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441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47298/psn-pdf
     September 24, 2018 - This commentary describes how an academic health system engaged physicians in leading improvement efforts

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46129/psn-pdf
     September 28, 2017 - insights-malpractice This analysis of closed malpractice claims sought to characterize the types of errors leading

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45679/psn-pdf
     January 03, 2018 - The World Health Organization has taken a leading role in eliminating health care–associated harms and

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42996/psn-pdf
     March 19, 2014 - physician-led-chart-audit-engaging-providers-fortifying-culture-safety This quality improvement intervention engaged physician leaders and frontline clinicians in leading

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46734/psn-pdf
     February 07, 2018 - This review explores simulation in anesthesiology and the role of anesthetists in leading further innovation

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34935/psn-pdf
     June 23, 2009 - While reviewing the details of the case, the author explores the pitfalls leading to missed diagnoses

447. Diabetes-Related Inpatient Stays, 2018 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb279-Diabetes-Inpatient-Stays-2018.pdf
     January 01, 2018 - ■ The leading principal diagnosis for stays involving type 1 diabetes was diabetes— accounting for … The leading principal diagnosis for stays involving type 2 diabetes was septicemia—accounting for … reason for hospitalization among stays involving type 1 diabetes and the third leading reason among … Septicemia (792,500 stays; 10 percent) and heart failure (534,400 stays; 7 percent) were the leading … comorbidity among stays for type 1 diabetes and the second leading comorbidity among stays for type

448. Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
     January 01, 2018 - Jason Adelman, named as one of 50 experts leading the field of patient safety in 2018 by Becker’s Hospital … implementing patient photos in EHR systems. 2  https://www.beckershospitalreview.com/lists/50-experts-leading-the-field-of-patient-safety

449. MHA/AHRQ Clinically Enhanced Data Project (pdf file)
     hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn19.pdf
     June 21, 2014 - AHRQ is seeking widespread adoption of this effort in Minnesota, because they see MN as a leading indicator

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47368/psn-pdf
     September 12, 2018 - using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35703/psn-pdf
     July 13, 2010 - involved older and more ill patients, with respiratory depression being the most frequent occurrence leading

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45445/psn-pdf
     September 27, 2016 - equipped-overcoming-barriers-change-improve-quality-care-theories-change https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46655/psn-pdf
     December 13, 2017 - simulation study found that respiratory therapists were more likely to speak up when the anesthesiologist leading

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33993/psn-pdf
     March 02, 2011 - conversation-withdonald-m-berwick-md-mpp https://psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35265/psn-pdf
     February 03, 2011 - seemingly routine full-term pregnancy that rapidly evolved into a course of complications, ultimately leading

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45452/psn-pdf
     August 24, 2016 - errors-and-error-producing-conditions-during-simulated-prehospital-pediatric-cardiopulmonary https://psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45781/psn-pdf
     July 02, 2017 - reduction-medication-errors-related-sliding-scale-insulin-introduction-standardized-order https://psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40079/psn-pdf
     December 18, 2014 - adverse-events-cough-and-cold-medications-after-market-withdrawal-products-labeled-infants https://psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45217/psn-pdf
     June 15, 2016 - drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45563/psn-pdf
     October 19, 2016 - psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail