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41. Lapse in Antibiotics Leads to Sepsis | PSNet
    psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
    November 21, 2021 - Errors of omission, like from this current case, can be as serious as errors of commission and can lead … Transitions in care across institutions and within hospitals may lead to errors and put patient safety

42. 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

43. 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

44. 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

45. 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

46. 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

47. Unprofessional Behavior Leads to Complications. | PSNet
    psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
    June 03, 2020 - Audiovisual Presentation Unprofessional Behavior Leads to Complications. Citation Text: Unprofessional Behavior Leads to Complications. JN Learning. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

48. Misconnection Leading to Arterial Thrombosis | PSNet
    psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
    January 29, 2021 - Misconnection Leading to Arterial Thrombosis Citation Text: Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bib…

49. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet
    psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
    May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap Citation Text: Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Forma…

50. 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

51. Leading Healthcare Quality and Safety | PSNet
    psnet.ahrq.gov/training-catalog/leading-healthcare-quality-and-safety
    provides healthcare practitioners and others with an introduction to the knowledge and skills needed to lead

52. 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! … 10, 2018 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

53. 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?

54. 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 … June 10, 2018 Administering a saline flush "site unseen" can lead to a wrong route error

55. 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

56. 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

57. Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests? | PSNet
    psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-flood-correction
    March 27, 2024 - Open Notes shines light on errors in patient medical records — will the new rule lead … Citation Text: Open Notes shines light on errors in patient medical records — will the new rule lead … Citation Text: Open Notes shines light on errors in patient medical records — will the new rule lead

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35810/psn-pdf
    December 15, 2009 - Engaging your board to take the lead.  December 15, 2009 Bader BS. Quality and patient safety. … Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7. … https://psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead The author discusses … https://psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41637/psn-pdf
    February 20, 2013 - Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening … https://psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may- lead-rare-life … https://psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life … https://psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41528/psn-pdf
    May 07, 2018 - Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors … https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead … https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors … https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors