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101. Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. | PSNet
     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

102. Geographic Variation in Inpatient Stays for Five Leading Mental Disorders, 2016-2018 #288
     hcup-us.ahrq.gov/reports/statbriefs/sb288-Mental-Disorder-Hospitalizations-by-Region-2016-2018.jsp
     January 01, 2018 - Geographic Variation in Inpatient Stays for Five Leading Mental Disorders, 2016-2018

103. Geographic Variation in Inpatient Stays for Five Leading Substance Use Disorders, 2016–2018 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb289-Substance-Use-Disorder-Hospitalizations-by-Region-2016-2018.pdf
     January 01, 2018 - Geographic Variation in Inpatient Stays for Five Leading Substance Use Disorders, 2016–2018 1 STATISTICAL … This Statistical Brief focuses on the five leading SUD principal diagnoses for inpatient stays in the … HEALTHCARE COST AND UTILIZATION PROJECT 2 Findings State variation in leading reasons for … Variation in State rate (per 100,000 population) of leading substance use disorder principal diagnoses … Geographic Variation in Inpatient Stays for Five Leading Substance Use Disorders, 2016–2018.

104. Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine
     September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department … Organisational crisis resource management: leading an academic department of emergency medicine through … Organisational crisis resource management: leading an academic department of emergency medicine through

105. Improving Value and Efficiency in Hospitals and Medical Offices: A Resource List for Users of the AHRQ SOPS Value and Efficiency Supplemental Item Sets (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
     May 01, 2023 - Leading a Culture of Safety: A Blueprint for Success https://www.ihi.org/resources/Pages/Publications … /Leading-a-Culture-of-Safety-A-Blueprint-for- Success.aspx (requires free account setup and login) … Leading a Culture of Safety: A Blueprint for Success was developed to provide chief executive officers … https://www.ihi.org/resources/Pages/Publications/Leading-a-Culture-of-Safety-A-Blueprint-for-Success.aspx … Leading a Culture of Safety: A Blueprint for Success 4.

106. TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
     January 05, 2022 - Leading efforts to improve communication related to diagnosis is not one size fits all. … However, leading change also requires tools and resources. … Leading Teams, 2019) (TeamSTEPPS for Office‐Based Care: Leading Teams, 2015) Slide 10 Briefs … • Leading change for diagnosis improvement requires evidence-based tools and resources. … Leading Teams. Content last reviewed March 2019.

107. Evidence Report on the (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/vte-protocol-8-4-10.pdf
     February 01, 2008 - to re- operation, minor, surgical site bleeding, bleeding leading to infection, bleeding leading to … to re- operation, minor, surgical site bleeding, bleeding leading to infection, bleeding leading to … to re-operation, minor, surgical site bleeding, bleeding leading to infection, bleeding leading to … to re-operation, minor, surgical site bleeding, bleeding leading to infection, bleeding leading to … Bleeding (major, major leading to re-operation, minor, bleeding leading to infection, bleeding leading

108. Evidence Report on the (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/blood-clots-hip-knee-surgery_research-protocol.pdf
     February 01, 2008 - to re- operation, minor, surgical site bleeding, bleeding leading to infection, bleeding leading to … to re- operation, minor, surgical site bleeding, bleeding leading to infection, bleeding leading to … to re-operation, minor, surgical site bleeding, bleeding leading to infection, bleeding leading to … to re-operation, minor, surgical site bleeding, bleeding leading to infection, bleeding leading to … Bleeding (major, major leading to re-operation, minor, bleeding leading to infection, bleeding leading

109. Emergency hospitalizations for adverse drug events in older Americans. | PSNet
     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

110. Microsoft Word - NIS_Sources_and_Restrictions_1999.doc (pdf file)
     hcup-us.ahrq.gov/db/nation/nis/NIS_Sources_and_Restrictions_1999.pdf
     January 01, 1999 - 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name • HOSPCITY, hospital … 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name • HOSPCITY, hospital … 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name • HOSPCITY, hospital … 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name Sources of NIS Data … 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name • HOSPCITY, hospital

111. Nis Sources And Restrictions 1998 (pdf file)
     hcup-us.ahrq.gov/db/nation/nis/NIS_Sources_and_Restrictions_1998.pdf
     January 01, 1998 - 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name • HOSPCITY, hospital … 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name • HOSPCITY, hospital … 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name • HOSPCITY, hospital … 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name • HOSPCITY, hospital … 6 • AHAID, AHA hospital identifier with leading 6 • HOSPNAME, hospital name • HOSPCITY, hospital

112. 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/

113. 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

114. PBRN Webinar: Managing and Growing an Established PBRN  | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/learning-series/managing-growing.html
     July 01, 2024 - PBRN Webinar: Managing and Growing an Established PBRN  Panelists leading three Practice-Based

115. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet
     psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
     September 27, 2023 - SPOTLIGHT CASE Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. … would not have prevented the infection, it may have led to its earlier identification, potentially leading … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations.

116. 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

117. Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. | PSNet
     psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
     March 25, 2020 - therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading … therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading … therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading

118. The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. | PSNet
     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

119. 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

120. Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. | PSNet
     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