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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45357/psn-pdf
    October 09, 2016 - Leading article: how can I optimise my role as a leader within the surgical team? … Leading article: how can I optimise my role as a leader within the surgical team? … https://psnet.ahrq.gov/issue/leading-article-how-can-i-optimise-my-role-leader-within-surgical-team … https://psnet.ahrq.gov/issue/leading-article-how-can-i-optimise-my-role-leader-within-surgical-team https
  2. psnet.ahrq.gov/glossary/hindsight-bias
    September 13, 2021 - after learning the outcome of a series of events—whether the outcome of the World Series or the steps leading … In the context of safety analysis, hindsight bias refers to the tendency to judge the events leading … The more severe the outcome, the more likely that decisions leading up to this outcome will be judged
  3. 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.
  4. psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
    June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events … Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults … Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45005/psn-pdf
    May 04, 2016 - Leading High-Reliability Organizations in Healthcare. May 4, 2016 Morrow R. … https://psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare High reliability has … https://psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare https://psnet.ahrq.gov
  6. 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.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73097/psn-pdf
    March 31, 2011 - The Future of Nursing: Leading Change, Advancing Health. March 31, 2011 Institute of Medicine. … https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health The effective engagement … https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health https://psnet.ahrq.gov/primer
  8. 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.
  9. psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
    May 18, 2022 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading … The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading … The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading
  10. 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
  11. 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
  12. 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
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45113/psn-pdf
    May 11, 2016 - Medical error—the third leading cause of death in the US. May 11, 2016 Makary MA, Daniel M. … Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. … https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us How many patients die each year … https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us https://psnet.ahrq.gov/issue/
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45565/psn-pdf
    May 24, 2017 - Leading a Culture of Safety: a Blueprint for Success. … https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success Health care leadership plays an … https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success https://psnet.ahrq.gov/primer/leadership-role-improving-safety
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34659/psn-pdf
    April 07, 2010 - Leading change: why transformation efforts fail. April 7, 2010 Kotter JP. … https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail Kotter, a professor at Harvard … https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44303/psn-pdf
    January 10, 2018 - Leading Health Care Transformation: A Primer for Clinical Leaders. … https://psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders Leadership can … https://psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders https://psnet.ahrq.gov
  17. psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
    March 05, 2008 - Study Classic Medication use leading to emergency department … 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. … January 18, 2011 Medication overdoses leading to emergency department visits among children
  18. psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
    October 20, 2021 - February 23, 2018 National estimates of insulin-related hypoglycemia and errors leading … August 2, 2015 Medication use leading to emergency department visits for adverse drug … June 16, 2019 National estimates of insulin-related hypoglycemia and errors leading to … August 2, 2015 Medication use leading to emergency department visits for adverse drug
  19. psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
    March 11, 2020 - lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading … lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading … lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading
  20. psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
    June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading … Citation Text: Order scanning systems may pull multiple pages through the scanner at the same time, leading … Citation Text: Order scanning systems may pull multiple pages through the scanner at the same time, leading

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