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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851195/psn-pdf
    July 05, 2023 - /clinician-factors-associated-delayed-diagnosis-appendicitis Delayed diagnosis of appendicitis can lead

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838222/psn-pdf
    September 28, 2022 - them out to do things they don’t need to do, and avoid unnecessary tests or treatments that might lead … So, I think we’re well positioned to lead patient safety efforts. … I think primary care has an opportunity to lead the patient safety effort or to claim it as part of … We need to lead the charge in making sure that those organizations have the information they need to … Those transitions are important, and I think primary care can lead by example and demand from our

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73960/psn-pdf
    October 13, 2021 - psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards Unintentional therapeutic duplication can lead

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47049/psn-pdf
    July 10, 2019 - injectable-opioid-shortages-suggestions-management-and-conservation https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47569/psn-pdf
    April 10, 2019 - https://psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe Misinterpretations of critical tests can lead

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73586/psn-pdf
    January 01, 2022 - more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors Cognitive biases and poor communication among providers can lead

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837710/psn-pdf
    July 20, 2022 - psnet.ahrq.gov/issue/independent-neurology-inquiry Misdiagnosis of neurological conditions, such as stroke, can lead

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47938/psn-pdf
    May 01, 2019 - drug-diversion-and-impaired-health-care-workers Fatigue, emotional stress, and illness can affect decision-making and lead

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849139/psn-pdf
    May 17, 2023 - intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47794/psn-pdf
    April 03, 2019 - ambulatory care physician regarding how the busy work environment contributes to shortcuts that can lead

  11. Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. | PSNet

    psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
    September 26, 2016 - Interruptions lead to errors and unfinished…wait, what was I doing? … 8, 2016 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

  12. A mislabeling event with batched drugs: the unintended consequences of practice changes. | PSNet

    psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
    May 07, 2014 - June 10, 2018 Administering a saline flush "site unseen" can lead to a wrong route error … 10, 2018 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855002/psn-pdf
    November 01, 2023 - temporarily-holding-medication-orders-safely-order-prevent-patient-harm Process disconnects can cause administration mistakes that lead

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853971/psn-pdf
    September 27, 2023 - unconscious-bias-among-health-professionals-scoping-review Biases among healthcare professionals can lead

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47297/psn-pdf
    October 31, 2018 - psnet.ahrq.gov/issue/reducing-treatment-errors-through-point-care-glucometer-configuration Hypoglycemia can lead

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74100/psn-pdf
    November 24, 2021 - pediatric-medication-errors-and-reduction-strategies-perioperative-period Pediatric medication errors during anesthesia can lead

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60671/psn-pdf
    July 08, 2020 - The authors discuss the possible dangers of using race-adjusted algorithms due to their potential to lead

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47709/psn-pdf
    August 07, 2019 - They uncovered a significant number of medication discrepancies that could lead to adverse drug events

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74188/psn-pdf
    December 15, 2021 - addition to creating challenges for trainee comprehension of surgical instruction, ambiguous language can lead

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72601/psn-pdf
    January 01, 2021 - issue/increasing-physician-reporting-diagnostic-learning-opportunities Missed or delayed diagnoses can lead
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