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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…
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psnet.ahrq.gov/node/46463/psn-pdf
October 04, 2017 - Effectively leading for quality.
October 4, 2017
Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236.
doi:10.1177/0840470417706705.
https://psnet.ahrq.gov/issue/effectively-leading-quality
Hospital boards and executives can help drive safety improvement. This commentary …
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psnet.ahrq.gov/node/41331/psn-pdf
October 03, 2017 - Leading a highly visible hospital through a serious
reportable event.
October 3, 2017
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.
https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…
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psnet.ahrq.gov/node/38886/psn-pdf
August 26, 2009 - Medication overdoses leading to emergency department
visits among children.
August 26, 2009
Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits
among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018.
https://psnet.ahrq.gov/issue/medication…
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psnet.ahrq.gov/node/38619/psn-pdf
May 07, 2018 - Failed check system for chemotherapy leads to
pharmacist's "no contest" plea for involuntary
manslaughter.
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2.
https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-
involuntary-manslaughter
…
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psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
May 07, 2018 - Newspaper/Magazine Article
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.
Citation Text:
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. ISMP Medication Safety Alert! Ac…
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psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
March 05, 2008 - Study
Medication overdoses leading to emergency department visits among children.
Citation Text:
Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018.
Cop…
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psnet.ahrq.gov/node/34782/psn-pdf
November 01, 2016 - four
case examples to illustrate their points and contrast organizational successes with factors that lead
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psnet.ahrq.gov/node/41296/psn-pdf
April 11, 2012 - psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
Poor communication at transitions of care can lead
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psnet.ahrq.gov/node/44938/psn-pdf
September 28, 2017 - psnet.ahrq.gov/issue/walking-tightrope-communicating-overdiagnosis-modern-healthcare
Medical care overuse can lead
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psnet.ahrq.gov/node/40130/psn-pdf
January 12, 2011 - workers were more likely to engage in safety behaviors if they believed their actions would
directly lead
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psnet.ahrq.gov/node/45411/psn-pdf
August 31, 2016 - The authors advocate for research to examine
the environmental characteristics that lead to increased
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psnet.ahrq.gov/node/42717/psn-pdf
November 06, 2013 - current-surgical-instrument-labeling-techniques-may-increase-risk-
unintentionally-retained
This commentary examines how surgical instrument labels may lead
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psnet.ahrq.gov/node/46046/psn-pdf
April 19, 2017 - medication-errors-involving-healthcare-students
https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
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psnet.ahrq.gov/node/46701/psn-pdf
December 20, 2017 - psnet.ahrq.gov/issue/polypharmacy
https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
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psnet.ahrq.gov/node/43517/psn-pdf
October 08, 2014 - issue/cost-opioid-related-adverse-drug-events
Opioids are particularly dangerous medications that may lead
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psnet.ahrq.gov/node/45039/psn-pdf
September 27, 2016 - deaths-following-prehospital-safety-incidents-analysis-national-database
Safety problems in prehospital care can lead
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psnet.ahrq.gov/node/38702/psn-pdf
June 10, 2009 - The lead author also co-
authored a review in the same issue about verbal orders and patient safety.
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psnet.ahrq.gov/node/37417/psn-pdf
March 28, 2012 - Medication use leading to emergency department visits
for adverse drug events in older adults.
March 28, 2012
Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for
adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765.
https://psnet.ahrq.gov/issue/med…
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psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment
June 24, 2020 - Newspaper/Magazine Article
Fear of Covid-19 leads other patients to decline critical treatment.
Citation Text:
Hafner K. Fear of Covid-19 leads other patients to decline critical treatment. New York Times. 2020;May 25.
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