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  1. 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.
  2. 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
  3. psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
    August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38598/psn-pdf
    June 03, 2010 - Leading successful rapid response teams: a multisite implementation evaluation. … Leading successful rapid response teams: A multisite implementation evaluation. … https://psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation … https://psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation
  5. hcup-us.ahrq.gov/db/nation/nis/nis_2005_stspecific_restr.jsp
    January 01, 2005 - 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city
  6. 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.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43201/psn-pdf
    May 21, 2014 - New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. … https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved- … https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings … https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
  8. 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
  9. hcup-us.ahrq.gov/db/nation/nis/nis_2004_stspecific_restr.jsp
    January 01, 2004 - 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city
  10. 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
  11. hcup-us.ahrq.gov/db/nation/kid/KID_Sources_and_Restrictions_2000.pdf
    January 01, 2000 - identifier • HOSPSTCO, hospital state, county FIPS code • IDNUMBER, AHA hospital identifier without leading … 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
  12. www.ahrq.gov/nursing-home/resources/artifacts-of-culture-change.html
    June 01, 2021 - tool can be used by nursing homes on a culture change journey to become aware of concrete changes that leading
  13. www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-slides.html
    December 01, 2017 - Large arrow with the following text boxes imposed over it: Collaborative Guidelines leading to Physician … Buy-In leading to The 3 R's leading to Success!
  14. www.ahrq.gov/opioids/about.html
    August 01, 2021 - Deaths from drug overdoses have risen steadily over the past two decades and have become a leading
  15. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptx
    January 05, 2022 - However, leading change also requires tools and resources. … Leading Teams, 2019) (TeamSTEPPS for Office‐Based Care: Leading Teams, 2015) 9 Slide Briefs Form the … Leading change for diagnosis improvement requires evidence-based tools and resources. … Leading change for diagnosis improvement requires evidence-based tools and resources. … Leading Teams. Content last reviewed March 2019.
  16. 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
  17. hcup-us.ahrq.gov/db/nation/nis/nis_2003_stspecific_restr.jsp
    January 01, 2003 - 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city … 6 AHAID, AHA hospital identifier with leading 6 HOSPNAME, hospital name HOSPCITY, hospital city
  18. hcup-us.ahrq.gov/db/nation/nis/NIS_Sources_and_Restrictions_2002.pdf
    January 01, 2002 - 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
  19. psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
    May 18, 2022 - 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 … September 13, 2011 Ambulatory care adverse events and preventable adverse events leading
  20. 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