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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43191/psn-pdf
     December 12, 2018 - harnessing-implementation-science-improve-care-quality-and-patient-safety-systematic-review https://psnet.ahrq.gov/issue/science-improvement https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48083/psn-pdf
     August 07, 2019 - Similar to a prior study, investigators found that missed cancer diagnosis is the leading type of diagnostic

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49729/psn-pdf
     April 01, 2015 - 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 … A second factor leading to misdiagnosis was clinical symptoms and laboratory findings that suggested … Extension of the aortic dissection downwards to involve the mesenteric artery leading to mesenteric … Factors leading to failure to diagnose acute aortic dissection in the emergency room.

284. Technical Expert Panel | PSNet
     psnet.ahrq.gov/Information/Panel
     January 01, 2012 - She has worked on interdisciplinary teams across numerous practice settings and is currently leading … clinical leadership throughout his career, including developing new medical school courses and clerkships, leading … disparities, health equity, and patient safety to the initiative to uncover the contributing factors leading … Watson has been recognized as one of the 50 Experts Leading the Field of Patient Safety by Becker’s Hospital … Review, a leading healthcare publication.

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45679/psn-pdf
     January 03, 2018 - The World Health Organization has taken a leading role in eliminating health care–associated harms and

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39446/psn-pdf
     May 25, 2010 - This Swedish study used critical incident debriefing techniques to explore factors leading to potential

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34935/psn-pdf
     June 23, 2009 - While reviewing the details of the case, the author explores the pitfalls leading to missed diagnoses

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46129/psn-pdf
     September 28, 2017 - insights-malpractice This analysis of closed malpractice claims sought to characterize the types of errors leading

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43420/psn-pdf
     September 17, 2014 - how-useful-are-medication-patient-information-leaflets-older-adults-content-readability-and https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40049/psn-pdf
     April 12, 2011 - The system was relatively easy to use, but some participants raised concerns about error reporting leading

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41155/psn-pdf
     March 06, 2012 - functional-decline-associated-polypharmacy-and-potentially-inappropriate-medications https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40256/psn-pdf
     March 02, 2011 - development-core-drug-list-towards-improving-prescribing-education-and-reducing-errors-uk https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46734/psn-pdf
     February 07, 2018 - This review explores simulation in anesthesiology and the role of anesthetists in leading further innovation

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45687/psn-pdf
     October 31, 2017 - medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42996/psn-pdf
     March 19, 2014 - physician-led-chart-audit-engaging-providers-fortifying-culture-safety This quality improvement intervention engaged physician leaders and frontline clinicians in leading

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39348/psn-pdf
     March 10, 2010 - how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

297. 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.

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38118/psn-pdf
     October 01, 2019 - issue/adverse-drug-events-hospitalized-cardiac-patients https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60178/psn-pdf
     April 01, 2020 - rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42879/psn-pdf
     January 22, 2014 - prevalence-patterns-and-predictors-nursing-care-left-undone-european- hospitals-results Nurses are frequently forced to prioritize tasks during busy shifts, leading