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3501. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
      September 01, 2014 - A Costly Colonoscopy Leads to a Delay in Diagnosis Citation Text: Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar…

3502. Unlabeled containers lead to patient's death. | PSNet
      psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
      September 26, 2017 - Commentary Unlabeled containers lead to patient's death. Citation Text: Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

3503. Tenfold errors can lead to tragedy. | PSNet
      psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
      February 21, 2007 - Newspaper/Magazine Article Tenfold errors can lead to tragedy. Citation Text: Tenfold errors can lead to tragedy. Sipkoff M. Drug Topics. August 21, 2006. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

3504. Pathways for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/pathways-patient-safety
      May 06, 2015 - Information Pathway for Medication Safety: Leading a Strategic Planning Effort (PDF)

3505. Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. | PSNet
      psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
      May 06, 2015 - September 3, 2024 Leading a Culture of Safety: a Blueprint for Success.

3506. People, processes, health IT and accurate patient identification. | PSNet
      psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
      April 11, 2018 - June 17, 2020 Mental health conditions leading cause of pregnancy-related deaths.

3507. To combat physician burnout and improve care, fix the electronic health record. | PSNet
      psnet.ahrq.gov/issue/combat-physician-burnout-and-improve-care-fix-electronic-health-record
      November 14, 2018 - October 20, 2015 Leading change: why transformation efforts fail.

3508. Foundations of Safety Science: a century of understanding accidents and disasters. | PSNet
      psnet.ahrq.gov/issue/foundations-safety-science-century-understanding-accidents-and-disasters
      October 05, 2011 - August 24, 2017 Leading Health Care Transformation: A Primer for Clinical Leaders.

3509. Patient Safety: Investigating and Reporting Serious Clinical Incidents. | PSNet
      psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
      November 10, 2017 - April 12, 2017 Leading Health Care Transformation: A Primer for Clinical Leaders.

3510. Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. | PSNet
      psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
      November 16, 2011 - November 16, 2011 New HHS Data Shows Major Strides Made in Patient Safety, Leading to

3511. The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. | PSNet
      psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
      July 27, 2011 - July 5, 2008 The Future of Nursing: Leading Change, Advancing Health.

3512. A clinical reminder about the safe use of insulin vials. | PSNet
      psnet.ahrq.gov/issue/clinical-reminder-about-safe-use-insulin-vials
      June 10, 2018 - May 7, 2018 National estimates of insulin-related hypoglycemia and errors leading to

3513. Are we finally getting serious about medical errors? | PSNet
      psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
      May 11, 2016 - February 11, 2015 System issues leading to "found-on-floor" incidents: a multi-incident

3514. Navigating risks in breast cancer diagnosis and treatment. | PSNet
      psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
      December 19, 2012 - November 17, 2009 Leading causes of anesthesia-related liability claims in ambulatory

3515. Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. | PSNet
      psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
      December 23, 2016 - February 15, 2023 Mental health conditions leading cause of pregnancy-related deaths.

3516. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet
      psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
      November 25, 2015 - September 20, 2016 Leading High-Reliability Organizations in Healthcare.

3517. ISMP updates its list of drug name pairs with Tall man letters. | PSNet
      psnet.ahrq.gov/issue/ismp-updates-its-list-drug-name-pairs-tall-man-letters
      June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading

3518. How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety. | PSNet
      psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthcare-system-physician-walks-across-country-raise-awareness
      January 01, 2019 - April 17, 2018 Leading High-Reliability Organizations in Healthcare.

3519. Relationships among teams, culture, safety, and cost outcomes. | PSNet
      psnet.ahrq.gov/issue/relationships-among-teams-culture-safety-and-cost-outcomes
      January 30, 2019 - June 9, 2009 Leading your organization to high reliability.

3520. EHRs in the ER: as doctors adapt, concerns emerge about medical errors. | PSNet
      psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
      September 01, 2016 - WebM&M Cases Failure to Adhere to Dietary Restrictions Leading