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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73922/psn-pdf
    October 06, 2021 - Leading causes of anesthesia-related liability claims in ambulatory surgery centers. October 6, 2021 Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431. https://psnet.ahrq.go…

  9. 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

  10. 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

  11. 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

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854818/psn-pdf
    October 25, 2023 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. October 25, 2023 van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical laboratory testing process lea…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60815/psn-pdf
    August 19, 2020 - a unique opportunity to consider how situational factors impact clinical reasoning performance and lead

  14. 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

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837641/psn-pdf
    July 06, 2022 - safety-medication-use-primary-care https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74057/psn-pdf
    November 10, 2021 - patient-and-clinician-experiences-uncertainty-diagnostic-process-current- understanding-and Diagnostic uncertainty can lead

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50556/psn-pdf
    January 01, 2021 - in this study, but the intervention did improve adherence to the patient safety bundle, which could lead

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44227/psn-pdf
    November 19, 2018 - unmet-needs-teaching-physicians-provide-safe-patient-care https://psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72689/psn-pdf
    January 29, 2021 - salt and sodium bicarbonate mouthwash and pain control.4 A timely diagnosis of oral mucositis will lead … to Horwtiz et al.5 Unfortunately, blood cultures are low in yield6 and a false positive can often lead … radiologic tests.”9 The reflexive ordering of tests without a proper in-person bedside assessment may lead … to more patient handoffs.11 Frequent and poor handoffs can lead to more cross-cover questions, calls … is still hope that creating a better culture of safety will hopefully encourage more teamwork and lead

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837590/psn-pdf
    June 29, 2022 - diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias Cognitive biases can impede decision-making and lead
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