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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39110/psn-pdf
    June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3. https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time- leading-dru…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46081/psn-pdf
    April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent…

  3. Medication overdoses leading to emergency department visits among children. | PSNet

    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…

  4. Psn-Pdf (pdf file)

    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

  5. Psn-Pdf (pdf file)

    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

  6. Psn-Pdf (pdf file)

    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.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45411/psn-pdf
    August 31, 2016 - The authors advocate for research to examine the environmental characteristics that lead to increased

  8. Psn-Pdf (pdf file)

    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

  9. Psn-Pdf (pdf file)

    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

  10. Psn-Pdf (pdf file)

    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

  11. Psn-Pdf (pdf file)

    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

  12. Psn-Pdf (pdf file)

    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

  13. Psn-Pdf (pdf file)

    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

  14. Psn-Pdf (pdf file)

    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

  15. Fear of Covid-19 leads other patients to decline critical treatment. | PSNet

    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. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34935/psn-pdf
    June 23, 2009 - pitfalls leading to missed diagnoses, including several types of "cognitive shortcuts" that commonly lead

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44239/psn-pdf
    September 29, 2017 - When medical care leads to harm—difficulty finding words: a teachable moment. September 29, 2017 Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.2015.2334. https://psnet.ahrq.gov/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60309/psn-pdf
    May 06, 2020 - COVID-19 leads to increased need for dialysis machines. May 6, 2020 Mosley T. Here & Now. Boston Public Radio. April 27, 2020. https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines Comorbidities can result in unexpected care complexities. This article discusses an emerging challenge for …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34783/psn-pdf
    March 28, 2005 - the organizational factors that produce errors of perception, judgment, and calculation, which can lead

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43890/psn-pdf
    April 22, 2015 - Because lack of timely follow-up can lead to delays in diagnosis, this work highlights a gap in current
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