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241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38785/psn-pdf
     September 02, 2009 - ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42212/psn-pdf
     April 17, 2013 - incidence-and-preventability-adverse-drug-events-among-older-persons-ambulatory-setting https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46026/psn-pdf
     May 03, 2017 - systematic-review-application-plan-do-study-act-method-improve-quality-healthcare https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41273/psn-pdf
     June 01, 2012 - inappropriate-medication-use-elderly-results-quality-improvement-project-99-primary-care https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38551/psn-pdf
     April 15, 2009 - adverseevent https://psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47112/psn-pdf
     May 09, 2018 - This magazine article provides 34 tips from leading patient safety experts to assist patients in this

247. 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.

248. 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.

249. 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

250. 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.

251. 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

252. 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

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40011/psn-pdf
     November 17, 2010 - of central line–associated bloodstream infections represents one of the patient safety movement's leading

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45750/psn-pdf
     February 01, 2017 - cognitive-biases-associated-medical-decisions-systematic-review Cognitive bias can contribute to diagnostic error, leading

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42893/psn-pdf
     March 13, 2014 - This finding is likely due to enhanced awareness leading to more event recording, rather than a result

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43366/psn-pdf
     March 04, 2015 - psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35101/psn-pdf
     November 04, 2015 - authors suggest that growing financial constraints may limit a hospital’s investment in patient safety, leading

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41928/psn-pdf
     January 30, 2013 - perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study- protect The causative factors leading

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45454/psn-pdf
     September 04, 2016 - psnet.ahrq.gov/issue/err-human-building-safer-health-system https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38840/psn-pdf
     August 12, 2009 - but the requisitions themselves did not prompt clinicians to enter all the pertinent clinical data, leading