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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - that delays in receiving dilute solutions from the pharmacy turned ICUs into de facto pharmacies and led
-
psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - In both cases, errors led to the wrong concentration of IV heparin being administered, resulting in 1000
-
psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - example from memory or literature
In this scenario, the errors resulted in a delay in diagnosis, which led
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-informed-care-disposition-comments.pdf
January 14, 2025 - disappointed that the study methodology and the narrow way that the
study questions were examined led
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effectivehealthcare.ahrq.gov/sites/default/files/dementia_hi_impact.pdf
January 01, 2012 - Food and Drug Administration (FDA) in
January 2011 that FDA considered and led to ongoing controversy
-
effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1312.pdf
December 01, 2013 - Opioid Overdose Prevention Program
(Project Lazarus)
Unmet need: Increased prescribing of opioids has led
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-survivor-care-transition_research-protocol.pdf
March 27, 2013 - community-based shared-care models, academically based
comprehensive survivor program models, nurse practitioner–led
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/bundled-payments-quality-effects_research-protocol.pdf
June 23, 2011 - Of secondary interest is
evidence that bundled payment led to specific types of care redesign intended
-
psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - May 26, 2010
The impact of pharmacists-led medicines reconciliation on healthcare outcomes
-
psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - similarities and quick solutions, coupled with the widespread pressure on health care to improve safety, have led
-
psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - in general, and electronic health records (EHRs) in particular, the widespread adoption of EHRs has led
-
psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - During his tenure at Alcoa, he led the company to become the safest workplace in the world.
-
www.ahrq.gov/sites/default/files/2024-04/maraganore-report.pdf
January 01, 2024 - The construction and maintenance of limited data set registries should be
led by professional organizations
-
psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - We were able to explicate the mechanisms that led to the change in Michigan and articulate things that
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Loux_36.pdf
March 15, 2008 - Spectrum Medical Group (Spectrum) is Maine’s largest physician-
owned and -led multi-specialty practice
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
March 11, 2008 - dates of conception), Bishop’s scores, and
preconfigured selections (e.g., pick lists, menus) may have led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - Rounds
Executive safety rounds may begin with a senior executive walk-through of the clinical area, led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - Conventional Responses can include…
■ Describe Mary’s current condition and the events that led up to
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight09.pdf
September 08, 2015 - of their
unmet needs and the ways in which
care coordinators could help to address
them, and (3) led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
October 01, 2016 - The
PFAC is co-led by the front desk lead and a patient advisor.