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341. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. | PSNet
     psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
     August 22, 2018 - August 22, 2018 Did duty hour reform lead to better outcomes among the highest risk patients … April 24, 2018 Does increased schedule flexibility lead to change?

342. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/867659
     July 10, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Rapid Response Systems Curated Library Primers Rapid Response Systems UC Davis PSNet Editorial Team | September, 15 2024 Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical de…

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50423/psn-pdf
     September 04, 2019 - When a vital sign leads a country astray—the opioid epidemic. September 4, 2019 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. https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opio…

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40070/psn-pdf
     December 08, 2010 - Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. December 8, 2010 Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10- Fold Dosing Error During Epidural Labor Analgesia With Ropivacaine. J Pat…

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37517/psn-pdf
     August 25, 2009 - How health care complexity leads to cooperation and affects the autonomy of health care professionals. August 25, 2009 Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Anal. 2008;16(4):329-341. doi:10.1007/…

346. 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

347. 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

348. 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

349. 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

350. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
     December 01, 2015 - well-intentioned providers diligently respond to repeated false alarms However, excessive false alarms can lead … monitoring is a 5-electrode configuration Acquires 6 limb leads (I, II, III, aVR, aVL, aVF) and 1 chest lead … patient and contacted the physician However, the correct response should have been to search for another lead

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43075/psn-pdf
     August 02, 2015 - National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. August 2, 2015 Geller AI, Shehab N, Lovegrove MC, et al. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. JAMA Intern …

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39521/psn-pdf
     May 12, 2010 - Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. May 12, 2010 Kanwar M, Irvin CB, Frank JJ, et al. Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. Ann Emerg Med. 2010;55(…

353. 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

354. 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

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43863/psn-pdf
     July 16, 2015 - Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. July 16, 2015 Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better future performance in a simulated …

356. 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

357. 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

358. 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

359. 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

360. 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