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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37705/psn-pdf
     June 09, 2011 - semi-structured interviews with patients, physicians, and pharmacists to explore system and human factors leading

222. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet
     psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
     March 01, 2017 - Creating a culture of safety requires leading differently. … Evidence suggests this process is effective for leading organizational change.( 6 ) It also models a … 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.

223. 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

224. 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

225. 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

226. 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

227. 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

228. 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

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60610/psn-pdf
     June 24, 2020 - implants throughout the pelvis and abdomen may have deleterious effects on all involved structures, leading … Bowel - Leading to diarrhea, constipation, nausea, vomiting, bloating, rectal bleeding, food intolerances … Bladder/Ureters - Leading to recurrent UTI-like symptoms, hematuria, painful voiding, incontinence, … Peripheral Nerves - Leading to leg pain, abdominal muscle pain, chronic back pain, and rarely to loss … Diaphragm and Thorax - Leading to chronic shoulder pain, pleuritic chest pain, and sometimes to erosive

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40582/psn-pdf
     July 06, 2011 - study revealed a lack of safety culture among several graduating classes of orthopedic residents, leading

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36311/psn-pdf
     October 04, 2006 - The authors summarize the plenary talks and panel discussions on topics such as leadership's role in leading

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40382/psn-pdf
     May 25, 2011 - issue/what-has-change-management-industry-got-do-improving-patient-safety https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

233. Risk factors associated with incorrect surgical counts. | PSNet
     psnet.ahrq.gov/issue/risk-factors-associated-incorrect-surgical-counts
     October 20, 2010 - This study explored factors leading to inconsistencies in the manual count of instruments and materials

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866839/psn-pdf
     September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. … https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and- operations … https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations … would not have prevented the infection, it may have led to its earlier identification, potentially leading

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864858/psn-pdf
     March 20, 2024 - first-year-analysis-operating-room-black-box-study https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864850/psn-pdf
     March 20, 2024 - adverse-events-near-misses-and-errors#:~:text=something%20wrong)%20or-,omission%20(failing%20to%20do%20the%20right%20thing),-leading

237. 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

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72546/psn-pdf
     December 09, 2020 - actions taken to prevent recurrence of injuries were similar across three severity levels (injuries leading

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838251/psn-pdf
     October 05, 2022 - right-patient-wrong-sample https://psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73140/psn-pdf
     April 14, 2021 - psnet.ahrq.gov/web-mm/missed-pneumonia https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism