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Total Results: 6,293 records

Showing results for "led".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44873/psn-pdf
    March 21, 2016 - Analyzing more than 7000 cases in which communication breakdowns led to patient harm, this report explores

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49788/psn-pdf
    March 01, 2017 - allergy identification, and lower 30- day hospital readmission rates.(5) Additionally, pharmacist-led … the pharmacist's decision to review the patient's medical record, and not just the medication list, led … discontinuation or proactive recommendations), and patient education.(9) This expanded role of pharmacists has led … Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49802/psn-pdf
    August 01, 2017 - In the present case, a series of missed communication opportunities led to a failure to appropriately … manage anticoagulation in the perioperative period, which then led to a fatal bleeding event. … medications management, including anticoagulation.(11) However, the implementation in health care has led … Unfortunately, the process was not led by a physician and was treated as a "check box" exercise rather

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47477/psn-pdf
    November 14, 2018 - Written by the patient's husband, the article outlines the failures that led to her death despite the

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44329/psn-pdf
    September 04, 2016 - electronic-medication-reconciliation-and-medication-errors Implementation of an electronic medication reconciliation tool led

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43833/psn-pdf
    February 04, 2015 - sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety Failure to follow safety practices at a compounding pharmacy led

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42028/psn-pdf
    February 18, 2014 - mistakenly-applied Describing several incidents of a corrosive chemical mistakenly applied to skin that led

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43247/psn-pdf
    August 02, 2015 - The authors found that 25% of malpractice cases resulted in payout, and diagnostic errors led to the

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37015/psn-pdf
    September 15, 2011 - their analysis of one type of surgical error and strategies for addressing the systemic factors that led

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44480/psn-pdf
    October 14, 2015 - Implementation of this program led to rapid report correction, and the error rate by radiologists receiving

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36362/psn-pdf
    October 27, 2010 - They found the changes led to significant improvements.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38559/psn-pdf
    June 16, 2009 - regional-surveillance-emergency-department-visits-outpatient-adverse-drug- events This study found that many adverse drug events led

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41822/psn-pdf
    November 07, 2012 - case-adverse-drug-reaction-induced-dispensing-error This case report discusses how poor communication led

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37588/psn-pdf
    February 15, 2011 - reported quality measure on the timing of antibiotic administration in patients with pneumonia in fact led

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37412/psn-pdf
    December 12, 2007 - Pronovost, the Johns Hopkins intensivist and safety leader whose efforts to standardize safety practices led

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44495/psn-pdf
    September 30, 2015 - Participants believed that laws enhanced statewide collaboration and that public reporting led to greater

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37811/psn-pdf
    November 17, 2011 - acute-hepatitis-c-virus-infections-attributed-unsafe-injection-practices-endoscopy-clinic https://psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-together

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39450/psn-pdf
    February 17, 2011 - malpractice-reform-opportunities-leadership-health-care-institutions-and- liability-insurers This commentary discusses emerging, institution-led

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40362/psn-pdf
    April 13, 2011 - The authors hypothesize that knowledge of the clinical scenario simply led residents to generate heuristics

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41890/psn-pdf
    December 12, 2012 - operating-room-what-would This study found that anesthesia providers had poor rates of hand hygiene, which led
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