The impact of a consultant anaesthetist led pre-operative assessment clinic on patients undergoing major
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - This led to a framing error and premature
closure around isolated cardiac pathology.
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psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
February 26, 2025 - And that led to the name "The Human Diagnosis Project."
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - intubation
during general anesthesia.28 It is possible that her obesity, and perhaps other social factors, led
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
June 02, 2025 - The story
outlines several areas where communication failures led to missed and
delayed diagnosis that
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
June 02, 2025 - The story outlines several areas where communication failures led to missed and delayed diagnosis that
-
psnet.ahrq.gov/node/49597/psn-pdf
February 01, 2010 - sexual history in a confidential setting may have revealed this patient's prior
sexual assault and led
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - the puzzle pieces to prompt you to think of all the contributing factors or holes in the system that led
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - Slide 9
Multiple Interventions
SAY:
The antibiotic stewardship interventions were led by a regional
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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - The large increase of these types of treatments has led to the emergence of risks not seen previously
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Team members may or may not be certified in wound care and may be led by a physician, nurse, or physical
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.pdf
August 01, 2012 - Massachusetts, North Carolina), and one State was using a combination of
multiple tools (West Virginia).This led
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - This led to the design of
a prototype operating room that we then implemented in two ambulatory surgery