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  1. Technical Expert Panel | PSNet

    psnet.ahrq.gov/Information/Panel
    January 01, 2012 - She has worked on interdisciplinary teams across numerous practice settings and is currently leading … clinical leadership throughout his career, including developing new medical school courses and clerkships, leading … disparities, health equity, and patient safety to the initiative to uncover the contributing factors leading … Watson has been recognized as one of the 50 Experts Leading the Field of Patient Safety by Becker’s Hospital … Review, a leading healthcare publication.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38978/psn-pdf
    January 04, 2010 - unintended-exposure-radiotherapy-identification-prominent-causes This study used root cause analysis methodology to identify system factors leading

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39448/psn-pdf
    May 20, 2015 - patient-safety-handbook-ambulatory-care-providers https://psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43267/psn-pdf
    June 11, 2014 - protect-initiative-advancing-childrens-medication-safety https://psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73064/psn-pdf
    March 24, 2021 - ismps-list-high-alert-medications-acute-care-settings https://psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48044/psn-pdf
    June 12, 2019 - Leading article: What has an Airbus A380 Captain got to do with OMFS?

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60317/psn-pdf
    May 13, 2020 - hospital settings to explore perspectives regarding decision-making and personal or contextual attributes leading

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73709/psn-pdf
    September 15, 2021 - gemba-using-observation-and-high-reliability-strategies-achieve-safety-time https://psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836915/psn-pdf
    April 13, 2022 - developers) can now use the refined SEWA framework to identify, analyze and resolve unsafe workarounds, leading

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60050/psn-pdf
    March 18, 2020 - zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47690/psn-pdf
    March 13, 2019 - The process and tools were considered by participants as instrumental in the success of leading staff

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73883/psn-pdf
    September 29, 2021 - wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event https://psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73155/psn-pdf
    April 22, 2021 - Stroke Center (CSC) and found that community hospitals had over a 10 times greater number of errors leading

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60324/psn-pdf
    May 13, 2020 - patient safety, such as safety culture or leadership behavior; (2) improvement or learning orientation leading

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48079/psn-pdf
    June 12, 2019 - Not all participants perceived the intervention as effective, leading to deviation from intended protocol

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38202/psn-pdf
    November 12, 2008 - hospital incident reports to measures of hospital volume and found a relationship between incidents leading

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35727/psn-pdf
    February 22, 2006 - authors reviewed discharge medication records for elderly patients to assess documentation problems leading

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837069/psn-pdf
    January 01, 2024 - primer/human-factors-engineering https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41665/psn-pdf
    September 12, 2012 - psnet.ahrq.gov/issue/risk-factors-associated-incorrect-surgical-counts This study explored factors leading

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44632/psn-pdf
    March 24, 2016 - This investigative news article explores the practice of overlapping procedures at a leading hospital
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