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psnet.ahrq.gov/node/47280/psn-pdf
October 15, 2018 - master-healthcare-quality-and-safety
This one-year degree program will train clinicians and health care executives to lead
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psnet.ahrq.gov/node/35099/psn-pdf
June 09, 2009 - The packaging and
labeling for these medications may be confusing and lead to overdosing.
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psnet.ahrq.gov/node/39683/psn-pdf
June 08, 2011 - of human factors, organizational culture, and
team-based science in surgeons would enable them to lead
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psnet.ahrq.gov/node/865870/psn-pdf
May 15, 2024 - Leading quality and safety on the frontline - a case study
of department leaders in nursing homes.
May 15, 2024
Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of
department leaders in nursing homes. J Healthc Leadersh. 2024;16:193-208. doi:10.2147/jhl.s454109.
http…
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psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
April 14, 2021 - Study
Error in body weight estimation leads to inadequate parenteral anticoagulation.
Citation Text:
Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.20…
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psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
February 15, 2023 - Commentary
Leading a highly visible hospital through a serious reportable event.
Citation Text:
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
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Format:
DOI Googl…
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psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
May 27, 2020 - Commentary
When a vital sign leads a country astray—the opioid epidemic.
Citation Text:
Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104.
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - When it is associated with impaired ventilation and inadequate brain oxygenation, it can lead to brain
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psnet.ahrq.gov/node/43864/psn-pdf
January 28, 2015 - checklists, resources, and implementation guidance to help clinical nurse specialists develop and
lead
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psnet.ahrq.gov/node/42111/psn-pdf
March 13, 2013 - neurophysiologist
This commentary discusses how misinterpretation of electroencephalograms (EEGs) can lead
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psnet.ahrq.gov/node/41589/psn-pdf
July 02, 2014 - Prior research has
shown that inappropriate use of heuristics can lead to diagnostic errors.
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psnet.ahrq.gov/node/47435/psn-pdf
November 07, 2018 - https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
Cognitive biases can lead to unnecessary
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psnet.ahrq.gov/node/46441/psn-pdf
December 06, 2017 - role in diagnosis, and inadequate systems for tracking completion of
necessary follow-up studies can lead
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psnet.ahrq.gov/node/36140/psn-pdf
September 29, 2010 - Bottles may have been
erroneously filled with another medication, which could lead to serious health
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psnet.ahrq.gov/node/38878/psn-pdf
September 26, 2016 - reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-
and-benefits
This article explains how interruptions affect cognition and how disruption may lead
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psnet.ahrq.gov/node/43732/psn-pdf
January 07, 2015 - that such
delays are not always due to error, this commentary reviews how diagnostic difficulty can lead
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psnet.ahrq.gov/node/44481/psn-pdf
September 09, 2015 - This news article reports on
how misdiagnosis may lead to patient harm, cognitive biases that can contribute
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psnet.ahrq.gov/node/39486/psn-pdf
May 05, 2010 - understanding-handling-drug-safety-alerts-simulation-study
This study highlights contributing factors that lead
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psnet.ahrq.gov/node/34785/psn-pdf
February 18, 2011 - perspective, one that not only raises concern over all currently available novel
therapies but also may lead
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psnet.ahrq.gov/node/35348/psn-pdf
October 26, 2007 - for reporting by
explaining the benefits that come from such vigilance and how changing systems can lead