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321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39153/psn-pdf
     December 02, 2009 - diagnosis, this news column illustrates how strictly following quality improvement procedures might lead

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36587/psn-pdf
     January 14, 2011 - authors describe a tissue specimen marking mechanism that helped identify discrepancies that could lead

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42807/psn-pdf
     February 17, 2015 - https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40718/psn-pdf
     August 31, 2011 - misinformation-medical-literature-what-role-do-error-and-fraud-play This commentary discusses how research errors, bias, and fraud lead

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35833/psn-pdf
     July 23, 2010 - the literature on medication administration errors and categorize systems and personnel issues that lead

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37851/psn-pdf
     June 18, 2008 - identification-and This article reviews how the complexity of care in the pediatric intensive care unit may lead

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41060/psn-pdf
     September 06, 2013 - flaws-clinical-reasoning-common-cause-diagnostic-error Through an illustrative case report, this commentary describes how cognitive biases may lead

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36960/psn-pdf
     September 12, 2011 - profiles-patient-safety-perfect-storm-emergency-department The authors present a case of delayed diagnosis and discuss the cognitive dispositions that can lead

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49845/psn-pdf
     October 01, 2018 - However, the error did lead to the performance of additional blood tests (mostly activated partial thromboplastin … critical medication is unavailable, this case illustrates how a seemingly safe substitution strategy can lead … With heparin, an overdose can lead to a stroke, or even death, especially in vulnerable populations … Just like errors involving heparin, errors involving saline injection can lead to devastating outcomes

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45707/psn-pdf
     April 18, 2018 - costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis Misdiagnosis is common and can lead

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38979/psn-pdf
     October 14, 2009 - physicians are encouraged to ask questions, seek feedback, and reflect on their experiences, could actually lead

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42799/psn-pdf
     December 04, 2013 - automation can diminish human performance, decision-making, and situational awareness—and thereby lead

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43624/psn-pdf
     October 22, 2014 - compendium-strategies-prevent-healthcare-associated-infections-acute-care-hospitals https://psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38931/psn-pdf
     April 18, 2011 - around patient safety improvement and professes the intent of the European Society of Intensive Care to lead

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44436/psn-pdf
     October 30, 2017 - https://psnet.ahrq.gov/issue/overreaction Reporting on how test inaccuracies can lead to misdiagnosis

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34958/psn-pdf
     June 14, 2011 - Faculty of the program used root cause analysis to illustrate that underlying failures in a system can lead

337. Hold That Order | PSNet
     psnet.ahrq.gov/web-mm/hold-order
     December 19, 2018 - 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.

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36146/psn-pdf
     February 05, 2019 - The material also includes risk assessments to identify space concerns that could lead to unsafe conditions

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42975/psn-pdf
     February 26, 2014 - initiative to standardize concentrations of pediatric oral liquid drugs to reduce inconsistencies that lead

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40149/psn-pdf
     January 19, 2011 - However, this study found that splitting pills resulted in unpredictable dose deviations, which could lead