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181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43287/psn-pdf
     July 02, 2014 - in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading … in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34690/psn-pdf
     February 10, 2011 - They found the leading cause of error was lack of drug knowledge on the part of the ordering physician … Overall, the authors describe 16 system failures leading to ADEs, with seven accounting for 78% of all

183. Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data. | PSNet
     psnet.ahrq.gov/issue/missed-diagnosis-cardiovascular-disease-outpatient-general-medicine-insights-malpractice
     December 22, 2018 - This analysis of closed malpractice claims sought to characterize the types of errors leading to malpractice … August 7, 2019 Leading causes of anesthesia-related liability claims in ambulatory surgery

184. Improving patient care. The cognitive psychology of missed diagnoses. | PSNet
     psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
     October 03, 2012 - While reviewing the details of the case, the author explores the pitfalls leading to missed diagnoses … March 20, 2013 Medication use leading to emergency department visits for adverse drug

185. Addressing intimate partner violence and helping to protect patients. | PSNet
     psnet.ahrq.gov/issue/addressing-intimate-partner-violence-and-helping-protect-patients
     February 15, 2023 - Citation Related Resources From the Same Author(s) Mental health conditions leading … July 17, 2024 Mental health conditions leading cause of pregnancy-related deaths.

186. Improving Diagnosis in the Context of Rurality | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare2.html
     October 01, 2024 - Each year, approximately 12 million U.S. adults experience a diagnostic error, leading to as many as … and chronic respiratory disease. 31 They are less likely to engage in regular physical activity, leading

187. 19-Perioperative-Teams (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
     June 01, 2023 - A Guide to Leading Successful Perioperative TeamsAHRQ Safety Program for Improving Surgical Care and … This document presents 24 critical behaviors for leading successful perioperative teams as well as practical … Each case study highlights one behavior, but leading successful teams requires a combination of many … Domain 2 Example: Set Stretch Goals[footnoteRef:1] [1: Behavior linked to Domain 2] Guide to Leading … No. 23-0052 June 2023 Guide to Leading Perioperative Teams 1 image3.png image4.png image5.png image2

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44951/psn-pdf
     March 02, 2016 - using-targeted-solutions-toolr-improve-emergency-department-handoffs- community-hospital Despite extensive research, handoffs remain a leading … dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

189. Fostering Emotional Wellbeing Among Team Members | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/fostering-emotional-wellbeing.html
     June 01, 2022 - Source: Leading Age Topic(s): Staff and Resident Well-being; Leadership & Management Audience(s

190. Vaccine Confidence Insights: Interview with Dr. Simon Mittal | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/vaccine-confidence-insights.html
     August 01, 2022 - Source: Leading Age Topic(s): Vaccination Audience(s): Managers; Clinical Leaders; Clinicians;

191. State Variations in Inpatient Stays for Substance Use Disorders | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/infographics/sud-inpatient-stays.html
     May 01, 2022 - Cost and Utilization Project Statistical Brief #289:  Geographic Variation in Inpatient Stays for Five Leading

192. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
     July 01, 2023 - Ten leading underlying causes of mortality in the United States, total population, 2016-2020 Influenza … Note: Suicide was one of the 10 leading causes of death from 2016 to 2019 but was replaced by COVID-19 … to death. 2 Figure 1 shows the 10 leading causes of death in the United States between 2016 and … In 2020, the three leading causes were heart disease (168.2 deaths per 100,000 population), cancer ( … racial/ethnic disparities in age-adjusted mortality rates for heart disease had existed in the years leading

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37586/psn-pdf
     March 05, 2008 - national-surveillance-emergency-department-visits-outpatient-adverse-drug- events-children-and Medication misadventures leading … medication-misadventures-resulting-emergency-department-visits-hmo-medical-center https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37531/psn-pdf
     February 22, 2011 - accurately gauging illness severity and formulating an appropriate plan of action may be difficult, leading … Most cases alleged that clinicians failed to accurately diagnose the patient; types of errors leading

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38291/psn-pdf
     April 08, 2011 - Analysis of closed malpractice claims has been used to identify patterns of errors and system problems leading … of data from the Physicians Insurers Association of America focuses on specific pediatric diagnoses leading

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44601/psn-pdf
     February 23, 2018 - psnet.ahrq.gov/issue/patient-safety-emergency-medicine https://psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children … https://psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33755/psn-pdf
     September 01, 2013 - Creating a culture of safety requires leading differently. … Evidence suggests this process is effective for leading organizational change.(6) It also models a learning … 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. … )26001-4 https://psnet.ahrq.gov//#ref6back https://psnet.ahrq.gov//#ref7back http://hbr.org/1995/05/leading-change-why-transformation-efforts-fail

198. Improving Safety and Quality of Emergency Care Using Machine Learning-Based Clinical Decision Support at Triage | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-emergency-care-using-machine-learning-based
     September 30, 2023 - electronic health record has the potential to improve predictions around patient acuity and complexity thus leading … triage tool integrated into the EHR will improve the prediction of patient acuity and complexity, thus leading … informed by machine learning has the potential to improve predictions around patient health severity, leading … integrated into the EHR should improve the prediction of patient illness severity and complexity, thus leading

199. Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. | PSNet
     psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
     January 31, 2018 - This retrospective cohort study found that the leading cause of death among resident physicians is cancer … , and the second leading cause of death is suicide .

200. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
     August 01, 2017 - Multifaceted Approach Facilitates Cultural and Linguistic Match Between Patient and Mental Health Provider, Leading … Exchange. 24-Hour, Bilingual Nurse Line Provides Advice and Interpreter Services for Plan Members, Leading … innovations.ahrq.gov/profiles/24-hour-bilingual-nurse-line-provides-advice-and-interpreter-services-plan-members-leading … innovations.ahrq.gov/profiles/24-hour-bilingual-nurse-line-provides-advice-and-interpreter-services-plan-members-leading … Offer Culturally Tailored Diabetes Education and Culturally Appropriate Care to Ethiopian Patients, Leading