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121. Incivility in healthcare: the impact of poor communication. | PSNet
     psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
     October 19, 2022 - BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. … BMJ Lead . 2024; 8 (1) :83-87 . View more articles from the same authors. … BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717.

122. Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
     October 07, 2020 - BMJ Lead. 2024;18(3):208-214. doi:10.1136/leader-2023-000846. … BMJ Lead . 2024; 18 (3) :208-214 . View more articles from the same authors. … BMJ Lead. 2024;18(3):208-214. doi:10.1136/leader-2023-000846.

123. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. | PSNet
     psnet.ahrq.gov/issue/night-time-communication-stanford-university-hospital-perceptions-reality-and-solutions
     March 24, 2019 - Interruptions can lead to errors , particularly when providers are sleep deprived . … March 20, 2015 Did duty hour reform lead to better outcomes among the highest risk patients

124. Diagnostic discrepancies in the emergency department: a retrospective study. | PSNet
     psnet.ahrq.gov/issue/diagnostic-discrepancies-emergency-department-retrospective-study
     October 04, 2023 - in the emergency department (ED) is estimated to affect over 7 million patients each year and can lead … 2020 WebM&M Cases Missing ECG and Missed Diagnosis Lead

125. Leading a Culture of Safety: a Blueprint for Success. | PSNet
     psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
     August 20, 2018 - Book/Report Leading a Culture of Safety: a Blueprint for Success. Citation Text: Leading a Culture of Safety: a Blueprint for Success. Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017. Copy Citation …

126. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
     September 01, 2014 - Financial barriers represent a patient safety issue that can lead to many downstream consequences including

127. Leading High-Reliability Organizations in Healthcare. | PSNet
     psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
     May 06, 2015 - Book/Report Leading High-Reliability Organizations in Healthcare. Citation Text: Leading High-Reliability Organizations in Healthcare. Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883. Copy Citation Save Save to your library Print …

128. "Superficial" Report Leads to "Deep" Problem | PSNet
     psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
     July 01, 2012 - WebM&M Cases Missing ECG and Missed Diagnosis Lead

129. What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. | PSNet
     psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use
     September 14, 2016 - administration methods used to reduce device costs can introduce heightened potential for dosing errors and lead

130. Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet
     psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis
     August 14, 2019 - A part of the SAFE-LEAD program to promote safety culture in Norwegian nursing homes and home … of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD

131. Fatal gas line mix-up: How to avoid making this "gastly" mistake. | PSNet
     psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
     April 29, 2018 - Related Resources From the Same Author(s) Loud wake-up call: unlabeled containers lead … April 29, 2018 Administering a saline flush "site unseen" can lead to a wrong route error … , 2018 Smart pump custom concentrations without hard "low concentration" alerts can lead

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34790/psn-pdf
     December 23, 2008 - The authors conclude that cognitive errors lead to serious morbidity. … Classification of these error types may lead to future prevention efforts as a result of greater understanding

133. Medication Mix-Up Leads to Patient Death | PSNet
     psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
     July 08, 2022 - Increased stress caused by understaffing can lead to coping strategies that manifest as safety workaround … Workarounds occur within healthcare systems and may lead to deviations from protocols while providing … The modern healthcare system has non-routine episodes of medication administration that can lead to errors … medication administration were split among individuals, increasing the opportunity for cognitive biases to lead

134. The compliance with a patient safety bundle for management of placenta accreta spectrum. | PSNet
     psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
     October 19, 2022 - in this study, but the intervention did improve adherence to the patient safety bundle, which could lead … November 9, 2016 Quality improvement initiatives lead to reduction in nulliparous term

135. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-alarm-fatigue-work-nurses-intensive-care-environment-systematic-review
     August 31, 2022 - Alarm fatigue , which can lead to desensitization and threaten  patient safety , is particularly concerning … January 25, 2023 Can the standard configuration of a cardiac monitor lead to medical

136. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet
     psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
     March 18, 2020 - that registration errors most commonly occur in outpatient areas and emergency departments and can lead … January 12, 2022 Does increased schedule flexibility lead to change?

137. Five Medication Safety Tips for Older Adults. | PSNet
     psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
     April 23, 2012 - Highlighting how aging affects medication absorption that may lead to complications, this fact sheet … , 2012 Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37026/psn-pdf
     September 15, 2011 - residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams- teaching-hospitals Housestaff traditionally lead … found that most respondents felt that ACLS training alone did not leave them adequately prepared to lead

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38491/psn-pdf
     January 31, 2011 - This commentary discusses individual and systems factors that lead to diagnostic error and proposes … An AHRQ WebM&M  perspective discussed cognitive biases that lead to diagnostic error.

140. Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet
     psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
     May 06, 2020 - Older adults commonly use over-the-counter medications and dietary supplements , which can lead to … June 19, 2019 Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable