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161. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet
     psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
     December 16, 2015 - BMJ Lead. 2024;8(1):59-62. doi:10.1136/leader-2023-000849. … BMJ Lead . 2024; 8 (1) :59-62 . View more articles from the same authors. … BMJ Lead. 2024;8(1):59-62. doi:10.1136/leader-2023-000849.

162. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
     December 21, 2017 - BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407. … BMJ Lead . 2022; 6 (1) :15-19 . View more articles from the same authors. … BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407.

163. Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. | PSNet
     psnet.ahrq.gov/issue/comparing-hospital-leadership-and-front-line-workers-perceptions-patient-safety-culture
     June 07, 2016 - BMJ Lead. 2024;8(8):335-339. doi:10.1136/leader-2023-000922. … BMJ Lead . 2024; 8 (8) :335-339 . View more articles from the same authors. … BMJ Lead. 2024;8(8):335-339. doi:10.1136/leader-2023-000922.

164. Distracting communications in the operating theatre. | PSNet
     psnet.ahrq.gov/issue/distracting-communications-operating-theatre
     August 18, 2017 - communication to errors, the authors speculate that the large number of "case-irrelevant communications" could lead … April 10, 2019 Inadequate preoperative team briefings lead to more intraoperative adverse

165. Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet
     psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
     November 30, 2012 - Missed or delayed diagnosis of cardiovascular disease can lead to adverse patient outcomes . … 2018 WebM&M Cases Missing ECG and Missed Diagnosis Lead

166. Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. | PSNet
     psnet.ahrq.gov/issue/opioid-prescribing-opioid-naive-patients-emergency-departments-and-other-settings
     August 29, 2018 - has shown that prescribing opioids to opioid-naïve patients at the time of hospital discharge may lead … prescribing in the emergency department more often comported with CDC guidelines and was less likely to lead

167. Defining, estimating, and communicating overdiagnosis in cancer screening. | PSNet
     psnet.ahrq.gov/issue/defining-estimating-and-communicating-overdiagnosis-cancer-screening
     October 13, 2018 - The associated overtreatment that results from overdiagnosis can lead to increased financial stress and … shown that breast cancer screening may identify lesions that are not clinically meaningful and may lead

168. A shortage of everything except errors: harm associated with drug shortages. | PSNet
     psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
     February 13, 2019 - 21, 2012 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Interruptions lead to errors and unfinished…wait, what was I doing?

169. In Conversation With... Jack Westfall, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
     September 28, 2022 - So, I think we’re well positioned to lead patient safety efforts. … Primary care needs to lead the proactive sharing of information when we transition patients and refer … We need to lead the charge in making sure that those organizations have the information they need to … JW: I want to just reiterate the point that primary care and family physicians can lead the efforts … AHRQ is the lead federal agency for patient safety research.

170. Good intention, uncertain outcome...our take on physician dispensing in offices and clinics. | PSNet
     psnet.ahrq.gov/issue/good-intention-uncertain-outcomeour-take-physician-dispensing-offices-and-clinics
     February 13, 2019 - 8, 2016 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Interruptions lead to errors and unfinished…wait, what was I doing?

171. Raising the index of suspicion: red flags that represent credible threats to patient safety. | PSNet
     psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
     February 13, 2019 - 8, 2016 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Interruptions lead to errors and unfinished…wait, what was I doing?

172. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. | PSNet
     psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
     September 12, 2018 - commentary recommends an approach to examine laboratory testing and identify weaknesses that may lead

173. Report links Georgia's abortion ban to preventable deaths. | PSNet
     psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
     November 13, 2024 - How Abortion Bans Lead to Preventable Deaths. … How Abortion Bans Lead to Preventable Deaths.

174. Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. | PSNet
     psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
     June 01, 2022 - 2020 Open Notes shines light on errors in patient medical records — will the new rule lead … April 20, 2022 Will prosecuting medical errors lead to a culture of silence?

175. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet
     psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
     September 29, 2021 - Author(s) Open Notes shines light on errors in patient medical records — will the new rule lead … May 15, 2024 Will prosecuting medical errors lead to a culture of silence?

176. The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. | PSNet
     psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care
     May 27, 2015 - Without prescribing a specific approach, the authors call on health care professionals to take the lead … January 23, 2019 Improving the quality of health care: who will lead?

177. Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet
     psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
     June 01, 1989 - There is a growing concern that lack of emphasis on performing the physical examination will lead to … The lead author, Dr.

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43695/psn-pdf
     August 02, 2015 - systems (which use an adjudication process rather than usual courts) will all play a larger role and lead … Formation of accountable care organizations may lead to reform in the liability system such that organizations

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33609/psn-pdf
     March 15, 2025 - Excessive warnings or poorly targeted reminders can easily lead to alert fatigue for clinicians, diminishing … learn from examples, rather than being preprogrammed with rules based on human inputs—will likely lead … the methods used to develop recommendations and rigorous evaluation of new programs to ensure they lead

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60653/psn-pdf
     April 25, 2020 - Medication error is a broad term used to describe a number of more specific events that may cause, or lead … Experts say COVID-19 will likely lead to US drug shortages. News & Perspectives. … and Policy. https://www.cidrap.umn.edu/news-perspective/2020/03/experts- say-covid-19-will-likely-lead-us-drug-shortages … psnet.ahrq.gov//#_ednref3 https://www.cidrap.umn.edu/news-perspective/2020/03/experts-say-covid-19-will-likely-lead-us-drug-shortages … https://www.cidrap.umn.edu/news-perspective/2020/03/experts-say-covid-19-will-likely-lead-us-drug-shortages