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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74261/psn-pdf
    January 19, 2022 - issue/implicit-bias-healthcare-professionals-systematic-review Healthcare provider implicit bias can lead
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840477/psn-pdf
    November 30, 2022 - common-and-consequential-fractures-should-not-be-missed-children Diagnostic errors involving pediatric musculoskeletal radiographs can lead
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867650/psn-pdf
    January 01, 2022 - issue/opioid-deprescribing-toolkit Sudden discontinuation of long-term prescription opioid use can lead
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38938/psn-pdf
    July 26, 2023 - Drug name confusion can easily lead to medication errors, and the ISMP has recommended interventions
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855430/psn-pdf
    November 15, 2023 - BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader-2022-000626.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47953/psn-pdf
    January 01, 2021 - impact-medication-reviews-delivered-community-pharmacist-elderly-patients-polypharmacy-meta https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72761/psn-pdf
    February 17, 2021 - joint-statement-multiple-patients-ventilator https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72534/psn-pdf
    December 02, 2020 - patients-perceptions-safety-emergency-medical-services-interview-study Safety problems in prehospital care can lead
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73189/psn-pdf
    April 28, 2021 - suggests that safety initiatives taking a systems-oriented approach and organizational buy- in can lead
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74104/psn-pdf
    November 24, 2021 - examining-meaning-language-used-communicate-nursing-hand During handoffs, nurses are exposed to a variety of interruptions and distractions which may lead
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73885/psn-pdf
    September 29, 2021 - reporting-unsafe-conditions-academic-women-and-childrens-hospital Incident reporting and analysis can lead
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865870/psn-pdf
    May 15, 2024 - Leading quality and safety on the frontline - a case study of department leaders in nursing homes. May 15, 2024 Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. J Healthc Leadersh. 2024;16:193-208. doi:10.2147/jhl.s454109. http…
  13. psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
    August 08, 2018 - , 2018 Smart pump custom concentrations without hard "low concentration" alerts can lead … , 2018 Smart pump custom concentrations without hard "low concentration" alerts can lead
  14. psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
    February 24, 2016 - , 2018 Smart pump custom concentrations without hard "low concentration" alerts can lead … June 27, 2018 The other opioid crisis: hospital shortages lead to patient pain, medical
  15. psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors
    October 09, 2013 - , 2013 Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead … Differences in strength expression on product labels of compounders and conventional manufacturers may lead
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855057/psn-pdf
    October 31, 2023 - between coworkers may include personal bullying, job-related bullying, and intimidation.15 Factors that lead … Exposure to, or fear of, violence in the workplace can lead to negative psychological consequences for … self-esteem and increased risk for stress, anxiety, and depression.15 These psychological effects can lead … to workplace violence are estimated to be between 15% and 36%.11 Workplace violence incidents can lead … effectiveness of violence prevention training for nurses, research has found that these trainings lead
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853233/psn-pdf
    September 06, 2023 - weight-estimation-drug-dose-calculations-prehospital-setting-systematic-review Inaccurate estimations of patient weight can lead
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854982/psn-pdf
    November 01, 2023 - medicine-self-administration-errors-older-adult-population-systematic-review https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853245/psn-pdf
    September 06, 2023 - intraoperative-communications-between-pathologists-and-surgeons-do-we- understand-each-other Miscommunication between pathologists and surgeons can lead
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851194/psn-pdf
    July 05, 2023 - psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors Preventable adverse events can lead

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