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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33725/psn-pdf
    February 01, 2012 - be taken in GME to improve patient safety.(3,4) Most recently, ACGME, largely following the IOM's lead … In other words, inadequate supervision may lead to unintended harm to patients in the present, but excessive … supervision may lead to unintended harm to patients in the future by limiting the amount of independent … compliance with practice guidelines, decrease complications and mortality rates in the operating room, and lead

  2. Electrocardiogram Results: ***READ ME*** | PSNet

    psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
    May 01, 2019 - Delays in making this diagnosis can lead to significant adverse outcomes for patients. … This can lead to an erroneous diagnosis of acute myocardial infarction ( Table ) or other clinically … Subarachnoid hemorrhage • Metabolic disturbances, such as hyperkalemia • Cardiomyopathy • Lead … 2019 WebM&M Cases Missing ECG and Missed Diagnosis Lead

  3. Psn-Pdf (pdf file)

    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

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73611/psn-pdf
    August 18, 2021 - racial-disparities-diagnostic-delay-among-women-breast-cancer Delayed diagnosis and treatment of breast cancer can lead

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72531/psn-pdf
    January 01, 2021 - factors-influencing-physician-responsiveness-nurse-initiated-communication- qualitative-study Communication failures can lead

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848092/psn-pdf
    April 26, 2023 - doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn Structural racism and implicit biases can lead

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838921/psn-pdf
    October 26, 2022 - /improving-discharge-safety-pediatric-emergency-department Errors during the discharge process can lead

  8. Psn-Pdf (pdf file)

    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

  9. Psn-Pdf (pdf file)

    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

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47713/psn-pdf
    June 14, 2019 - psnet.ahrq.gov/issue/polypharmacy https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47874/psn-pdf
    April 10, 2019 - study examined whether use of data standardization for electronic health record information would lead

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837901/psn-pdf
    August 24, 2022 - modifiable factors (i.e., patient evaluations, technical performance, and communication) that can lead

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72705/psn-pdf
    February 03, 2021 - This systematic review concluded that a systems approach to healthcare design and delivery can lead

  14. Psn-Pdf (pdf file)

    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

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842424/psn-pdf
    January 11, 2023 - unsafe-design-infusion-task-reallocation-and-safety-perceptions-us-hospitals Organizational pressures sometimes lead

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74137/psn-pdf
    December 01, 2021 - patient safety incidents back to their general practitioner or specialist and these incidents can lead

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36626/psn-pdf
    January 14, 2011 - https://psnet.ahrq.gov/issue/whats-trouble-how-doctors-think The author discusses how  heuristics can lead

  18. 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…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49556/psn-pdf
    March 01, 2008 - What appears to be a simple and straightforward order can lead to a variety of breakdowns in the medication … administration process and potentially lead to patient harm, as it did in this case. … For example, oral medications for diabetes (which can lead to hypoglycemia if patients are not eating … Take-Home Points Temporary hold orders can lead to multiple errors and complications in the medication … Hold orders can lead to problems with medication prescribing, transcription, or order entry.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42410/psn-pdf
    July 10, 2013 - doctors-perform-thousands-unnecessary-surgeries This newspaper article explains how unnecessary surgeries may lead
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