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  1. 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
  2. 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
  3. 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
  4. 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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836969/psn-pdf
    April 20, 2022 - another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73612/psn-pdf
    August 18, 2021 - This systematic review of 5 studies suggests that use of RFID can lead to rapid, accurate detection
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838078/psn-pdf
    September 14, 2022 - This literature review outlines how EHR usability issues, such as information overload, can lead to
  12. 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
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74702/psn-pdf
    January 26, 2022 - association-between-physician-burnout-and-self-reported-errors-meta-analysis Clinician burnout can compromise patient safety and lead
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845345/psn-pdf
    March 01, 2023 - ://psnet.ahrq.gov/issue/role-language-barriers-efficacy-rapid-response-teams Language barriers can lead
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846756/psn-pdf
    March 29, 2023 - frequency-medication-administration-timing-error-hospitals-systematic-review Medication timing errors can lead
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73541/psn-pdf
    July 28, 2021 - misdiagnosis-heart-failure-systematic-review-literature Misdiagnosis of cardiovascular conditions can lead
  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. psnet.ahrq.gov/issue/mother-says-er-misdiagnosis-leads-sons-death
    December 19, 2007 - Audiovisual Mother says ER misdiagnosis leads to son's death. Citation Text: Burcham K. WSOC-TV. November 22, 2013.  Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL D…

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