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1861. Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized. | PSNet
      psnet.ahrq.gov/issue/oral-syringes-crucial-and-economical-risk-reduction-strategy-has-not-been-fully-utilized
      June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading

1862. How to master the new art of training: teamwork on the fly. | PSNet
      psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
      June 28, 2011 - May 29, 2019 Leading change: why transformation efforts fail.

1863. Quality Improvement Series. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-series
      July 05, 2013 - November 15, 2017 Effectively leading for quality.

1864. When We Do Harm: A Doctor Confronts Medical Error. | PSNet
      psnet.ahrq.gov/issue/when-we-do-harm-doctor-confronts-medical-error
      July 24, 2018 - WebM&M Cases Failure to Adhere to Dietary Restrictions Leading

1865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49843/psn-pdf
      October 01, 2018 - criteria developed as part of the 1991 consensus definitions ("Sepsis-1") defined sepsis as infection leading … International Consensus Definitions for Sepsis and Septic Shock ("Sepsis-3") redefined sepsis as infection leading … infection.(1) These criteria are more specific for sepsis but come at the expense of sensitivity, leading … For the patient described, the misdiagnosis delayed the correct diagnosis of cardiogenic shock, leading

1866. ISMP updates its list of drug name pairs with Tall man letters. | PSNet
      psnet.ahrq.gov/issue/ismp-updates-its-list-drug-name-pairs-tall-man-letters
      June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading

1867. Navigating risks in breast cancer diagnosis and treatment. | PSNet
      psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
      December 19, 2012 - November 17, 2009 Leading causes of anesthesia-related liability claims in ambulatory

1868. Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. | PSNet
      psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
      January 30, 2003 - July 18, 2024 Leading change: why transformation efforts fail.

1869. Contribution of Governance to Patient Safety Initiatives in Australia, England, New Zealand and the United States. | PSNet
      psnet.ahrq.gov/issue/contribution-governance-patient-safety-initiatives-australia-england-new-zealand-and-united
      March 06, 2005 - July 18, 2024 Leading change: why transformation efforts fail.

1870. Keeping patients on track with preventative care during pandemic. | PSNet
      psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
      April 11, 2018 - June 17, 2020 Mental health conditions leading cause of pregnancy-related deaths.

1871. Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. | PSNet
      psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare
      August 02, 2016 - December 18, 2017 Leading a Culture of Safety: a Blueprint for Success.

1872. How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety. | PSNet
      psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthcare-system-physician-walks-across-country-raise-awareness
      January 01, 2019 - April 17, 2018 Leading High-Reliability Organizations in Healthcare.

1873. Promethazine conundrum: IV can hurt more than IM injection! | PSNet
      psnet.ahrq.gov/issue/promethazine-conundrum-iv-can-hurt-more-im-injection
      November 13, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading

1874. Relationships among teams, culture, safety, and cost outcomes. | PSNet
      psnet.ahrq.gov/issue/relationships-among-teams-culture-safety-and-cost-outcomes
      January 30, 2019 - June 9, 2009 Leading your organization to high reliability.

1875. EHRs in the ER: as doctors adapt, concerns emerge about medical errors. | PSNet
      psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
      September 01, 2016 - WebM&M Cases Failure to Adhere to Dietary Restrictions Leading

1876. Actively caring for safety: overcoming bystander apathy. | PSNet
      psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
      December 03, 2014 - Order scanning systems may pull multiple pages through the scanner at the same time, leading

1877. Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient. | PSNet
      psnet.ahrq.gov/issue/taking-charge-your-healthcare-your-path-being-empowered-patient
      May 24, 2017 - Copy Citation Related Resources From the Same Author(s) Leading a Culture

1878. Promote a culture of safety with good catch reports. | PSNet
      psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
      November 06, 2015 - July 18, 2018 Why are medical errors still a leading cause of death?

1879. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet
      psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
      April 13, 2018 - April 12, 2017 Leading Health Care Transformation: A Primer for Clinical Leaders.

1880. Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. | PSNet
      psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-second-edition
      May 20, 2015 - April 22, 2018 Leading a Culture of Safety: a Blueprint for Success.