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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. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48079/psn-pdf
     June 12, 2019 - Not all participants perceived the intervention as effective, leading to deviation from intended protocol

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47690/psn-pdf
     March 13, 2019 - The process and tools were considered by participants as instrumental in the success of leading staff

224. Dissecting the Presentation | PSNet
     psnet.ahrq.gov/web-mm/dissecting-presentation
     May 05, 2021 - List three factors leading to a missed diagnosis of aortic dissection. … The dissection was probably present on admission and the tear in the aorta had impaired blood flow leading … Factors Leading to Missed Diagnosis of Aortic Dissection The diagnosis of aortic dissection in the emergency … A second factor leading to misdiagnosis was clinical symptoms and laboratory findings that suggested … Factors leading to failure to diagnose acute aortic dissection in the emergency room.

225. 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

226. 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

227. 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

228. 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

229. Technical Expert/Advisory Panel | PSNet
     psnet.ahrq.gov/information/Panel
     January 01, 2018 - She has worked on various interdisciplinary teams across numerous practice settings and is currently leading … This included leading the development and implementation of quality programing for all value and alternative … Most recently, co-leading the creation of Superior Health Quality Alliance, an eight-organization consortium … Watson has recognized as one of the 50 Experts Leading the Field of Patient Safety by Becker’s Hospital … Review , a leading healthcare publication.

230. AHRQ 2011 Annual Conference.  | PSNet
     psnet.ahrq.gov/issue/ahrq-2011-annual-conference
     October 23, 2019 - This conference featured leading authorities in health care research and policy.

231. 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

232. 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

233. 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

234. 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

235. Reconciliation failures lead to medication errors. | PSNet
     psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
     November 01, 2012 - potential error, intercepted error), types of errors (eg, improper dose, wrong drug, wrong time), and leading

236. 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

237. 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

238. 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

239. 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

240. 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