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psnet.ahrq.gov/node/45225/psn-pdf
June 15, 2016 - A case of transfusion error in a trauma patient with
subsequent root cause analysis leading to institutional … A case of transfusion error in a trauma patient with subsequent root
cause analysis leading to institutional … https://psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading … https://psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional … https://psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional
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psnet.ahrq.gov/node/844553/psn-pdf
February 15, 2023 - Mental health conditions leading cause of pregnancy-
related deaths. … https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
Maternal … https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
https://
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psnet.ahrq.gov/node/38577/psn-pdf
April 22, 2009 - Leading your organization to high reliability.
April 22, 2009
Kemper C, Boyle DK. … Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability
This commentary describes high … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability
https://psnet.ahrq.gov//#highreliabilityorganizations
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psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem
August 04, 2021 - Commentary
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening … Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a … Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a
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psnet.ahrq.gov/node/38886/psn-pdf
August 26, 2009 - Medication overdoses leading to emergency department
visits among children. … Medication overdoses leading to emergency department visits
among children. … https://psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children … This study sought to characterize the frequency and causes of adverse drug events leading to emergency … https://psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
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psnet.ahrq.gov/node/46463/psn-pdf
October 04, 2017 - Effectively leading for quality.
October 4, 2017
Lachman P, Nicklin W. … Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236. … https://psnet.ahrq.gov/issue/effectively-leading-quality
Hospital boards and executives can help drive … https://psnet.ahrq.gov/issue/effectively-leading-quality
https://psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture
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psnet.ahrq.gov/node/41331/psn-pdf
October 03, 2017 - Leading a highly visible hospital through a serious
reportable event. … Leading a highly visible hospital through a serious reportable event. … https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
This commentary … https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
https:/
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psnet.ahrq.gov/node/37417/psn-pdf
March 28, 2012 - Medication use leading to emergency department visits
for adverse drug events in older adults. … Medication use leading to emergency department visits for
adverse drug events in older adults. … https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events- … https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults … https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
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psnet.ahrq.gov/node/39110/psn-pdf
June 10, 2018 - Order scanning systems may pull multiple pages through
the scanner at the same time, leading to drug … https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-
leading-drug … https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug … https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
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psnet.ahrq.gov/node/46081/psn-pdf
April 19, 2017 - Why are medical errors still a leading cause of death?
April 19, 2017
Headley M. … https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death
This magazine article … https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death
https://psnet.ahrq.gov/ … perspective/measuring-and-responding-deaths-medical-errors
https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
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psnet.ahrq.gov/issue/high-reliability-safety-net-hospital-leading-operational-excellence
March 01, 2011 - Study
High reliability in a safety net hospital leading to operational excellence … High reliability in a safety net hospital leading to operational excellence. … High reliability in a safety net hospital leading to operational excellence.
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psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
June 02, 2021 - Study
Investigation of urology intraoperative events leading to root cause analysis … Citation Text:
Investigation of urology intraoperative events leading to root cause analysis at national … Cite
Citation
Citation Text:
Investigation of urology intraoperative events leading
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psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
May 18, 2022 - Commentary
Leading clinical handover improvement: a change strategy to implement … Leading Clinical Handover Improvement. … Leading Clinical Handover Improvement.
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psnet.ahrq.gov/issue/evolving-role-health-educators-advancing-patient-safety-forging-partnerships-and-leading
July 22, 2020 - The evolving role of health educators in advancing patient safety: forging partnerships and leading … The evolving role of health educators in advancing patient safety: forging partnerships and leading change … The evolving role of health educators in advancing patient safety: forging partnerships and leading change
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psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
November 04, 2020 - Study
Making hospital care safer and better: the structure-process connection leading … Making hospital care safer and better: the structure-process connection leading to adverse events. … Making hospital care safer and better: the structure-process connection leading to adverse events.
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psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm
October 19, 2022 - Commentary
Mistaken identity of skin cleansing solution leading to extensive chemical … Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm … Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Study
System issues leading to "found-on-floor" incidents: a multi-incident analysis … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis.
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psnet.ahrq.gov/node/38598/psn-pdf
June 03, 2010 - Leading successful rapid response teams: a multisite
implementation evaluation. … Leading successful rapid response teams: A multisite
implementation evaluation. … https://psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation … https://psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation
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psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes
February 28, 2024 - Study
Leading quality and safety on the frontline - a case study of department leaders … Leading quality and safety on the frontline - a case study of department leaders in nursing homes. … Leading quality and safety on the frontline - a case study of department leaders in nursing homes.
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psnet.ahrq.gov/node/43201/psn-pdf
May 21, 2014 - New HHS Data Shows Major Strides Made in Patient
Safety, Leading to Improved Care and Savings. … https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved- … https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings … https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings