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psnet.ahrq.gov/node/74261/psn-pdf
January 19, 2022 - issue/implicit-bias-healthcare-professionals-systematic-review
Healthcare provider implicit bias can lead
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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
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psnet.ahrq.gov/node/867650/psn-pdf
January 01, 2022 - issue/opioid-deprescribing-toolkit
Sudden discontinuation of long-term prescription opioid use can lead
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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
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psnet.ahrq.gov/node/855430/psn-pdf
November 15, 2023 - BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader-2022-000626.
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/73885/psn-pdf
September 29, 2021 - reporting-unsafe-conditions-academic-women-and-childrens-hospital
Incident reporting and analysis can lead
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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…
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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
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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
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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
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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
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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
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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
-
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
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psnet.ahrq.gov/node/851194/psn-pdf
July 05, 2023 - psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors
Preventable adverse events can lead