-
psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - The abbreviation "K" led to administration of the wrong drug.
-
psnet.ahrq.gov/web-mm/crossing-borderline
June 01, 2022 - It is not clear what precipitated the unsuccessful suicide attempt that led to the current hospitalization
-
www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
January 01, 2024 - also energized
participants to continue nursing home quality improvement work within states and also led
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - immediately blame staff, but rather focus on investigating problems with procedures or
systems that may have led
-
psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - This policy has led the American Cancer Society to make the following recommendation: "Before you get
-
psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - The committee noted that this variation led to confusion among bedside nurses about how to monitor patients
-
psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - //psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#2
record, including documented adverse effects that led
-
psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - Better communication and shared decision-making within this team might have led to better results.
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
February 01, 2017 - Say:
Debriefing is a semistructured conversation among frontline clinicians led by a facilitator.
-
psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - 10 case studies in an
academic medical center shows that this novel approach to managing workload led
-
www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
July 01, 2017 - Agency for Healthcare Research and Quality (AHRQ) funded an ACTION II field-based research project, led
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/attitudes-beliefs-transcript.pdf
April 01, 2022 - In fact, we did — there was a campaign in one of the ORs led by a surgeon,
and it was Names First.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - This may have led to lapses in infection prevention best practices.
-
www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
October 01, 2015 - This led to the development of a handoff tool to facilitate some of this communication.
-
psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - The innovation team, led by experienced hospitalists, attempted to meet the demand for patient care while
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - medication errors among elderly upon admission to hospital after implementation of clinical pharmacist-led
-
psnet.ahrq.gov/node/33709/psn-pdf
July 01, 2011 - of an electronic
documentation tool reduced the time required to prepare handover documentation and led
-
psnet.ahrq.gov/node/49640/psn-pdf
November 01, 2011 - of necessary time could be determined using queuing theory.(7) At
one medical center, open access led
-
psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - performing root cause analysis using a DEER Taxonomy
framework.(13) This activity at our institution led
-
psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - feedback as to how this encounter
evolved will enable the team to comprehend the causes and triggers that led