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41. Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. | PSNet
    psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
    June 10, 2018 - Article Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to … Citation Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Interruptions lead to errors and unfinished…wait, what was I doing?

42. Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet
    psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
    June 10, 2018 - Newspaper/Magazine Article Drawn curtains, muted alarms, and diverted attention lead … Citation Text: Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia … Citation Citation Text: Drawn curtains, muted alarms, and diverted attention lead … May 7, 2014 Administering a saline flush "site unseen" can lead to a wrong route error

43. Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? | PSNet
    psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
    June 10, 2018 - Interruptions lead to errors and unfinished…wait, what was I doing? … Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! … Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! … 8, 2016 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

44. Quality and patient safety. Engaging your board to take the lead.  | PSNet
    psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
    April 21, 2015 - Engaging your board to take the lead.  Citation Text: Bader BS. … Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7. … Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7.

45. Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. | PSNet
    psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
    April 08, 2020 - Differences in strength expression on product labels of compounders and conventional manufacturers may lead … Differences in strength expression on product labels of compounders and conventional manufacturers may lead … Differences in strength expression on product labels of compounders and conventional manufacturers may lead

46. New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. | PSNet
    psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
    April 26, 2023 - Doctors worry that could lead to errors. … Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022. … Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022.

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41436/psn-pdf
    October 19, 2012 - Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment … Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical- … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73151/psn-pdf
    April 14, 2021 - Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics? … https://psnet.ahrq.gov/issue/could-efforts-fight-coronavirus-lead-overuse-antibiotics Antibiotic overuse … https://psnet.ahrq.gov/issue/could-efforts-fight-coronavirus-lead-overuse-antibiotics https://psnet.ahrq.gov

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836869/psn-pdf
    April 06, 2022 - Will prosecuting medical errors lead to a culture of silence? April 6, 2022 Fiore K. … https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence Experts are concerned … https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence https://psnet.ahrq.gov

50. Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. | PSNet
    psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
    September 29, 2017 - Commentary Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable … Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. … Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. … July 29, 2020 Does increased schedule flexibility lead to change?

51. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44118/psn-pdf
    May 19, 2018 - Inadequate preoperative team briefings lead to more intraoperative adverse events. … Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. … https://psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse- … https://psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events … https://psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events

52. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838141/psn-pdf
    September 21, 2022 - Doctors worry that could lead to errors. September 21, 2022 Lovelace Jr, B. NBC News. … https://psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors Look-alike … https://psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors https

53. Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? | PSNet
    psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-lead-improved
    October 23, 2024 - Review Systematic review of morbidity and mortality meeting standardization: does it lead … Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional … Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46103/psn-pdf
    September 23, 2017 - Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. … Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. … https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable- moment … https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment … https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment

55. Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. | PSNet
    psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
    August 20, 2021 - Resource Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead … Citation Text: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to … Citation Citation Text: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead

56. The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. | PSNet
    psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
    April 03, 2019 - Report The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead … Citation Text: The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the … Citation Citation Text: The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60540/psn-pdf
    November 01, 2016 - Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery … Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery … https://psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton … https://psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean … https://psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35160/psn-pdf
    January 02, 2017 - Unlabeled containers lead to patient's death. January 2, 2017 Cohen MR, Smetzer JL. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death The authors review selected incidents … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death

59. Adopting high reliability organization principles to lead a large scale clinical transformation. | PSNet
    psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation
    November 21, 2021 - Commentary Adopting high reliability organization principles to lead a large scale … Adopting high reliability organization principles to lead a large scale clinical transformation. … Adopting high reliability organization principles to lead a large scale clinical transformation.

60. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? | PSNet
    psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
    May 19, 2021 - Study Can the standard configuration of a cardiac monitor lead to medical errors … Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? … Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction?