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psnet.ahrq.gov/node/838187/psn-pdf
September 28, 2022 - psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases
Delayed diagnosis of infectious diseases can lead
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psnet.ahrq.gov/node/72481/psn-pdf
November 18, 2020 - computer-based-simulation-reduce-ehr-related-chemotherapy-ordering-errors
Chemotherapy medications often have complex dosing which can lead
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psnet.ahrq.gov/node/838025/psn-pdf
September 07, 2022 - that EHRs have yet to be fully embraced as a tool to
proactively identify areas of risk that could lead
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psnet.ahrq.gov/node/73541/psn-pdf
July 28, 2021 - misdiagnosis-heart-failure-systematic-review-literature
Misdiagnosis of cardiovascular conditions 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
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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/45993/psn-pdf
January 01, 2021 - day-potentially-avoidable-readmissions-due-adverse-drug-events
Adverse drug events after hospital discharge can lead
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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
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psnet.ahrq.gov/node/836932/psn-pdf
April 13, 2022 - psnet.ahrq.gov/issue/learning-not-blaming
https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence
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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
-
psnet.ahrq.gov/node/851194/psn-pdf
July 05, 2023 - psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors
Preventable adverse events can lead
-
psnet.ahrq.gov/node/60815/psn-pdf
August 19, 2020 - a unique opportunity
to consider how situational factors impact clinical reasoning performance and lead
-
psnet.ahrq.gov/node/74176/psn-pdf
December 15, 2021 - https://psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
Medication errors can lead
-
psnet.ahrq.gov/node/846756/psn-pdf
March 29, 2023 - frequency-medication-administration-timing-error-hospitals-systematic-review
Medication timing errors can lead
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - of underused interventions. 2 However, they are known to facilitate other types of errors that may lead … Electronic propagation of less obviously incorrect information from another patient’s record could lead … This practice might also lead to undertreatment by misleading the clinician about a contraindication … Thoughtful use of copy/paste can save time and keystrokes, but it can lead to medical errors and patient … However, inappropriate use of these tools may lead to patient harm.
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psnet.ahrq.gov/node/73609/psn-pdf
August 18, 2021 - relationship-between-nurse-burnout-patient-and-organizational-outcomes-
systematic-review
Burnout among nurses can compromise safe patient care and lead
-
psnet.ahrq.gov/node/837900/psn-pdf
August 24, 2022 - inaccurate-penicillin-allergy-labeling-electronic-health-record-and-adverse-
outcomes-care
Inadequate or incorrect documentation of patient allergies can lead
-
psnet.ahrq.gov/node/73581/psn-pdf
January 01, 2022 - applying-human-factors-engineering-address-telemetry-alarm-problem-large-
medical-center
Alarm fatigue can lead
-
psnet.ahrq.gov/node/72854/psn-pdf
March 17, 2021 - enabling-sustained-communication-patients-safe-and-effective-management-
oral-chemotherapy
Oral chemotherapy regimens are complex and may lead
-
psnet.ahrq.gov/node/853244/psn-pdf
September 06, 2023 - issue/error-traps-pediatric-patient-blood-management-perioperative-period
Blood management errors can lead