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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
-
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
-
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
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psnet.ahrq.gov/node/60051/psn-pdf
March 18, 2020 - the daily huddle addressed misconceptions and misunderstandings between nursing and
medical teams leading
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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
-
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
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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
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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
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psnet.ahrq.gov/node/43118/psn-pdf
April 16, 2014 - liquid medication administration,
including assigning a standard unit of measure (milliliters), using leading