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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855096/psn-pdf
    November 08, 2023 - systematic-workup-transfusion-reactions-reveals-passive-co-reporting- handling-errors Transfusion errors can lead

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60986/psn-pdf
    January 01, 2021 - Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. October 7, 2020 Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. BMJ Lea…

  3. Drug shortages continue to compromise patient care. | PSNet

    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

  4. Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. | PSNet

    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

  5. Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. | PSNet

    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

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60750/psn-pdf
    August 06, 2020 - missed-breast-cancer-effects-subconscious-bias-and-lesion-characteristics This article discusses the cognitive processes that can lead

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44830/psn-pdf
    January 01, 2019 - Though nurses felt surgeon-led time outs are valuable and lead to fewer adverse events, 94% of them

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47241/psn-pdf
    October 10, 2018 - single hospital, a 4-hour training on high reliability and just culture for registered nurses did not lead

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47855/psn-pdf
    June 19, 2019 - new-evidence-stemming-low-value-prescribing https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47319/psn-pdf
    October 10, 2018 - Differences in strength expression on product labels of compounders and conventional manufacturers may lead

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44794/psn-pdf
    May 21, 2019 - medical-device-use-error-root-cause-analysis Applying human factors engineering to examine mistakes associated with medical device use can lead

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838317/psn-pdf
    October 12, 2022 - This study found that duplicated content within patient records was prevalent, which can lead to information

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837709/psn-pdf
    July 20, 2022 - issue/improving-diagnosis-medicine-act-2022 Strengthening diagnostic error research and training can lead

  14. Clinical Decision Support Systems | PSNet

    psnet.ahrq.gov/primer/clinical-decision-support-systems
    September 07, 2019 - Excessive warnings or poorly targeted reminders can easily lead to alert fatigue for clinicians, diminishing … to 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

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853244/psn-pdf
    September 06, 2023 - issue/error-traps-pediatric-patient-blood-management-perioperative-period Blood management errors can lead

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73686/psn-pdf
    September 08, 2021 - device-use-errors-among-patients-asthma-and-copd-and-role-training-real-life- study Incorrect use of medical devices can lead

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61100/psn-pdf
    November 04, 2020 - patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic- based-education Insulin is a high-risk medication that can lead

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60201/psn-pdf
    April 08, 2020 - Such training would lead physicians to interact differently with patients, communities, interprofessional

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72637/psn-pdf
    January 13, 2021 - Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis. January 13, 2021 Ricci-Cabello I, Gangannagaripalli J, Mounce LTA, et al. Identifying Factors Leading to Harm in English G…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73678/psn-pdf
    September 08, 2021 - indicate health deficiencies decreased as IT sophistication increased, suggesting investment in IT could lead
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