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381. Medical Mistakes and What Doctors Can Learn From Pilots | PSNet
     psnet.ahrq.gov/training-catalog/medical-mistakes-and-what-doctors-can-learn-pilots
     events that discusses strategies to avoid medical mistakes, how to recognize cognitive biases that can lead

382. Psn-Pdf (pdf file)
     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

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39486/psn-pdf
     May 05, 2010 - understanding-handling-drug-safety-alerts-simulation-study This study highlights contributing factors that lead

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42111/psn-pdf
     March 13, 2013 - neurophysiologist This commentary discusses how misinterpretation of electroencephalograms (EEGs) can lead

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43864/psn-pdf
     January 28, 2015 - checklists, resources, and implementation guidance to help clinical nurse specialists develop and lead

386. Psn-Pdf (pdf file)
     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

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72670/psn-pdf
     January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys…

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36416/psn-pdf
     December 22, 2010 - A medical error leads to tragedy: how do we inform the patient? December 22, 2010 Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient This roundtable discussion p…

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45225/psn-pdf
     June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R…

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40641/psn-pdf
     July 27, 2011 - Error in body weight estimation leads to inadequate parenteral anticoagulation. July 27, 2011 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.2010.01.006. https://psnet.ahrq.gov/is…

391. Psn-Pdf (pdf file)
     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

392. Psn-Pdf (pdf file)
     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

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46558/psn-pdf
     November 01, 2017 - commentary describes how a project utilized fault-tree analysis as a method to examine elements that lead

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42857/psn-pdf
     January 15, 2014 - persistent overuse of routine laboratory tests and underutilization of certain tests (which could lead

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46443/psn-pdf
     September 27, 2017 - https://psnet.ahrq.gov/issue/overtreatment-united-states Overuse of medical care can lead to patient

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46729/psn-pdf
     January 17, 2018 - https://psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer Missed or delayed cancer diagnoses can lead

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44649/psn-pdf
     November 11, 2015 - psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors Errors in the prescribing process can lead

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40747/psn-pdf
     September 07, 2011 - misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve- diagnostic-processes The various types of cognitive biases that can lead

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46800/psn-pdf
     May 16, 2018 - psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal Large-scale adverse events should lead

400. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet
     psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
     December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…