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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836915/psn-pdf
     April 13, 2022 - developers) can now use the refined SEWA framework to identify, analyze and resolve unsafe workarounds, leading

222. Strategic Opportunities in Patient Safety: Enhancing Fall Prevention Programs, Enculturating Virtual Nursing, and Automating with AI | PSNet
     psnet.ahrq.gov/training-catalog/strategic-opportunities-patient-safety-enhancing-fall-prevention-programs
     Quality Institute Event Description: Webinar participants will be inspired by three leading

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44980/psn-pdf
     April 27, 2016 - ://psnet.ahrq.gov/issue/surgeon-agreement-time-handover-prospective-cohort-study Handoffs remain a leading

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837069/psn-pdf
     January 01, 2024 - primer/human-factors-engineering https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851353/psn-pdf
     July 12, 2023 - Caregivers were not always shown how to draw up liquid into the syringes leading to them feeling uncertain

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45169/psn-pdf
     June 08, 2016 - issue/managing-unexpected-sustained-performance-complex-world-3rd-edition https://psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45707/psn-pdf
     April 18, 2018 - of cellulitis may result in anywhere from 50,000 to 130,000 unnecessary hospitalizations annually, leading

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46855/psn-pdf
     February 21, 2018 - leadership-role-improving-safety https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37638/psn-pdf
     May 24, 2015 - psnet.ahrq.gov/issue/work-hours-regulations-house-staff-psychiatry-bad-or-good-residency-training The factors leading

230. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     February 26, 2025 - Despite treatment with diuretics and antihypertensives, her condition deteriorated, leading to intubation … However, she suffered from ischemic stroke and intracranial hemorrhages, ultimately leading to a transition … suffered a stroke due to left posterior cerebral artery occlusion and vertebral artery dissection, leading … CME/MOC Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications … weeks later, she presented to the emergency department (ED) and diagnosed with a severe infection, leading

231. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet
     psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
     June 23, 2015 - February 18, 2011 Leading article: how can I optimise my role as a leader within the … therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73208/psn-pdf
     May 05, 2021 - overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-financially-what https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72748/psn-pdf
     February 17, 2021 - collective-leadership-safety-culture-co-lead-team-intervention-promote-teamwork-and-patient https://psnet.ahrq.gov/primer/leadership-role-improving-safety https://psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74838/psn-pdf
     February 16, 2022 - psnet.ahrq.gov/issue/err-human-building-safer-health-system https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60051/psn-pdf
     March 18, 2020 - the daily huddle addressed misconceptions and misunderstandings between nursing and medical teams leading

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60180/psn-pdf
     April 01, 2020 - 2-year-period-single-national-health- service-board Operating room list errors are often cited as leading

237. Continuing Education | PSNet
     psnet.ahrq.gov/continuing-education
     February 26, 2025 - Despite treatment with diuretics and antihypertensives, her condition deteriorated, leading to intubation … However, she suffered from ischemic stroke and intracranial hemorrhages, ultimately leading to a transition … suffered a stroke due to left posterior cerebral artery occlusion and vertebral artery dissection, leading … Quiz CME/MOC Errors in Managing an Open Wound of the Elbow Leading … prescriptions, but returned three days later with worsening symptoms, including pain, swelling, and pus, leading

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43657/psn-pdf
     November 26, 2014 - ismps-list-high-alert-medications-acute-care-settings https://psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41554/psn-pdf
     January 03, 2017 - using-root-cause-analysis-reduce-falls-injury-community-settings This study used root cause analysis (RCA) to identify hazards leading

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43118/psn-pdf
     April 16, 2014 - liquid medication administration, including assigning a standard unit of measure (milliliters), using leading