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psnet.ahrq.gov/node/34690/psn-pdf
February 10, 2011 - They found the leading cause of error was lack of drug
knowledge on the part of the ordering physician … Overall, the authors describe
16 system failures leading to ADEs, with seven accounting for 78% of all
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psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
November 16, 2022 - Analysis of closed malpractice claims has been used to identify patterns of errors and system problems leading … of data from the Physicians Insurers Association of America focuses on specific pediatric diagnoses leading
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psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events
October 31, 2014 - February 2, 2011
National estimates of insulin-related hypoglycemia and errors leading … December 18, 2014
Medication use leading to emergency department visits for adverse drug … October 16, 2012
Medication use leading to emergency department visits for adverse drug
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psnet.ahrq.gov/node/44951/psn-pdf
March 02, 2016 - using-targeted-solutions-toolr-improve-emergency-department-handoffs-
community-hospital
Despite extensive research, handoffs remain a leading … dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
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psnet.ahrq.gov/node/37586/psn-pdf
March 05, 2008 - national-surveillance-emergency-department-visits-outpatient-adverse-drug-
events-children-and
Medication misadventures leading … medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
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psnet.ahrq.gov/node/37531/psn-pdf
February 22, 2011 - accurately gauging illness
severity and formulating an appropriate plan of action may be difficult, leading … Most cases alleged that
clinicians failed to accurately diagnose the patient; types of errors leading
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psnet.ahrq.gov/node/38291/psn-pdf
April 08, 2011 - Analysis of closed malpractice claims has been used to identify patterns of errors and system problems
leading … of data from the Physicians Insurers
Association of America focuses on specific pediatric diagnoses leading
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psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - psnet.ahrq.gov/issue/patient-safety-emergency-medicine
https://psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children … https://psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
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psnet.ahrq.gov/issue/addressing-intimate-partner-violence-and-helping-protect-patients
February 15, 2023 - Citation
Related Resources From the Same Author(s)
Mental health conditions leading … July 17, 2024
Mental health conditions leading cause of pregnancy-related deaths.
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
June 28 … Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue
Necrosis and Cuff Rupture. … https://psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis … this could happen, the patient developed increasing hypoxemia and
respiratory distress, ultimately leading … On inspection, the tracheal cuff had burst, leading to a severe leak in addition to a tracheal tear with
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psnet.ahrq.gov/issue/assessing-bedside-bar-coding-readiness
December 19, 2018 - Copy Citation
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Leading a Strategic … February 6, 2019
Leading a Strategic Planning Effort.
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psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
October 03, 2012 - While reviewing the details of the case, the author explores the pitfalls leading to missed diagnoses … March 20, 2013
Medication use leading to emergency department visits for adverse drug
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psnet.ahrq.gov/node/45595/psn-pdf
April 19, 2017 - estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
A recent article asserted that medical error is the third leading … estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
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psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
January 09, 2019 - patients who had an adverse event required transfer to an acute care hospital for diagnosis or management, leading … January 9, 2019
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved
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psnet.ahrq.gov/node/33755/psn-pdf
September 01, 2013 - Creating a culture of safety requires leading differently. … Evidence suggests this process is effective
for leading organizational change.(6) It also models a learning … Leading through partnership means understanding that no amount of time, interest, information, and skill … Leading change: why transformation efforts fail. Harv Bus Rev. 1995;73:59-67. [Available at]
8. … )26001-4
https://psnet.ahrq.gov//#ref6back
https://psnet.ahrq.gov//#ref7back
http://hbr.org/1995/05/leading-change-why-transformation-efforts-fail
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psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
January 31, 2018 - This retrospective cohort study found that the leading cause of death among resident physicians is cancer … , and the second leading cause of death is suicide .
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psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
February 28, 2024 - February 28, 2024
Leading quality and safety on the frontline - a case study of department … improvement and patient safety education with clinical care
October 2, 2019
Effectively leading
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psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
May 15, 2024 - RIS
Download Citation
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Leading … August 13, 2013
Leading clinical handover improvement: a change strategy to implement
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psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes
February 18, 2019 - February 18, 2019
Leading causes of anesthesia-related liability claims in ambulatory … January 4, 2012
Epidural pump programming error leading to inadvertent 10-fold dosing
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psnet.ahrq.gov/issue/improving-patient-handovers-hospital-primary-care-systematic-review
March 06, 2013 - Care transitions remain a particularly vulnerable time for patient safety, leading to an increasing … December 5, 2012
Medication use leading to emergency department visits for adverse drug